Laserfiche WebLink
fl��Ev�rpmn APPLICATiON F�R <br />��TM�F �ONSTRUCTION <br />everett PE RM IT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALI 259�8745 <br />evettetr.wn9azot �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />—�01�1151 �%���_rc1�f <br />❑lY � ]'P <br />everltt <br />e <br />�'r�'i ' (,� u,�v1 ii�' <br />LI41RAlCOVIRACION nInRA0UNf55 U11 /.IP PNOn[ IICEtiS[I <br />� � �'V � ��l r �� <br />��I(NSMUI (04�RnCiOX Nn�l nDUFISS ��i� bV GNUN[ l�f.FNSE I <br />fI�.N111\IICOn1XACI00. MAIIApDFF51 (IIV ZIP PHOtiF IICF�S[A <br />CU1S Of NORR <br />❑nE�v � <br />t�iunupr i� <br />s � <br />oi �� un�i »< ae <br />TION ❑ALTERAIION ❑REPAIR ❑DEMOLITION ❑FENCE ❑$IGN ❑GARAGE ❑BUILDINC REIOCATION <br />Oi PFRUUG <br />lf Wl [)f SCRIPtIOn Of PNOCI RiY 6110�i N NI I( <br />IrI -`�-y7 <br />ioi I�,�L nf<1c.. i i or <br />I��'z �t y�l-7 t���- � f <br />�Pr � (�� �.F� 'f 5 � <br />)�nJ�x� .�onal�es <br />1 Jll.�s �,f�--� L!•i r'�'Ji � _, <br />PLI;MBING <br />NO. TYPE OF FI%7URE <br />O�TNiLN <br />SMON'FR <br />A1ICMEN SINY 8 DISP <br />�6�cASMLR <br />UUhnN1 iN1Y <br />CIOIMLS \tASMfR <br />N'AiFft NfAifN <br />URIh�( <br />URIN✓:nC i�I1NiAIN <br /><<.00R DRAIu <br />\'e(:UV�� BNFAKf RS <br />NOOF DBAINS—RAIr+IFAD <br />SItiK ISI'N\9CE —ffAR, ! TC 1 <br />d a b�iAr��r�;; - <br />�, r� ru )i�t- ,',, <br />OR Al1AlN iWX COI'1151 <br />r <br />-l«. 5��:t15 �.�- <br />��lc- p -7 ) <br />� l�ICc�\ ��/. l <br />- � f I 7 /J <br />��''yi:�� G. i� <br />FEE <br />TOTAL <br />AIT S <br />iOTAIfEE <br />S[iOACK SiR(LTS[T[i� <br />USk ZO�+f <br />TYFt Of CON57 �� <br />� <br />t'Vebci �— <br />siz[ ov��oc � <br />/2 xz6 <br />lOT AFU <br />OCCUPAI:CY GNCUP <br />iC' - 3 <br />r+o or sT,pRits <br />,L <br />flAS:MCN7 HIOkOOMS <br />�� n L <br />A��IlOVAlS <br />1 EM1VIRONMWTALCHECKLISi <br />7 BUILC�NG PUI:C <br />7 fIN[ HYORANi <br />� FIRE PROTECTIOv SY51[M <br />5 GN�DII:Gf%CAVAIIpNbCIIARINL'CRUNPINL <br />6 DRAIM1ACF ' <br />7 EffVIRONMFNTAL IMPACT S7ATEMFNT <br />C MFAITH DISTBICT <br />APPLICA110H ACC fiY PLANS CHECKED BY <br />V' �� <br />9.1 J9 <br />Rf nR TANIJ Sf IIiACK <br />.J .� (o <br />�V ('AN7 SIfE <br />YES L'NO <br />NO Oi UWkIIWG Ut <br />I <br />nux occ iwo ' <br />!T I OAT[ <br />A7PR fOR ISSUANCF fIY <br />� _�,. <br />� r C /�((. ` �--� <br />I HERE Y CERTIfY THAT I HAVE READ �ND EXAMINED THIS AP� <br />PLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT AL! <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL �E COMPLIED WITH WHE7HER SPECIFIED HEREIN <br />OR NO? THf. GRANTING OF A PERM�T 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 PERFORh1ANCE OF CONSTRUCTION. <br />: SIGNATUHF Of COtiiNACiOR OH AUIHORIZCO ACENT �ATE <br />� � <br />x ' "t.�i. � -1 �� � ,� � : -� �3/��� <br />MECNANICAI <br />NO. TYPE OF EQUIPMEYT FEE <br />�ieconn u�iTs—r+r tn <br />NtfRICERATIONUNITS—HP f4 <br />110ILLR5—HP EA <br />Gn5 FIRFD nC UNITS—IONNAGL U <br />FONCED AIN SYS7FMS-9 T U M E� <br />N'AllHF111N5-11iV M <br />UuIiHIA7fNS—I{iU n� � <br />; VAPUftAI.\'E COOLkNS <br />QO111i$ DHYFRS <br />\'lNilU710N IAN <br />RANCFHOOD <br />AIH IIANDLING 11Ni7— C 1 M <br />S70Vf <br />S1EiAL FlRfPIn�F d CM <br />SU! TOTAI s � __ <br />�FIIMIT f <br />TOTAI Fff s <br />PLAM1 CH[C!: NUh10ER PUN CMEIX FkF ^ <br />/ ffE 33 �HKEIPiNO <br />i[ES � VAWATION � fEE <br />9UIlDInG f `� <br />CL�: (:��1 <br />Pt UM11HI NG <br />M(CMAtiIIAI <br />OiMIP <br />Pfti1L7Y UNC <br />SEC JUJfaI <br />TO7Al <br />�EIIMIi VALIUA710N <br />1vMlN PROPIRLY VAIID�i[D ON IIIIS $PACE) THIS I$ YOUR PEXMIT <br />� U �JZ� <br />i e� cr�, <br />��� <br />