Laserfiche WebLink
F F <br />the EYProFffD APPLICATION FOP eve/�a <br />CITY OF ZONSTRUCTION �� <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT. WA98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. _ <br />OWNER MAII ADDN 135 CITY ZIP PHONF <br />,9 LG 1B Pbuver, /;i4 S. Lv A3o� Ixe/Dej 5p?oo3... - -- <br />ARC':ITECT OR DESICNER MAIL ADnRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MVI Aii'JR6$ [ItY <II PHONE LICENSi1 <br />C1Q4 too �ti;U,iP/ /coca ESQ. T N94;�5 ��Ca.¢Ey,ad S, fo: do 6�aF'?f�_ <br />MECHANICAL CONTRACTOR MAIL ADDRESS I CITY ZIP PHONE �f LICENSE IT <br />C R _1%j W{ (.~ <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I - <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION UREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION OF WORK <br />/D,ova 6a — <br />D�}CRRIRE S RK <br />�efd. %/ scj1'y1Nj Nf ✓OIL- /dV /qaitl co-p%o4' FOa.-S'���li � <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALI. <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 />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X <br />MECHANICAL <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIEII <br />LOT _BLOCK__OF <br />IOB n DRL55 /—=�— <br />PLUMBING/ <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOLIET) <br />AIR COND. UNITS—H.P. EA <br />BATHTUB <br />REFRIGERATION UNITS—H. P. EA <br />— <br />LAVATORY (WASH BASIN) <br />BOILERS—H.P. EA <br />— <br />SHOWER <br />GAS FIRED A . UNITS —TONNAGE EA <br />— <br />KITCHEN SINK b DISP <br />FORCED AIR SYSTEMS—B.T.U. M EA <br />DISWASHER <br />WAI I. HEATERS— B.T U. M <br />LAUNDRY TRAY <br />UNIT HEATERS—BT.U. M <br />_ <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS—RAINLEADE RS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC 1 <br />SUBTOTAL <br />SUB TOTAL S <br />PERMIT <br />S <br />PERMIT I <br />- <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 SITE <br />OYES DNO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY f'LROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />BEDROOMS <br />FIRE SPRINKLERS <br />REQUIRED <br />DYES ONO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U B C <br />SEC 107(a) <br />2 BUILDING PLANS <br />TOTAL <br />7 FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />S GRADINGIFXUVATION b CLURINGIGRUB9ING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT <br />6 DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />9.1 79 <br />