Laserfiche WebLink
#PPLICATION FOP <br />CONSTRUCTIO <br />everett PERMIT <br />DEPT. OF COMMUNITY DIVFIOPMFNT SERVICES <br />CITY HALL 2598745 <br />EVERLTT. WA9B2D1 nr(YMBINATIIYN n BUILDING ❑MECHANICAL ❑PLUMBING <br />PERMIT NO. <br />cvereH <br />e <br />GENERAL CON TRACTOR MAIL ADDRESS CITY ZIP PHONE IICI Nit <br />y-Y�7FHv S• verrt'7i�lP/�,� 9Pzo3 35s9�9-- <br />mrNANvu lnmuIArTn,E MAIL AUURISS C17Y LIP PHONE LICE wit IF <br />PLUMBING CONTRACTOR MAIL ADDRESS (FEY ZIP PHONE LICFNSII <br />C❑NEWWORK <br />❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑DUIIDING RELOCATION <br />VALUATION Of WORK <br />1 <br />DESCRIBE WON' y � L��J �L 7 /. <br />r/ ).. -. _ .I Y- zo,. <br />PROPOSFO Ust of BUILDING <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW ON ATTACH HOUR COPIES) <br />LOT __RHxK_OF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <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 />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 />�, / A, A <br />LOB/.ADDRESS pp // �/ P.9b�Aie1 <br />PLUMBING <br />CHANICAI <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WAFER CIOSI I(TDIIIT) <br />MRCOND UN115-111' IA <br />BATHTUB <br />RIFRICERATIONUNIIS-LIP FA <br />I AVATORY (WASTE RASINI <br />BOILERS -HP [A <br />SHOWER <br />GAS(IREDAC UNITS-TONNAGI FA <br />KITCHEN SINK A UISP <br />FORCID AIR SYSTEMS-B T.0 M I A <br />UISWASH(R <br />WALL HEATERS -BTU AL <br />I AUNDRY TRAY <br />UNIT HEATERS -BTU M <br />CLOTHES WASHFR <br />IVAPORATIVE COOLERS <br />WATER HFAT[R <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C f M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS -RAINLI AD[RS <br />All! FAIL FIREPLACE B rHIMNIY <br />SINK(S[RVIC(-BAR. (TC I <br />_ <br />SUBTOTAL <br />SUE TOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL III S <br />SIDE YARD SETBACK <br />STR[FTStTRACK <br />RE AR Y ARU SI 1 BALK <br />PLAN( III( K NUMIIIR <br />I'I Ah <br />FEE <br />11111K 111 <br />RIIIIPi NI) <br />USE ZONE <br />IOT AREA <br />VACANT 511E <br />VACANT <br />❑PLO <br />CITESTYPE <br />TIES <br />VALUATION <br />IF[ <br />OF CONST <br />OCCUPANCY GROUP <br />NO Of DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BAS[Mf NT <br />01 DROOAIS <br />FIRE SPRINKLIRS <br />REQUIRED <br />I its I'NO <br />MICHANICAI <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />I`I NATTY <br />UBC <br />SEC TUNA <br />_ <br />7 BUILDING PLANS <br />TOTAL <br />— <br />1 FIRE HYDRANT <br />A. RR[ PROTECTION SYSTEM <br />5 GRADINGIIXCAVA11ON&(LIARINGIGRUIIRING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />6 DRAINAGE <br />I ENVIRONMENTAL IMPACT 5TATEMFNT <br />E HEALTH DISTRICT <br />APPLICATIONACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCI BY <br />