Laserfiche WebLink
APPLICATION FOR PYATP„ <br /> the CITY OF a ONSTRUCTION <br /> everett PERMIT <br /> DEPT Of COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 2S9-8745 <br /> EVERETT,WA9B201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL PLUMBING PERMIT NO. <br /> OWNU MALI ADMIN CITY ��tt11 PHONE _ <br /> J•I,YY J�a iSl� 31 b— bl ST Z j EVert 11,101 35.3- k71 / – <br /> ARCH17IITORo1SIONIR MAH ADDRESS city 711 PROM <br /> OINIRAI('ONVOKIM MAII ADDRI SS CHY ZIP THOM 111:I4st4 <br /> CNANICAL CONINACIOR MMI ADONIS$ C17Y ZIP PHONE 11CINS1 R <br /> %VMRMI:CONIRACION MAII ADDRESS [IIY LP PHONE I INLII�/7U/� <br /> COAIL �� < < FLecY �(TCrC2n 1p 8 all MAILY01B �jJ�d7o o2Sa-/FLS Qz7>LJL.� st <br /> CLAM Of WORK —� <br /> ❑NEW ❑ADDITION kALTFRATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> V'IVATI O00 <br /> OI SCNIRI wMR <br /> ;;gw a W nPR'4 <br /> PROPOSED VSI Of RUIIDINC I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT ALL <br /> LICAL 01WRIPIION of"0"1",ISHOWN RIIOWON A7tACN(DUN COPIISI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> LOt_LIOCK—OI 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 /> 'W7 <br /> r u, 99 ( O/ v <br /> PLUMBING MECHANICAL <br /> NO. TYPE Of FIXTURE FEE NO. TYPE Of EQUIPMENT fit <br /> AIR CON[) UNITS—HP EA <br /> WATER CLOSE(iDll[EI <br /> BFFRICtRATIONUNITS—HP EA <br /> BATHTUB <br /> LAVATORY(WASH RASINI BOILERS-HP FA <br /> SHOW I R GAS FIRFO A C UNITS-TONNAGE FA <br /> kITCHlN SINK B[)ISP FORCID AIR SISUMS-BTU MIA <br /> WALL HE AIIRS-BLU M _ <br /> DISWASHIR <br /> LAUNDRY TRAY UNIT III Mf I CO 1 I M <br /> CL07HI S W ASHI R I VATHI S ORI(OGLE RS <br /> WAHR HIATER CLOTHES IONIAN <br /> VI NIIIATION FAH <br /> URINAL <br /> DRINKING FOUNTAIN RANGE HOOD <br /> 11000.DRAIN AIR HANDLING UNIT- C f M <br /> VM <br /> BRIARMFI AJ <br /> FIREPLACE L CHIMNEY <br /> ROUDRAINS-RRINLFADIRS <br /> SINK IS( VICE-BAR.1 IT) <br /> fU1 LOIN tU9 TOTAL 5 <br /> PERMIT t MRMIT t <br /> fOTAl 11[ / TOTAL fit t <br /> PLAN CHICK fit <br /> SIDI YARD SI(BACK STRIFE SETBACK RI ALL YARD SFT BACK PLAN CHECK NUMPLR Fit RFCIIPT NO <br /> USE ZONE 101 AREA VACANT SITE Itlt VALUATION FH <br /> OYES ONO <br /> TYPE OF CONS OCCUPANCY GROUP NO OF[)WILLING UNITS <br /> BUILDING t <br /> SIZE OF BLDG NO OF STORIES MAN OCC LOAD -- <br /> PIUMflING <br /> FIRE ZONE BASEMENT HI(ROOMS lilt SPRINKLERSNIQUIRID MECHANICAL <br /> 1YFS ❑NO <br /> APPROVALS IT DATE OTHER <br /> 1 ENVIRONMENTAL CHICK LISTPENALTY UBC <br /> SEC EOR.' <br /> 2 BUILDING PUNS TOTAL <br /> 1 1101 HYDRANT <br /> FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHIN PROPERLY VALIDAIiDIIN THIS SPACE)THIS IS YOUR PERMIT <br /> S GRADINGII X(AVA71ON L Cl l ARINGICRURBING <br /> 6 DRAINAGE <br /> 7 INVIRONMIN7At IMPACT SIAIIMINT <br /> 1 HEALTH DISTRICT <br /> APPLICATIONACC BY PUNS CHECKED BY APPR ION ISSUANU HI <br /> 9179 <br />