Laserfiche WebLink
�- , <br />Ms Ewrpn�^ A 1- r' L I CAT 1 n N F O R ���,�„ <br />°�ry°F CONSTRUCTION e <br />everett PER�! IT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA98I01 ��OMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERNIIT NO. <br />OWNEF h�ell e0t>XISS CIIV 11P PIION' <br />/1 <br />L� d_.�4oflASS� ic�.�.��6' �. � _Fl r•,'/'Tl- Y�'Tn .�' J S_ S 6 S' 9s' <br />ARCNIIj{'TORDf51fiNlR , MnILApD0.155 f1IY ]IP PHONE <br />I�ii%1FT/•Vi', Jrl'//'/i"= f+S��// Fr—E.!� .fL' ..sni.^:/!�•>i���./G�.%/� <br />GINER�I CONiR.1C10R MAII �OORl55 CIIY lIP YMONf LICENSf I <br />�L �. . 1.l'!'%� <br />NICIIANICAI CONiR�CiON M�II �OpRRS CI1Y 11P PNONF IICFN$E / <br />1`IDNpIhCCUNIR�[tJq nlAlln00N155 (IIV 21P PIIONE IICENSF/ <br />C'�INEW ❑ADDITI(�N ❑ALTERATION ❑i2EPAIR ❑DEMOLITION �FENCF ❑SIGN ❑GARAGE ❑BUILDING REIOCATION <br />t�ll4I1MOf WONx � <br />f �� ���� <br />Ill�l'NIHI \YONR <br />re��ro��ovsi oi xmiui�c <br />�.rrY.�A/.'F <br />IfL11 DISCRIPIION OI VROVIRIV (SMOKN Hf lON' ON Ai1�CM ipUR COPIIS� <br />wi�xioca_or `/4/nV/1�W Hl_/C-��1TC �ii� <br />iox �nnA�ss .�E T� <br />/G/8�'' .S'T <�'l.:'�ET/ _ �i, <br />vwMeiNc <br />NO. TY►E OF FI%TURE FEE <br />W�TER CLOSET �TOLIETI <br />9ATNTUB <br />UVATORY �WASR PASIN� <br />SHOWER <br />KITCMEN S�NK 8 DISP <br />DISwnSHER <br />LAUNDRV TRAV <br />CLOTMES wASHFR <br />WATER NfATER <br />URINAI <br />ORINKINC FOUNTAIN <br />FIOOR DRAIN <br />VACUUM BRFAKERS <br />FOOi DRAWS—RAINIFAD"eR5 <br />SINN �SERVICI —OAft. E1C � <br />SU�TOTAI <br />►FRMIT 3 <br />TOTAIfEF f <br />SIDf YARD 5(TOACK STHF[T S[TflACK RUR YARU SEiBI <br />USF <br />R- � <br />7rPF OF COMST <br />� � <br />SIZf OF BLDC{ <br />3�x �0' <br />3 <br />I HEREBY CERTIfY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNUW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI$ TYPE <br />OF WOHK WILL BE COMPLIED WITH'NHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THf PERFORMANCE OF CONSTRUCTION. <br />SICNAIUNf OF CONIRnCTOR OR AUTHORIZED AGENT DATE <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIR CONU UNIT$-11 P EA <br />HEFRIL[RAiIONUNITS–HP FA <br />ItOILFRS–M P EA <br />LASFIREDAC VNITS–TONNAGEEA <br />fORCFD AIR SVSiEMS–B T U M <br />WAI.1 MEATfRS–BTU M <br />11NiI MEATERS–O7 U M <br />lVAPOftATIVE COOlERS <br />VENiIU�ION FAN <br />RANG[NOOD <br />SIOVE <br />nlf TAl <br />PLAN <br />VACANI� Slt/f <br />❑YFS uP� _ <br />GROUP NO OF OWfLIIN� UNIiS <br />/ OUIIDWC <br />❑f5 MA% OCC IOAU <br />BASfMENi BkUROOMS <br />Art110VA15 <br />1 FNVIRONMFNTALCMfCKL�ST <br />I BUIIDING PLAN$ <br />� �iR[ MroRnnT <br />< fIRE PNOTECTION SYSTEM <br />S GRADINGIf%UVAIIONACl1AqINGIGRUHHING <br />6 DRAINAGF <br />7 FNVIRONMfNTA-IMPACTSTATEMENT <br />E IIEAITH DISTRICT <br />rwn+xinr. <br />IRF SPRINKlFRS <br />EQUINfD . MfCHANIUt <br />,.« � <br />!Y D�iF OTHfR <br />PFNAITV <br />nr I nrve rou asirn,,n m <br />FFES <br />— CFM <br />_ iy_-h'� <br />FFE <br />►ERMIT f <br />TOTALiFF f <br />PLnN CHECK FfF <br />FEE �YG RECFIPT NO. <br />6 ' y <br />VALUATION FEE <br />IIBC <br />SEC 10J(al <br />�7 <br />tor�� I I 5Z I <br />PFMMIT VALIDAiION � <br />WMfN PROPERLY VALIDATEO (IN THIS $PACEI iN15 I$ VOUR PERMIT <br />�'� :'' � �. � �'� / J�S ,"��q��� <br />�g) . e� ;�,x,E ' � o�..� Rs..a C.�.Ic. - <br />�?'i.l12fs /�/B'r' TO i�� <br />