Laserfiche WebLink
APPLICATION FOR ee <br /> CONSTRUCTION • <br /> everett PERMIT <br /> DEPT OF COMMUNITY DCVFLOPMENT SERVICES <br /> CITY HALL 1598715 <br /> EVIRETT.WA9111011 []COMBINATION BUILDING ❑MECHANICAL ❑PLUMBING PLRMIT NO. _ <br /> MAIL ADDRISS 1 Ily ZIP <br /> owHlx / i <br /> X53 �5 S <br /> AR �e e/t1I 4, J✓llN f /l�ld,Luk//� Cl <br /> n7 E� -- <br /> 7IP o t <br /> CI NIRAIIONiRM lO0. MAIL AUPN155 <br /> Lin ZIP PHONE ,ICwsl1 <br /> 01I h!1(r< 7.[ic' /GG/ EU!"AG vmx) ICINSII <br /> mA•� rf1�71i•1 <br /> MIC14ANICAI CONTRACTOR MAIL ADOPT SS CITY lip PHONE I <br /> PLIGHT IIQNSE R <br /> PLUMBING CONTRACTOR MAIL ADDRI%S CITY IIP <br /> CLASS Of WORK <br /> [--]NEW ❑ADDITION ❑ALTERATION WRREPAIR ❑DEMOLITION ❑FCNCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br /> VALUATION Of NLIRK On <br /> DESCRIBE WORK - <br /> /rai- OAS Eir/57r �� i} Y //v; /1!c lk`501.cc Alou 365X Air Pee'/' <br /> "OPo Usl/,Q UI BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> /EPROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ITGAI OISGIP110N01 A.-' IYISIMNN PROW OR AIIALII fOURCOPIISI <br /> ••,, OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> LOT_BLOCK�_OF /f1 � & OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> �;�, *c --14 ' �� <br /> Zwkke GIVE AUTHORITY 10 VIOLATE OR CANCEL THE PROVISIONS OF <br /> -fir ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> P. 140 ge 70 25- , 1142OR THEPE ORMANCE OF CONSTRUCTION. <br /> ��� / _ .•P - SIGNATURE 1 -ONTRACTOR OR AUTHORIZED AGENT DATE <br /> l <br /> JOB ADOPT SS y T M. <br /> O OF - A LC <br /> PLUMBING MECHANICAL <br /> NO, =(WASH <br /> E OF FIXTURE <br /> RE NO. TYPE OF EQUIPMENT FII <br /> AIR GOND )NITS--H I` IA <br /> 011111 <br /> Rl1RIf.ERAT111N IINIlA-11P IA <br /> IIUIIE RS-HP lA <br /> NA51N1f,AS1IR[DAC UNITS-TONNAG[[A <br /> At I <br /> DAIR SYSTEMS-8 T UDISP <br /> 1\AIL HI AT IRS-OTU M _ <br /> DISWASHIR <br /> UNIT IIUT[RS-BTU AI _ <br /> LAUNDRY TRAY <br /> EVAPORATIVE COOL[RS <br /> CLOTHES WASHER CLOTHES DRYERS —_ <br /> WATTLE HEATER VENTILATION FAN <br /> URINAL <br /> GE 11000 <br /> DRINKING FOUNTAIN AIR HANDLING <br /> AIR HANDLING UNIT- C f M <br /> FLOOR DRAIN STOVE <br /> VACUUTA BREAKERS <br /> METAL FIREPLACE 6 CHIMNEY .— <br /> ROOF DRAINS-RAINLf ADL RS <br /> SINK(SERVICE-BAR,FTC) <br /> _ SUB T07 Al S <br /> SUB TOTAL PERMIT S <br /> PERMIT SS <br /> TOTAL I[[ S TOTAL RF <br /> PLAN CHECK IEE <br /> SIDE YAKU 517BM'K STICHT SITBACK RI AR I ARD SIIBACK PI AN CHECK NUMBER fit RECEIPT NO. <br /> USE ZONE LOt AREA VACANT SITE FEES VALUATION fit <br /> DYES ONO <br /> TYPE OF CONST OCCUPANCY GROUP NO OF OWE LUNG UN,IS <br /> II(iI.OING S w/uy. <br /> SIZE of BLDG NO OF STORIES MAX OCC LOAD ' <br /> PLUMBING <br /> FIRE ZONE flASfME NI OR <br /> BI I NIAIS RIQUIpfIE�KLERS MICHANICAL <br /> YES F1 NO <br /> APPROVALS BY DATE OTHER <br /> 1 {NVIRONMENIAL CII(CK LISTUBC <br /> PENALTY SIC 703(AI <br /> 1 BUILDING PLANS ` <br /> TOTAL V <br /> 1 FIRE HYDRANT <br /> PERMI1 FIRE PROTI 'ION SYSIHM WHEN VALIDATION <br /> WHEN PROPf FLYVALIDAT VALIDATED TIN THIS SPACE)THIS IS YOUR PERMIT <br /> S GRADINGIE KCAVAT IONA CLE ARIPIGIGRUIIBINII <br /> 6 DRAINAGE <br /> 7. ENVIRONMENIAL IMPACT SIATIMENI <br /> 8 HEALTH DISTRICT <br /> APPLICATION ACC BY PLANS CHFCKIU W AJ'PR/OR II%SUANCI DY <br /> 9179 <br />