Laserfiche WebLink
„ LPPLICATION FOk e <br /> vert” <br /> the EF "" <br /> O <br /> CITY of CONSTRUCTION <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259.8810 TO BE COMPLETED IN INK - PLEASE PRINT <br /> Q DEMOLITION Q COMBINATION Q BUILDING 1.1 MECHANICAL 04OLOUMBING Q SIGN <br /> OWr MAB ADDRESS LiI♦ rR• PROW <br /> o,t}Tro.M11A b. 3o�F ye Y�4 CLaUsLwc 91to64 Cry �fS 7�3 <br /> ARCHITECT DWI SIGNER M.11 AVDFUSS f.in lU' PRIORI. <br /> Gsr�PAl CONTRAL100 Auu +Pi RII Gy 1111 ---- !n• POR( TIIANSL A <br /> `JePh�N Co� STfv�'1�el0% .o.'vex Mn47� Dtlltwe y8oe� (Dyf-$��3 <br /> MEOI.hiCAI NTRACTnn MMI A..IIRE SS I;IIr lIP PHONE IICENSF A <br /> PLUAIRINn CONTRACTOR (AFL ADDRESS IIti- -- - ZR` PnONf I�ILOS.1 <br /> LIE I I& "� AA OL9)6 3.a_V a1� --��vGT�.�tt Zf�y5'g3IC5 Y�Yy 6E• <br /> CLADS Of WORE <br /> NEW ❑ ADDITION C3 ALTERATION C1 REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSE RT ❑ CUILDING RELOCATION_ <br /> va WIiON Of WORK ICOSTO(MAT[RiMSPl1151 ABOIN <br /> DE SC BE WORK I;� -.---- <br /> usE reunmNn i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION tJ It AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LEGAL DESCRIPTION iPRO CRIY ISIIfRv.DI:IOW ORAILf1110110 f.(IPiIA PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK Wit BE COMPLETED WITH WHETHER SPECIFIED HERE` <br /> IN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY 0711ER STATE OR LOCAL.LAW REGULATING CONSTRUCTION <br /> ' -- - OR IHE PERFORMANCE OF CONSTRUCTION. <br /> SJUGA Wlll Inl I n11IIIACIOD 011 AUTHOIIIILD AULNI IIAtL <br /> X nv 1rG: "`7 $$ <br /> APPUCA �11(�U��,6J�.:•i n l Nll nil --__ —_ <br /> I ADlln[SS <br /> '771A A 5 - GOIrs.w <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMEN IT <br /> FEE <br /> WATER CLOSET ITOG.ETI JA,C-A,HNOLG UNITS-H P <br /> BATHTUB REFRIGERATION UNITS-H P EA <br /> LAVATORY I WASH BA9'NI BOILERS-B T U M P <br /> GAS FIRED AC UNITS-BTU <br /> SHOWER <br /> KITCHEN SINK A DISP FORCED AIR SYSTEMS-BTU MEA <br /> DISHWASHER Ilia WALL HEATERS-BTU. M <br /> LAUNDRYTRAY UNIT HEATERS-BTU M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> CLOTHES DRYERS <br /> URINAL <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS-RAINLEADERS WOOD STOVE <br /> SINK(SERVICE-BAR,ETC 1 METAL FIREPLACE A CHIMNEY <br /> FIREPLACE INSERT <br /> it MEAT PUMP <br /> GAS PIPING <br /> �— EXHAUST FAN <br /> FUE TOTAL t - BUB TOTAL <br /> PERMIT <br /> PERMIT <br /> f <br /> TOTALFFF TOTAL FF[ <br /> + --- ;PiAN CHECK NUMBER FEE RECEIPT NO <br /> rRON14E1BAE'a REAR SETBACK 610E SCTBACK <br /> (ISE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> OYES ONO S <br /> BUILDING <br /> TYPE OF CONST OCCUPANCY CROUP NO Of DWELLING UNITS <br /> PLUMBING <br /> SIZE OF BLDG NO Of STORIES MAX OCC LOAD MECHANICAL Op <br /> OTHER <br /> FIRE SPRINKLERS REQUIRED DYES ONO —_ STATE BUILDING SURCHARGE <br /> STATE ENERGY SURCHARGE <br /> .1`PI IF.A1� Aif. Y IYAN8 f,.1ECKE0 BY APPA FOR ISSIMNCIF BY PUBLICWORKS <br /> TOTAL <br /> PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br /> PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br /> I <br />