Laserfiche WebLink
P <br />FAR Enror"A <br />city of <br />everett <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259874S <br />EVERETT. WA9B201 ❑COMBINATION <br />vTyC.2'i�_ <br />PPLICATION FOR <br />.:ONSTRUCTION <br />PERMIT <br />❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />CITT <br />C1 ASS Of <br />NEW❑ADDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION Of WORK <br />91SCRIBI WORK <br />1 HEREBY CERTIFY THAT I HAVE RLAD AND EXAMINED THIS AP• <br />usE or nmec <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING iH15 TYPE <br />LEGAL DESCRIPTION OF P OO PIRTYHOWN SILO%._O!R_ ATTACH <br />MYRCOPIES) <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />- l,QcLl A� <br />}L ' �fla'K�`oZ' Ll <br />�-1 .. <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />Lot <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 />OCONTRACTOR OR AUTHORIZED AGENT OAT[ <br />SIGNATURE(�Of <br />/- i- <br />) <br />LOB ADDRESS �( 1/�� /../� <br />C, L- 7- 17 / Kl <br />.4� • <br />A .;,. ✓/ t ,�- <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE or EQU I►MENT <br />FEE <br />WATER CLOSE I(TOLIITI <br />AIR CONES UNITS -HP EA <br />REFRIGERATION UNITS-H P EA <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS-H P fA <br />CAS HRIO AC UNITS -TONNAGE IA <br />SHOWER <br />FORCED AIR SYSTEMS-8 T U M IA <br />KITCHEN SINK R OISP <br />WALL HIATIRS-BTU M <br />DISWASHIR <br />UNIT HEATIRS-BTU M <br />LAUNDRYTRAY <br />FVAPURATIVE COOLIRS <br />CLOTHES WASHER <br />WATIR HEATER <br />CLOIHIS DRYERS <br />VENTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />RANGI HOOD <br />AIR HANDLING UNIT- C f M <br />FIOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADIRS <br />METAL FIREPLACE R CHIMNIY <br />SINK ISERVICE -BAR. ETC) <br />FUR TOTAL f <br />FUR TOTAL <br />f <br />"LIMIT <br />R <br />PERMIT <br />TOTAL Fit <br />I <br />IDEAS. <br />FIE f <br />SIDE YARD SETBACK <br />SiRI FT SETBACK <br />STAR YAKD 51 )BACK <br />PLAN CHECK NVMNIR <br />PLAN CHECK FEE <br />fFE RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VA -ANT SITE <br />Fllf <br />VALUATION <br />Fit <br />❑YES ONO <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF (TWITTING UNITS <br />BUILDING <br />f <br />SIZE Of PLUG <br />No Of STORIES <br />MAX C)CC LOAD <br />PLUMBING <br />TIRE ZONE <br />BASEMENT BL ORLNIMS <br />TIRE lSIRlINKLERS <br />MECHANICAL <br />CYIS F'NO <br />A►PROVAL$ <br />fT <br />OATI <br />OTHIR <br />1 ENVIRONMENTAL CHICK LIST <br />PENALTY <br />UBC <br />SIC 7ORRI <br />2 BUILDING PLANS <br />TOTAL <br />S FIRE HYDRANT <br />[IRE PROIICIION SYSTEM <br />PERMIT VALIDATION <br />w HIN PROPERLY VAUDATID TIN THIS SPACE] THIS IS TOUR PERMIT <br />ARworu mnlm. <br />