Laserfiche WebLink
!he Evergreen r7 NSTRU CTIO N <br />CITV OF <br />everett PERMIT PERMIT NO. 09169 <br />GTY HALL ?59�87d5 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING GC�CMECHANICAL PLUMBING <br />MAILAD�Pf55 CILY ZIP PNONE <br />OWNEP <br />David Meyer 6128 Sycamore Everett 98203 355-6275 <br />qRCHItECt OR DESiGNER <br />Mnll ApDRE55 CITY ZIP PMONE <br />GENERALCANiRACTOR <br />MRR ADORE55 CIiY ZiP PNONE UCENSE � <br />M[CHnNICALCANiRACiOR AIAILAOOPE55 CIiV ZIP PHONE IiGENSE♦ <br />Same ZIP PHONE IICENSEI <br />P W M�ING CANTRACiOri <br />— MAIL ADDR655 CITY <br />❑NEW <br />VAWN110N OF WORv, <br />E <br />oEscaioe woaK <br />install woo <br />VROPOSED USE Of BUIIDING <br />L[GAl DESCRiP110N OF PROPCRT` <br />lOT BLOCK_Oi <br />JOP AODRl55 <br />6128 Sycamore <br />PLUMBING <br />NO. TYI <br />WATLR CLOSGT <br />❑ADDITION ❑ALTERATION ❑RFPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />oe�ow <br />FI�TU <br />I HERE6Y CERTIFY TH�.I I HAVE READ AND EXAMINED THIS AP� <br />Fouacovies PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AN� ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PEHMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SiGN�i{U�PEO1FCONiP�CiORORA/U➢�O�IZEDAGENi ���E <br />X /lZ77a��-,t .J� •�u�..�-✓ 4 / 2 4L81 <br />FEE <br />LAUNDfiY TRAY <br />CLOTHLS \4?S�iCR <br />WATER II�ATEH <br />URINAL <br />DFINKING FOJN7AIN <br />fLOOR DRAIIJ <br />VACUUM DREAHLRS <br />ROOF DRA�NS — RAINLEADERS <br />SINK (5[FVICE — BAR ETC) <br />SUBTOTAL <br />PEPMIT s <br />TOTAL FEE s <br />SI�E VARD SETBACK STNGET SET�ACK FEAR YARD <br />USE ZONE LOT AREA VACANT SIT <br />f7YE5 Ci� <br />OF CANS? Ul;l <br />OF BLDG. N�� <br />L ENVIRONMENTALCHECKLIST <br />2. BUILDING PlANS <br />3. FIRE HYDRANT <br />4 FIRG PROTECTION SYSTEM <br />5. GRADING <br />G. ORAINAGE <br />7. eNVIRONMENTALIMPACTSTATEMENT <br />e. HEALTH DISTRICT <br />qppLICAT10N ACC. BY PIANS CNECKED BY <br />OCC.LOAD <br />AIli COP <br />REPPIGI <br />OOILER: <br />GAS FIF <br />FORCE[ <br />VJALL H <br />UNIT NI <br />[VAPOF <br />CLOTHI <br />VENTIL <br />RANGE <br />CHECK <br />UNITS <br />BUILDING <br />APFR. FOR ISSU �NCE 6Y <br />MECHANICAL <br />OTHER <br />PENAITV <br />TOTAL <br />TYPE OF EOUIPMENT <br />). UNITS — H R EH <br />7ATION UNITS — H.P. EA <br />— HA EA. _ <br />ID A.G UN�TS — TONNAGE EA. <br />AIR SYSTEMS — B T.U. M EA. <br />ATLRS — B.T.U. ^� <br />1TFRS-9TL M <br />FAN <br />8 CF <br />1L FEE <br />PLAN <br />FEE <br />$ <br />U.B.C. <br />SEC.3031a) <br />FEE <br />RECEIPT NO. <br />FEE <br />14 � 50 <br />I I 14 I50 <br />�TION <br />Y VALIDATED (IN THIS SPACE) TNIS IS VOUfl PERMIT <br />,.;�2 "�i14.)0— c� <br />a—'i <br />.. .. .I� �i� I Q <br />. �� . �� <br />