Laserfiche WebLink
fMEwryrN^ �i►PPLICATiON FOR �,� <br />��TM�F CONSTRUCTIO.. e <br />eVerett PERtNIT <br />DEPT. OF COMMUNITV DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA98201 ��OMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWHER M�Ile00NF5S CITY 21P PHONE <br />�� t'Li Lclz 3i3-5_L`!C. .ST Cur:cfr y�Y3:� �.5��-�iy73 <br />ARCMIIECT OR DESIGNER MAII �OOFE55 CITY ZIP PHONF <br />SC-yry2 <br />GENENALCONiRAC10R MAIIADORF55 CILY ZIP PHONF IICENTf1 <br />Sn-r„z <br />MfCMANIUL CpNINnQOR MMl ADD0.F55 CITY LIG PMONE IICENSF � <br />PIUMBInG CONIpAROR MAII AODNl55 CIIY ZIP PNONL IICENSE � <br />CU55 Of KORN <br />❑NEW �ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAWnyIIONOf WORc <br />� J�UC <br />�[SCA19F WONN <br />PXOPOSkO USf OI flU1101NG � <br />Wo�k S�,ap - <br />IEGAI UKCRIPIIOv Of PROP( iY ISIIOWN PFIOW OH ALiACH fOUR COPII51 <br />l01 � tlIOCK � Of <br />�, � �,� �= <br />iue mouiss <br />3/ --o� <br />PLUMBING <br />No. T— <br />a� <br />HATMTUB <br />LAVATORY <br />TYPE OF FIXTURE <br />DISP <br />LAUNDRY TNAY <br />CLOiNES\VASMER <br />WAIER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BRFAKFRS <br />ROOF DRAIN$—RAWLEADERS <br />SINK ISFHVICF—BAR FTC 1 <br />TOUL FEE <br />SIDFY�RDSETPACK STRFFiSETAACK <br />[p F � O�' <br />USE ZONE LOT AREA <br />TYPt OG CONST <br />Y - IJ <br />SIZE Of BLOG <br />3q2 �•� <br />FINE ZONE <br />)TIGl.� i� � <br />iF $TORIfS <br />i <br />AYPROVALS <br />1 fNVIRONMENTAL CMECK LISi <br />2 9UILDING PLANS <br />] FIFE HYDRANT <br />� FIRE PROTFCTION SYSTEM <br />5 GRADINGf%CAVATI �N b CLkABINWGAUBBINC <br />6 DRAINALE <br />Z ENVI0.0NMENTAtIMPACTSTATEMENT <br />E. HEAITH DISTRICT <br />L. � <br />9-1�79 <br />gY I PLANS CHECKED BY <br />�i'�/�..'I � <br />i�: 3 <br />iEE <br />�S <br />R[AN /Y�AFO SE <br />"1.�� <br />VAGNi SITE <br />❑YES � <br />NO OF DWELL <br />� <br />nux oa �o <br />FBE SPNINKLI <br />REQUIRf_ D/ <br />i Y(5 �O <br />BY <br />I HEREBY CERTIFY THAT I HnVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE $AME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCE$ COVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CON57RUCTION <br />OR THE PERFORMANCE OF CONSTRI�CTION. <br />SIGNATUftE OF CONTftACTOR OR AUTHORIZED AGENT DATE <br />x , ���.� .�_ S -� - �� _ <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIR CONO UNITS—HP EA <br />REFRICFRAiION UNITS—M.R EA <br />t701LER5—HP EA <br />CAS FIRED A C UNITS—TONNAGE EA <br />FORCED AIR SYSTEM$—BS U. M EA <br />WALL MEATERS-87 U. M <br />UNIT MEATERS-9 T U M <br />kVAPORATIVE COOLER$ <br />VENTILAIION fAN <br />RANGFHOOD <br />— CfM <br />STOVE <br />MEUI <br />PERMIT <br />TOTAI <br />BACK PLAN CMCCK Nl1MBER <br />�Z/IOSS( Fee <br />iFES <br />ING UNII$ <br />dUILDINC 3 9 <br />1U <br />VLUMHINC <br />RS <br />MFCIIANIUL <br />UAiE OTHER <br />APPA. FOR ISSUANCE BY <br />L - L . <br />PENALTY <br />70U1 <br />fAl s <br />f <br />fFE s <br />PLAN CHECK FEk <br />��.�� R�EIP� <br />VAIUATION FFF <br />U.B C <br />SEC. 303(a) <br />►ERMIi VAlIDA710N <br />WNEN PROPERLY VALIOATED (IN TMIS SPACE) THIS IS YOUR PERMIT <br />� <br />� <br />J <br />