Laserfiche WebLink
� <br /> ,�.E,,,,�,� APPLICATION Fr'R ���,�„ <br /> °�TM°F �ONSTRUCTIO�.I O <br /> everett PE RM IT <br /> DEPT OF COMMUNIIY DEVELOPMLYT SCRVKE$ <br /> ❑TY NALL 259�8745 <br /> evenetr, wnvelot ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> IONh�R \NII /.UVNHS ❑11 ZIP PIIOM� <br /> /�r��,� �. �+-i��� �2l S- 1.�_..,_ 7iac��. r L�r .�•�� <br /> ♦ROIIi1C1 ON DI11GkIR 1\II �U�RI55 UIY )IP p110N[ <br /> GISIR�I(Oti1X/.QUR MAII�UON(55 CIM1 }II` pNON[ lIC[N5L/ <br /> ,$�.IL /%lf�t .�.v.�i�r6�.Y..cY 5�7�./- z - S Y� E'v. �:_y� .�5�-')7�F-� �J/�'/1 FwK J/z U C <br /> �11fIN11Ml(ONq��tON � Mnll AOOPI55 ❑lY LIP pHOv� �ICINSE I � <br /> 1'll'aN�GtU�iP1C10N �41L�UUNI55 ❑rt ZiP PMOM lIC[NSE� <br /> (USf OI NONK <br /> �NP1' ❑ADOITION ❑ALTERATION ❑REPAIR ❑DGMOLITION ❑FCNCE ❑SIGN ❑GARAGE ❑OUILDING REI.UCATION <br /> �-�w+i���n o� �.oa� <br /> s <br /> �3i fG0' ..�c <br /> UISCNINf Y.ON� <br /> /«5C/ fAr� � 104� �1 � <br /> reoros�uus�oi nuiomc I HER[UY CERTIFY THAT I HAVE READ AND E%AMINED THI$ AP- <br /> PLIC�TION AND KNOW THE SAME TO OE TRUE AND CORRECT ALL <br /> uui oisceirnorai raoriwii m�oHn mio�r aa nneu�ioue mrrtsi PROVISION$OF UWS AND ORDINANCES GOVERNING THIS TYPE <br /> � � �or G/.vf OF Evc rc.7 OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �O1 9LO1" OR NOT THE GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br /> i <br /> GIVE �UTfiORITY TO VIOLAT[ OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGUUTING CONSTRUCTION <br /> OR iHE PkRFORMANCE OF CONSTRUCTION. <br /> SIGNAiUNE Of COYTRACTOk ON AUiHORIZED AGENT DATE <br /> lox nU[)RI ss � <br /> - i • r >7'1� X ' � � z9 gZ <br /> PIUMBING MECHANICAI <br /> NO. iYPf Of FIXTURE FFE NO. TYPE OF EQUIPMENT FEf <br /> NA1fNCLO51iIlOLI(i� AINCOrvD UNITS-IIP LA <br /> � 0AiH1Ul1 RUXIGfNAiIOYUN115-HP fA <br /> l AV�TORY pVASN NASIN� NOILI RS-��P I A <br /> $MOwI R G�5 1 Bf D A C UNRS-70NI:Af,! [A <br /> KIi011N SIM1K A UISP IONCID AIN SYST[MS-li T U M EA <br /> D6W�SHIR 11'�IlMLA71R5-0iU M <br /> UU�DNIIHAY UYRHIAIfNS-lllU M <br /> QO111lS1VA5HIN fA'APORAIIA9 COOLCRS <br /> N'AII N 111 A71 N ❑07111 S OH1'f RS <br /> URIN�I \9 N11UI104 1 AN <br /> UFInKINf.iOUYIAIN NANU HOOU <br /> f LOOR ONAIN AIN I/ANDLIN�UNI7- �f M <br /> \'ACUVM IIRI AKI RS S10V1 <br /> HOOF pRAINS-H�INIUDLftS MI iAl !Bf PUCI 8 OIIMNf Y <br /> SINK pl R�9C1-NAN.!IC 1 <br /> SUlTOT�I SUlTOTAL S <br /> �E�MIT f PERMIT f <br /> TOUIffE S TOTAL{f[ 3 <br /> SIU[ VAHD SI tpACK STR![T 5[TpACY. NV8 YANU SIlO�CR PUrv'C�H[CA hUMO[R PUN CMLCA iF[ <br /> S�%� RF p3 RECLIPTNO.l <br /> USl ].Otil lOT ANU \'AUNT Slll S � J/ <br /> .,-1.15 r-h� f[ES V�IUAiION fEf <br /> TYPf OI CORSi OCCUPANr�Y GNOUP Np Of DWf ILMG U�I15 <br /> �' N f� � � <br /> OUIIUInG S <br /> SII.( OI OIDG NO Of$TOFIfS M�% OCC tO�U <br /> �yOG i� �'. _- —' 1'IUm01NG <br /> IIR! ZOu( fI�S[M[N7 OIUHUpMti Ilq! ypRlNKltHS <br /> �� �� _ . NIUUINID . MI(IIANIUL - <br /> �YIS :�O <br /> ^ AP��OVALS !Y DAT[ piMlR <br /> 1 W\'IRONMLMAL CMICK lIST <br /> PINAl1Y U.BC <br /> 7 OWLUING PUN$ SkC JOpa� <br /> 7 fIN[ MYDRArvT TOTAL /�7 S� <br /> /b <br /> � HHL PFOI(RION SYSTkM p[IIMIi VALIDATION <br /> WHLN PNOPINLY VAUOAT[0ON 11U5 SPnQI1HIS IS 10UN Pf NMIi <br /> 5 GNAUING;1%UVAi lON 6 Cl I�V.INGICRUHflINL -- <br /> 6 DRAIN�G[ <br /> 7 [NVIRONMlNUL IMPnCT S7AT(MFNT <br /> E HfAUHDISTRICi <br /> APPLICAIION ACC BI" PUNS CNECK[D IIY APPN fON ISSUANCE PY <br /> 1'{�ir� <br /> g4-;9 <br />