Laserfiche WebLink
r <br />n <br />i <br />r <br />A <br />APPLICATION FOR !VlTE„ <br />TAR Ewrpreen CITY OF CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT, WA98201 ❑COMBINATION El BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />r O HE ADDRESS CITY ZIP PHONE <br />re,,ifS<r%/%:�-/1z IT .;?e+?'f zl�c.e.21 ;J;l jL/7_ FlySo <br />ARCHITECT OR DISICNIR MAIL ADDRESS CITY 71P PHONE <br />CENTRAL CONTRACMIR MAIL ADDRESS CITY ZIP PHONE LICINSE <br />L <br />E❑NELASS W PORK❑ADDITION ALTERATION ❑REPAIR ❑DEMOLITION []FENCE ❑SIGN ❑GARAGE ❑ BUILDING RELOCATION <br />VALUATION OF N9RK <br />S <br />DISCRIBI NORIK <br />PROPOSED USE DI RwHnvc <br />5 -/� / <br />LEGAL DESCRIPTION OF PROPERTY(SHONN BELOW OR ATTACH FOUR COPIES) <br />LOT BJOCK—OF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING 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 AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />OF� -��R4�9%Rc.�TH�U.RIZEDAGENT G/DATE <br />IR,C <br />SIGIr� <br />�4 <br />JOB ADD7 <br />PLUMBING <br />,, <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE' <br />_ FFF <br />WATER CLOSE i HOE IF T] <br />'� <br />AIR CONEY UNIIS-IIP U <br />BATHTUB <br />REFRIGERATION UNITS -HP EA <br />LAVATORY (WASH BASIN] <br />BOILERS-HPEA <br />SHOWER <br />GAS FIRED AC UNITS -TONNAGE EA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS-B T U M FA <br />DISWASHER <br />WALE HEATERS -BTU M Y <br />LAV NORM TRAY <br />UNIT HEATERS-B T U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DIFY[ITS <br />URINAL <br />CENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE MOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS -RAINL EADL RS <br />METAL HOPLACE A CHIMNEY <br />SINK (SERVICE -BAR. TIC I <br />AS AA&A L_ 3__Soo CaZ <br />SUIT FOTAL <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />l <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SIIE <br />OYFS ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDC <br />NO OF STORIES <br />MAX OCC IOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />IIIDROOAIS <br />R QUIRfOKLERS <br />PYES CYNO <br />MECHANICAL <br />APPROVALS <br />BY <br />GATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTY <br />I18C <br />SFC 1BNA1 <br />2 BUILDING PLANS <br />TOTAL <br />1 FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />S GRADINGil XCAVA71ON A Ct EARINGIGRUBBING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />R HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />9.179 <br />I <br />..1 <br />L <br />ti <br />J <br />