Laserfiche WebLink
N <br />L <br />IM EvvprRPn <br />CITY OF <br />everett <br />APPLICATION FOP <br />CONSTRUCTION <br />PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT. WA9B201 ❑COMBINATION <br />OWNIN MAII AODI <br />❑ BUILDING ❑MECHANICAL ❑PLUMIfING PERMIT NO. <br />`hauid u Ili awue5, <br />�20 - ft" <br />EveYefL <br />91Di0LI <br />3S's-s1.sIF' <br />ARCHITICT OR DISIGNIR <br />MAII ADDRISS <br />)III <br />ZIP <br />MIONI <br />CINIRAICO1NIRACTOR <br />"Al;ADDRISS <br />❑TY <br />tIP <br />;Yyy <br />PHONI OCINSII <br />x�ndia [jnoiag,%EhyY <br />N11� 4S�' <br />Eve volt <br />3ss-SaS� <br />NUCHANILAI CONTRACTOR <br />MAIL ADDRISS <br />CITY <br />tip <br />I111ON1 IICINSI L <br />PIL'MRINC CONTRACTOR <br />MAR ADDRI SS <br />CITY <br />ZIP <br />PHONI OCLNSI8 <br />1 <br />I <br />CIASS OI WORK <br />❑NEW ❑ADDITION <br />❑ALIIRAIION ❑RIPA I <br />❑DEMOLITION ❑FENCE <br />❑SIGN <br />❑GARAGE ❑RUILDINGRELOCATION <br />VALUATION Of .IORK <br />OI SCRIM WORT. II <br />x 1vFS�nLIeiiSVY o4 wood s76UP <br />pgOpU510 U51 UI PUq DISC <br />UGAI DI SCRIMION OF MIOPIRIY ISHOWN NOOW OR ATTACH TOUR COPIISI <br />LOT - FROCK - OI <br />Ion ADDRI Ss <br />k <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KN17W THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLI' D 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 AUTHORIALD AGENT DATE <br />x <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATIR CLOSI T DOI II l) <br />AIR CON ) UNITS -HP 14 <br />BAMTUR <br />RIf RICH IATION UNITS -HP IA <br />L AVATORY(WASH BASIN) <br />BOIIIRS-TIP fA <br />SIOOWIR <br />I <br />CAS f IRi O A C UNITS-IONNAGI [A <br />KITCHEN SINK A DISP <br />TOR( 11) AIR SYSTEMS-B 1 U MIA <br />DISWASHIR <br />WAIL HIATIRS--BTU M <br />IAUNDRYTRAY <br />UNIT IIIAIIRS-BTU M <br />CIO_THFSWASHIR <br />IV'APORATIVE COOLERS <br />W H[ATIR <br />CIOTHIS DRYERS <br />L L <br />VINIILAIION f AN <br />OdINKING FOUNTAIN <br />RANGE HOOD <br />_ <br />I IOOR DRAIN <br />AIR HANDLING UNIT- C F M <br />VACUUM BRFAKf RS <br />SIOVE <br />ROOF DRAIN$-RAINLIADIRS <br />Mf TAI FIRIPIACI A CHIMNEY <br />SINK ISFRVICI-BAR. FTC) <br />SUB TOTAL <br />SUB TOTAL <br />PERMIT L <br />PE/.MIT S <br />0 <br />TOTAL TlE S <br />I <br />TOTAL FEE S <br />S <br />SIDI Y ARE) St TRACK <br />STMII SETBACK <br />RIAR YARD SETBACK <br />PLAN CHECK SUMMIT <br />PLANCIII(�K <br />fit <br />TIE <br />RECUPT <br />USE ZONE <br />IUI AREA <br />S A( ANT SITI <br />`IS ❑NO <br />FITS <br />VALUATION <br />111 <br />TYPE OI CONSI <br />OCCUPANCY GROUP <br />NO 01 DWI RING UNITS <br />BUILDING <br />S <br />SIZE OF SLOG <br />NO OF STORIES <br />MAX OCC LOAD <br />NUMBING <br />FIRE ZONE <br />RASEMENT <br />9I UROOMS <br />IIRf SPRINKLIRS <br />REQUIRED <br />1Yf% C1N0 <br />MICIIANICAI <br />APPROVALS <br />BY <br />DATE <br />OTHIR <br />1 INVIRONMENTAL CIIICK OSI <br />PENALTY <br />UBC <br />SEC STI R) <br />2 BUILDING PLANS <br />TOTAL <br />S FIR) HYORANT <br />A FIRE PROTICIION SYST[M <br />S GRAOINGIIACAVATION B Cl ARINGiGRUHRINC <br />PERMIT VALIDATION <br />WHEN PRONRLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT <br />S DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />B HIALTH OISIRICT <br />APPLICATION ACC BY <br />PLANS CHECK[ 7InH <br />InoA'tl HS <br />91 79 <br />