Laserfiche WebLink
,ME�ro.»� A�'pLICATION FOR - ���,�„ <br />��r�F LJNSTRUCTION ,� <br />everett PE RM IT <br />DEP7. Of COMMUNITY DEVELOPMENT SERV�CES <br />CITY HALL 259�8715 <br />EVERETi, WA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMlING PERMIT NO. <br />OWNIR MAIt �U�Xf55 CIIY 21P PHONF <br />�tC�i.u2� I`. �'NOSS �.lU.�x �jGS �1/ohrly �fi$Zt�6 Z�L-�Lo4 <br />APCNIiER OR 0[SIGntN Mell �DOR[SS CIIY ZIP YHONE <br />k0H* <br />GfHEReiCOHIN�CiOR MAIIA�DFf55 CITY 21P YNONE IICEH5F1 <br />kON( <br />A1ICNAHIUICOViRACiOR M�IlA00MF55 ❑fY LIP PNOHE LIC[NSFI <br />u0N! <br />1'tV��PinG CON1qACi00. M��l e00NlSi CItY ZIP PNONE IICEHSF � <br />Gtoh� <br />C1e550f KOPK <br />❑NE'rV ❑ADDIiION �ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAlU�110YOf WORI( <br />� z� aca <br />oisceie[ woxx <br />p�ld waneQ 1�.��� �{- V`ev� exr's�t`� 5�5 �vv,.Kce <br />VNOPOS[0 US�f/ OI flUllD�vG <br />R+s rP-+� c'� <br />l:Gel DtSCRIF110!� O! FROVFFfv �SNON'N qElOw Ox �iT�(�� fOU9 COPIF51 <br />LOI �BIOCc_Oi � <br />�a'����4' 33'�� <br />PIUMlING <br />NO. TY►f OF FI1lT <br />NATER CLOSET �TpLIET� � <br />B�TMTU9 <br />UVATORY �W�SM BASIN� <br />$MOWER <br />KITCMEN SINK d DISP <br />O�SWASMFR <br />UUNDRY iRAY <br />CIOTNES WASHFR <br />TYPF <br />SiIE <br />FIRf <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BNEAKER$ <br />ROOF ORAINS—RAINI <br />SINK (SENVICE—BAR, I <br />iE LOT AREA <br />CONST OQUPANCY CR� <br />BIDG NO OF 5TONIES <br />�[ BASEMENT ❑ <br />A►MOVAIt <br />1 ENVIFOhMFNTAL CNfCK 115T <br />7 BULLDINGPLANS <br />J FINF HYDRANT <br />� FIRE PROiFCTION SVSTEM <br />5 GRADINGIf%GVAilONBQEARINGIGRUBflING <br />6 DRAINAGE <br />7 ENVIRONMENTALIMPACTST�TFMENT <br />E MFALTH DISTRICT <br />FEE <br />�� � <br />RUR YARD SETBACK <br />VAUNT $ITF <br />❑YE$ ❑NO <br />NO OF DWFLUNG UI <br />MA% OCC lOAO <br />ar <br />i HEREBY CERTIFY THAT I HAVE READ AND E%AMINED TH!5 �P- <br />PLICATION AND KNOW THE SAME 'O BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINhNCES GOVERNINC THIS TYPE <br />OF WORK WIIL BE CO+.�PLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINi� Of A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIt)LATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAI. LA'�V REGULATING CONSTRUCTION <br />OR THE PERFORMANCE Of CONSTRUCTION. <br />SICNATURE OF CONiRACTOR 00. AUTNORIZED AGFNT DATE <br />X.�����/1q'• V "j i'( <br />� — <br />MECMANICAL <br />NO. TY�E OF EQUI�MENT <br />nia cor+o ur+its—H r [n <br />REIkIGFRAiIONUNITS—MP FA <br />BOILERS—HP EA <br />GAS FI0.fD A.0 UNITS—TONNAGE EA <br />FORCFD AIR SVSTEMS—tl T U h <br />WAIL HFATERS-8 T U M <br />UNITMFATfRS—BTU M <br />FVAPORAi�VE COOLERS <br />CLOTHES ORYERS <br />VENIILATION FAN <br />RANCFNOOD <br />AI0. M�NOIING UNIT— C.F M. <br />� STOVE <br />M[ Ul iIREPUCE 6 CHIMNEY <br />1 ._J 'l� (C FI "A�(C�'t ' <br />I .�2MA r `� <br />fU�iOTAI <br />►EIIMIT <br />TOiAIF[E <br />PUN CH[CK NUMBER <br />FEE <br />BUILOING <br />PWMOING <br />MECNANIUI <br />DAiE I OTMFR <br />ACC �Y � PLANS CHfCKfO BV � APPR FOR ISSUANCf BY <br />PENAtiY <br />TOTAI <br />S <br />U. B C. <br />SEC J03(a1 <br />RECEIPT NO. <br />►E�MIT VAlI0AT10N <br />WH[N PROPERIY VALIDATEO (IN TMIS SPACEI TMIS IS YOUR PERMIT <br />iEE <br />5 <br />