Laserfiche WebLink
the Ere'PTefn <br />CITY or <br />APPLICATION FOR <br />.ONSTRUCTION <br />everett PERMIT <br />DI PI ()I COMMUNITY DEVFLOPML NT SE RVICFS <br />CITY HA11259-0Z/5 <br />EVEF.ITI.WA97701 ❑COMBINATION <br />OWNIR <br />BUILDING ❑MECHANICAL <br />Md <br />PyereD <br />❑PLUMBING PERMIT NO. <br />— PHONI <br />353 - 7373 <br />-............... �.... MAR ADDRESS CITY RIP PHONE 11C1 HSI <br />A r _ I _ Sbti ...,....., I .� v) 1K NR <br />7a <br />r <br />PIUM91NI1 IO,Otm TOR MAIL ADDRISS CITY TIP MOST LICINSI/ <br />CI ASS Of WORK <br />❑NEW ❑ADDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />Y'All 41ION Of WORK <br />1 3715 <br />DISIRINI WORK <br />-a Nf4/A!C LON dPCI ION w'IAI - -- <br />- - <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PROPOSIDOF Of Rul"Imc <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />Hr.AI OISCRIP110N01 MOPIRIYHHOWN MEOW OR 411ACHIOURCOPIM <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />I(- <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LOI R(aK__O1 <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />A <br />d f 0 •,J <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />e w `f <br />r I <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />— <br />SIGNATUREOf CONTRACTOR OR AUTHORIZED AGENT DATE <br />p <br />/ 1 / 4 n / — 3 . ,% <br />X J _ <br />IDe ADDRISS <br />E✓rc�71� <br />/Br I L <br />MECHANICAL <br />PLUMBING <br />FFE <br />NO. iY/E OF EQUIPMENT FEE <br />— <br />NO TYPE OF FIXTURE <br />AIR COND UNITS -HP FA <br />_ <br />_ <br />AATfRCLOSEIITOLIETI <br />REFRIGERATIONUNITS-HP 1A <br />_ <br />HATHTUB <br />BOILERS -HP U <br />I AVAIORY(WASH BASIN) <br />GAS FIRID A( UNITS -TONNAGE I <br />_ <br />_ <br />SHOWER <br />FORCED AIR SYSTEMS -BTU MIA <br />KIICHFN SINK A DISP <br />WALL HEATERS-B 1 U M <br />_ <br />DISWASHIR <br />UNIT HEATERS-0 T U M <br />IAUNDRYTRAY <br />COOLERS <br />I I I IIIIIS WASHIR <br />CIOIHIS DRYTIVF <br />CLOTHES DRYERS <br />SA A I I R HE ATER <br />VI NiIIATION FAN <br />L'RINAI <br />RANGE HOOD <br />_ <br />DRINKING FOUNTAIN <br />AIR.HANOLING UNIT- C F M <br />I I.00R DRAIN <br />STOVE <br />VACUUM BRIAKFRS <br />METAL FIRE PI ACE CHIMNEY <br />A <br />_ <br />ROOF DRAINS - RAINHADIRS <br />SINK (SERVICE -PAR. ITC) <br />'-- <br />STIR TOTAL s <br />SUBTOTAL <br />rIRMIt e <br />PER <br />s <br />TOTAL IFI of <br />TOTAL FEE <br />A <br />ELAN CHICK NUMB[R PLAN CHECK FEE <br />STRUTWRACK <br />REAR YARD Sf TRACK <br />SIDE YARD S[1BACK <br />I11 RICEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />tits <br />VALUA190N <br />ft! <br />❑YES ONO <br />TYPI OF CUNST <br />OCCUPANCY GROUP <br />NO OF UWFIIING UNITS <br />BUILDING <br />s <br />SIZE OF BItK <br />NO Of STORIES <br />MAX OCC LOAD <br />PLUMNING <br />fHRF ZONE <br />BASEMENT <br />HIOROOAIA <br />FIRE SPRINKLIRS <br />REQUIRED <br />MECHANICAL <br />Yft ❑NO <br />APPROVALS <br />BY <br />OAT[ <br />OTHIR <br />PINALTY <br />U R wNel <br />SIC <br />1 ENVIRONMENTAL CHECK LIST <br />TOTAL <br />I BUILDING PLANS <br />S FIRE HYDRANT <br />1 FIRE PROTF C110N SYSTEM <br />PlRMIT PROPERLY <br />WHEN PRDPE RLY VALIDATED TIN THIS SPACH THIS IS YOUR ►ERb ) <br />VA <br />S GRADINGIEXCAVATIONACLIARINCIGRUBRING <br />A DRAINAGE <br />ENVIRONM[N1Al IMPACT STATEMENT <br />A HEALTH DISTRICT <br />+I'PN TUN INIA•.II In <br />APPLICATIOM ACC BY PLANS CHECKED Hr <br />91-'9 <br />