Laserfiche WebLink
i <br /> �� <br /> fMEwrprNn APPLICATION FOR ���,� <br /> ��TM°F �.�NSTRiJCTION <br /> everett PE RM IT e <br /> DEFT. OF COMMUNITV DEVELOPMENT SERVICES <br /> CITY HALL 259�8715 <br /> EVERETT,WA98201 ��OMBINATION ❑ BUILDING ECNANICAL ❑PLUMtING PERMIT NO. <br /> OwNFR m �DOxF55 [IT ZIP PNONE <br /> �T�"P/-Fe/J �, �co�i.;A� 7 G-�h S � l.� v�'ET,I f� Z.C� 3 <br /> ARCMITF[TORO6ICNFR M�II�ODIlF55 CRY ZIF YNONE � ���J� <br /> �� 7 <br /> GFNER�ICONLR�CTOR MhLAUDRf55 CITY ZIP PNONE IICENSf/ <br /> MFCM�MGI CONTp��TOR M�II AOORE;S CRY !IP PNONE IICFNSE I <br /> PIUmNIHLCONIR�CTOR MAII�ODNE55 UtY 21P PHOHE LICENSEI <br /> CU55 Uf w0 <br /> ❑NEW �DDITION L7ALTERATION ❑REPAIR ❑DEMOIITION ❑FENCE ❑SIGN ❑CARAGE ❑BUILDINGRELOCATION <br /> � VnIU�LIONOf WORK <br /> f <br /> UE RIBF WORK <br /> O 1,� J�TDUE <br /> FNOYOSEDIISF Oi BUILJING I HEREBY CERTIFY THAT I HAVE READ AND E7(AMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IEWI UFSCNIPTION Of PROPERri�SMOWN 8[lOW OR�iTACH fOUR COPIE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREI�J <br /> ior_eiocK_or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR C�NCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT OATE <br /> IOfl�DDRE55 ' <br /> �' S� � Gc) Evrrr Gt� � x � <br /> PIUMlING MECHANIUI <br /> NO. TY�E OF FIXTUIIE FEE NO. TY►E OF EQUI�MENT FEE <br /> WATEF ClOSET�TOLIET� AIR COND UNITS—H.P. EA <br /> BATHTUB REFRIGERATION UN�TS—HP EA <br /> LAVATORY�WASM 9ASIN� ' BOIlERS—H P. EA - <br /> SHOWER CASFIRFDAC UNITS—TONNACEEA <br /> KITCMEN SINK 6 DISP fOBCED AIR SYSTEMS-0 T U. M fA <br /> DISWASHER WALLHEATERS-9TL M <br /> UUNDRYT0.AY UNITMEATERS—BTU. M <br /> CLOTMES WASMER fVAPORATIVE COOLERS <br /> WA1ER MfATEIt CLOTHES DXYF0.5 <br /> UNII:AI yENTIIATION FAN <br /> DPINK:NCFOUNT�IN RANCE MOOD <br /> FLOOR OR�IN �IR HANDLING UNIT— CfM. <br /> VACUUM BREAKfRS STOVE <br /> ROOi DRAIN$—RAINLEADERS METAL FI0.EPlACF F CMIMNfY <br /> ,�� 9NK(SFRViCF—BAR.FiC 1 <br /> SU�T07At SU�10TA1 f <br /> �FIIMIT f ►ElMIT f <br /> iOTAI FFF f iOTAI iEE f <br /> SIOFYARDS[fBACK �TRFFTSCTfiACK R[ARVAROSETOACK PLANCH[CKNUMBFR PLANCHECKFEF <br /> FEE RECFIPT NO. <br /> USF ZOYE I.OT AREA VAUNT$liE <br /> ❑YES CNO fEfS VAWATION iEE <br /> TVPE Of CONST OCCUPANCY GROUP NO Of DWELLING UNITS <br /> BUIIOING f <br /> � $IZE Of PLDC NO OF STURIFS MA% OCC IOAU <br /> PWMIIINC <br /> iINE ZO'+C 9ASEIIENT IIfUNOOMS i1RE SPNINKI[RS <br /> REQUIRED MFCHAMUL � <br /> ❑Yf5 ❑NO <br /> A►►IIOVAlS �1' DATE OiHER <br /> 1 ENVIRONMfNTAL CHECK 115T <br /> Pf N,1lTY U B C <br /> 2 HUILOING PlANS SEC JO)lal <br /> 7 fIRF HYORANT iOTAL <br /> � FIRE PROTECTION SYSTfM f[IIMIT VAIIDATION <br /> WHEN PNOPERLI VAIIOATfD pN iHl$$PACE)TM1515 YOUR PFRMI' <br /> 5 CHADINGrtXCAVATIONBCIFARIhGICRUHHING <br /> 6 DRAINACE <br /> ' ENVIRONMENiAIIMPACTSTATEMENT <br /> E HE�ITM DISiNICi . <br /> APPLIUI�JN ACC BY PLANSCHFCK[D BY APPR fOP 65U�NC! 9Y <br /> `/, G. <br /> o.i.;y ' <br />