Laserfiche WebLink
�� <br />Me Evergrean " P P L I C A T 1 O N F O P everett <br />��TM�F CONSTRUCTION e <br />everett PERMIT <br />DEPT. OF COn7MUNITY DEVELOPMENT SERVICFS <br />CITY HALL 259�8745 <br />eveRe7T.wnvezoi �COMBINATfON ❑ BUILDING CMECHF,NICAL ❑PLUMBING PERMff NO. <br />OWNf0. MAII nDUNfSS CIi1 26 PIION[ <br />GiNERALCONIRACIOR M�IlAOpRLSS CIIY ZII' CHON[ LICEN'iE/ <br />�1101AnIGlCON1RnCiOR AIAILApDRl55 � CIIY 21P FNONE LICENSE,1 <br />�f�54>C/ <br />Pl':�1111nLCO�IPAC(OR n�UtAOGRESS ❑fY ZIP PHONF IICENSE� <br />CU>j J! N'OPK <br />❑NLW ❑ADDIiION ❑ALTERATION REPAIR ❑LEMOLITION ❑FENC[ ❑SICN ❑GARAGE ❑BUILDINGRELOCMION <br />\NWUIOYO{N'ONN� O <br />� z��� .� <br />, <br />�ISCNIIII1vnXK � � - / / / <br />� 0 7�G �u-' � l�' /+'�1� �--e .1/M� � ,�.CG � /v �� G! ��i.t �'J <br />� <br />raovovoust oi xunou+c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE A�D CORRECT ALl <br />ucniotscxiruo�.vorreortair�sHownxuowouniu����ouucorits� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLIEG WITII WHETHER SPEGFIED HEREIN <br />wi _nioa_ov OR NOT. THE GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL iHE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />Oft Ti�[ PERFORMANCE OF CONSTRUCTION. <br />SIGNATUN( OF CONTRACTOR ON AU7HORIZED AGfNT �ATE <br />l011 nDDX155 ��j ../ �-� �y/ �/ Q /} <br />I i. �C :!l _/ X/ L� _.l.�Lv/.� X 'V� /1 � I// Y �iL <br />V <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />WAT(N ClOSFT (TOIIE <br />HATMTUB <br />LAVATORY �WASH BA! <br />$HOWER <br />KITCN[N SINK 8 DISP <br />DISwASMER <br />UUNDRY TRAV <br />CIOiMES W�SMfH <br />URINAL <br />DNINKING fOUNUIN <br />FIOOR DRAIn <br />VACUUM NREAKE85 <br />ROOf L]RAINS—NAINLEAOERS <br />SINK �SERVICE—IIAR. EiC I <br />SU! TOTAI <br />1'ERMIi S <br />TOTAL FFE S <br />SIDF YARD <br />TYPE OF CONST <br />BLDG <br />STHfFT SCTIIACK RUX YANU ) <br />lOT nREA VAUNT SI7F <br />❑YES CNO <br />OCCUYANCY GROUP NO Of UWFL <br />NO OF STOHIES n�A% OCC LC <br />e.<suvu. m.�unn�.n� FlRk SPRINKI <br />A►MOVALS <br />1. ENVIRONMENIAL CMECK LIST <br />7. BUILDINC PLANS <br />3 FIRF MYURANT <br />1 FIRE PROTFCTION SYSTEM <br />5 LRADINGIFXCAVATIONBGLEARINGICRUBflINL <br />6 DRAIN�CF <br />7. ENVIRONMFNTAL IMPACT $TATEMENT <br />B. HFALTM OISTRiCT <br />APPLIUTION ACC. BY PLANS CHECKED BV <br />9-1�79 <br />!Y <br />MECHANICAL <br />FEE NO. 7YPE Oi EQUIPMfNT <br />niucor+o utiirs—i�N en <br />HFFRICERAiION UNITS—MP EA <br />OOILERS—MP EA <br />GAS FIHED AC UNIT$—TONN�GE EA <br />fGNCCDAIRSYSTEMS—NTU. M <br />N'All. HEATERS—E7 T V M <br />UNRHUiERS—dTU M <br />FVAPORATIVE COOLERS <br />CIOTHES ORYENS <br />Vf NTIUTION FAN <br />RAkGfMOOD <br />AIR HANDLING UNIT— C F M <br />STOVE <br />MFTAI FIREPUCE 6 CHIMNFY <br />►FRMIT <br />T07AL <br />PIAN CHCCA NUMpfN <br />FEE <br />fFFS <br />Ii5 <br />OATF <br />iOR ISSUANCE 9Y <br />tlUILDING <br />YWAIBY�G <br />MFCMANIUI <br />OTHER <br />PENALTV <br />S <br />UBC. <br />zEc wxa� <br />FEE <br />� <br />f <br />S <br />PLAN CMECK FEE <br />0.KEIPT NO. <br />y iEF <br />!OTAL I I I <br />fERMIT VAIIDATION I <br />WHEN PROPERLY VALIDATED (IN TMIS SPACE) TMIS IS YOUH PERMIT <br />