Laserfiche WebLink
E <br />MP Ewrpmn <br />CITY OF <br />everett <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />APPLICATION FOR <br />ZONSTRUCTION <br />PERMIT <br />C.TY HALL 259-8745 <br />EVERETT• WA9B201 ❑COMBINATION El BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNIR-1 `_ MAIL ADDKISS CITY ZIP PHONI <br />/ ✓ ��-1. r <br />CL ASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VALUATION Of WORK <br />15-vaa — <br />DISCRIBI WORK v .T I �� 47 A-C c .a �, / ( `„ u.. .Esc.-../ _ <br />a 1,- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PROrs1sE LIST co ILOINu <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />Ilcu msunnnN or Pj,oNRtV (SHOWN BHOW OR ATTACH R Comm <br />i,l ,�1.�. ✓ T I <br />y <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LOT _OLOCK�Of <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 OFF OR AUTHORIZED AGENT DATE <br />7CONTRACTOR <br />/- 2- 1- <br />v <br />IOR ATOMS$, <br />7 <br />) �L•� <br />o Y7- AS <br />.,.✓;j "�- <br />MISECHANICAL <br />PLUMBING <br />FfE <br />NO. <br />TYPE OF EQUIPMENT <br />Fit <br />NO. <br />TYPE OF FIXTURE <br />WATER CLOSET ITOLIF71 <br />AIRCOND UNITS -HP EA <br />REFRIGERATION UNITS -HP EA <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS -HP EA <br />GAS FIRED AC UNITS -TONNAGE EA <br />SHOWER <br />FORCED AIR SYSTFMS-B T U M EA <br />KITCHEN SINK 6 DISP <br />WALL HEATERS -BTU M <br />DISWASHLR <br />UNIT HEATIRS-BT U M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOIHIS WASHER <br />WATER HFATER <br />CIOTHES DRYERS <br />VENTILATION FAN <br />URINAL <br />PRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT- C F M <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS-RAINLFADI RS <br />METAL FIREPLACE 6 CHIMNEY <br />SINK 15ERYI1.I -BAR. ETC 1 <br />SUB TOTAL S <br />SUI TOTAL <br />ryRAIIT S <br />►IRMIT <br />S <br />Fit S <br />TOTAL HIT <br />S <br />TOTAL <br />SIDE PARD SI TRACK SiRlfI SI )BACK <br />REAR YARD SITBACC <br />PLAN (NICK NUMflIR <br />PLAN CHECK FEE <br />RECEIPT NO <br />Fit <br />USf ZONE <br />LOT AREA <br />VACANT SIIF <br />FIIf <br />VALUATION <br />FEE <br />OYES ONO <br />TYPE OF CONSI <br />OCCUPANCY GROUP <br />NO OF DW Fit INC; UNITS <br />BUILDING <br />S <br />SIZE OF BLDG <br />NO OF SIORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />fll ORl%)MS <br />RE"QUREIDKLIRS <br />MECHANICAL <br />Elvis LINO <br />APPROVALS <br />BT <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC <br />SIC 10XR) <br />2 BUILDING PLANS <br />TOTAL <br />1 {IRE HYDRANT <br />1 FIRE PROTECTION SYSTIM <br />PIRMIT VALIDATION <br />WHEN PROPERLY VALIDATED TIN THIS SPACE) .HIS IS YOUR PERMIT <br />S GRADINGILXCAVATION 6 CLIARINGIGRURRING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPR FOR ISSVANCI BY <br />APPLICATION ACC BY 7CKED BY <br />91 79 <br />