Laserfiche WebLink
IAP Ewip' m A. ?LICATION FOR <br /> `I'-YOFCONSTRUCTION e <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 25947/5 <br /> EVERETT•WA 98201 WCOMBINATION ❑ BUILDING CIMECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNER -1� MAIL ADIIRIN fill :IP PHONE <br /> T�H. T <br /> 1 gG«gesl Colt BGrI/ s3't^c EI.C"0rl- 9g?A04 Srs-o`/,2 J <br /> ARCIIITICTOROISICNIR MAIL ADDRESS I'll <br /> IIP PHONE <br /> EI Is t1 It <br /> CI NI RAI CON I R M TOR MILE ADDRESS m )Ip PHONE LICENSEE <br /> - It IF " " of <br /> rill—OM—AH——7431R <br /> SIII NANII AI CONTRACTOR MAIL ADDRISS • IIP PHONE IICINH P <br /> AZ gel. -.11.i Po 136x IB9 lmyhl, d 9e'024Ep 7119,"g6 A1-NE-111-2I4I.A <br /> NI axIM.I ONIM(TOq MATS ADVIL SS . :m PHONE LICENSED <br /> T1Yo11,lle P114-6141 /Do eng 22/ [e0 d'L 9VOAO 495-?na C9 THeANP 2JS b <br /> LI ASS III MORq <br /> §aNEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION OUNCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> S M VAIION OF MORA <br /> LG,DoO <br /> IIINxINI Milq� <br /> AIEW Comst. <br /> rxnNlMn I M DI RLnl11TN'' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> •c/qAA c C- PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ur.M m RnnDN of pgavu IsenMN RnnM oR AT if IouR O pHM PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T1 PE <br /> A OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> Hslnl(xA__ol `v Lr L.cR 1 /( OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> S CL 1 T N R W G t ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTIONIEl . <br /> Cv SMD4 ^ C f �4 SIGNATURE OF CONIRACIOR OR AUTHORIZED AGENT DATE <br /> InN WOgIW <br /> 1 7 x <br /> PLUMBING MECHANICAL. <br /> NO, TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WAIT IF CLOSE T 11011/11 4 w AIR COND UPI P [A <br /> J <br /> BATHTUB S CDO RIFRIGIRAIION UPI P [A <br /> 1 AVATOPY IW'ASH BASIN) C90 ROIHRS—IIP [A <br /> SHOWER GAS FIELD A C UNITS—TONNAGE [A <br /> KIICHI N SINK A DISP I FORCE D AIR SYSII MS-0 TU MEA <br /> DISWASHIR WALL HE ATIRS—RTU M <br /> tAUNDRY1RAs UNIT HE MFRS—ItIU AI <br /> J CLOTH WASHER if 0 OD IVAPORATIVI COOLERS <br /> WATER HIATIR or CIOIHIS DRYIRS <br /> URINAL IT VINTILATIONMN <br /> DRINKING FOUNTAIN / RANGE IEOOD <br /> FLOOR GRAIN AIR HANDLING UNIT- C 1 M <br /> VACUUM RETAILERS SIOVE <br /> ROOF DRAINS-RMNLIADIRS MIIAL FIREPLACE &CHIMNEY $ O <br /> SINK ISI RA IT I—PAR.I TC 1 <br /> SUN TOTAL SUN TOTAL <br /> FIRMD S PERMIT S -- <br /> TOTAL Fit S TOTAL Fit IF <br /> SIDEYARD S1IB SCK STRI11 SETBACK REAR VAMP AI THAI n PLAN CHECK NUMBER PLASN CHECK 111 <br /> J N 9 N `(J' f �/ 77 <br /> q CFit sLAICEIPI NU <br /> SSI ZONE IDI ARIA VACANT SIII / /`_� 0 <br /> 0— 'OYES CND fit% VALUATION Fit <br /> IYPI OF (()NSI OCCUPANCY GROUP NO Of DWILIINGUNIIS <br /> —14-I - s I EIUIIDING <br /> SIZE Of BIDG NO Of STORIES MAX OCC LOAD <br /> 2q)( & N00 PLUMBING Ig <br /> LIR! 20Nf BAS(MF NIBIURLP)Sls IIRI SPRINKLERS <br /> 3 RIQUIRI AIICIIANICAL <br /> QJi 3 11515 NO (� <br /> APPROVALS NY DATE OTHER <br /> 1 ENVIRONMENTAL CHICK LIST URC <br /> PI NAT TY SIC )BRtl <br /> J RUIl01N(.PLANS <br /> ) FIRE HYDRANT TOTAL <br /> A 1B PROTECTION SYSTE M PE OMIT VALIDATION G <br /> WHIN PROPIRIY VAIIRATED(IN THIS SPACII THIS IS YOUR PERMIT <br /> s I,p AUINGII X(AVA I IONA Cl 1 ANINGIGRUBRIMG <br /> To DRAINAGE <br /> J ENVIRONMENTAL IMPACT STATEMENT <br /> B HIALTH DISTRICT <br /> APPLICATION ACC BY PLANS CHICKID BY APPR 100 ISSUANCE BY <br /> y : cT <br /> 19 <br />