Laserfiche WebLink
r <br />��,E�a,area� ��PLICATION FO►' <br />CITVOF CONSTRUC�'iON <br />ev�rett PERMIT <br />DEPT. OP COMMUNITY DEVELOPMENT SERVICES <br />❑TY HALL 259�8745 <br />EVERETT, WA90201 �COMBINATION ❑ BUILDING ❑MECk4NICAL <br />� w„,R CIPLUMsiNG PERMIT NO. <br />\ Q� ��� �1 M1IAIIA�DNf55 `�� Q t%-� �.�M'IN.u�ITY a � ZIY YMONE <br />C.OU/J�i 7%// J <br />ARCHIIECT OH D[SIGt+ER <br />M1qIL A�pR[55 <br />1'11VIIL <br />everetl <br />e <br />PWn�11mGCONiNArtOR 61A11�00FE55 ��Jy <br />Z�P PIIONF IICEN$E / <br />�-�e�z', � ��>��� <br />Cl.1SS Oi NONK <br />❑NEVV ❑ADDITION �ALTERATION ❑REPAIR ❑UEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VnIUAIIONOf WORK <br />S <br />hecrome w <br />>4(. �L,�i.Oi J"[QP..(j-� ��i��Y/�"'i � "_ _ \ �] U �'�- U O �� O �%!' /CYpa..rt�, <br />1 / ' <br />or xw�oiNc <br />�,w� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW 7"HE SAME TO �E TRUE AND CORRECT ALL <br />IEGAI pESCRIP110N01 PROPfRiY�SNOWN 9ELO1V OR ATiACM fOUR COPIE51 PROVISIONS OF LAWS AND ORDINANCE$ GOVERNING THIS TYPE <br />ior _eiocK_or OF WORK WILL �E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />/Otl nDDN[5�� � / . <br />�!_" ! ir 1 % fG <br />�Li.l �c <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />WATER CLOSET (TOLIET� <br />OATHTU� <br />LAVATOftY (WASM UASIN� <br />SMOWER <br />KITCHEN SINK S DISP <br />DISWASHER <br />LAUNDRY TRAY <br />CIOTIiES WASHER <br />WATER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM tlREAKERS <br />ROOF DRAINS—RAINLEADERS <br />SINN 6ERVICF-13AR, ETCJ <br />� <br />SIDE YARD SCTI <br />USE ZONE <br />TYPE OF CONSi <br />SIZE OF BLOG <br />FIHF ZONE <br />1 <br />�� <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />LOT AREA <br />OCNPANCY GHOUP <br />NO. OF STORIES <br />BASEMENT HtnNl <br />AVPROVA:S <br />1 ENVIRONMFNTAL CHEIX LIST <br />7. ouao�NC PlnnS <br />J FIRE HYDRANT <br />i. FIRE PROTECTION SYSTEM <br />5 GRn�ING/E%CA1'nTIONSCLEARINGIGRUNBING <br />6 DRAIN,\GE <br />7.FNVINONMENTALIMPAfTSTATEMENT <br />B. MEALiH DISTRICT <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUMF TO <br />GIVE AUTHORITY iJ VIOLATE OR CANCEL THE PROVISIONS O� <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF �pNTRACTOR OR AUTHORIZED AGENT , p'TE <br />y!/ <br />FEE NO. TYPE OF EQUIPMENT <br />AIR CONO UNIT$—H P. EA <br />REFNIGERATION UNITS—HP. EA <br />UOILERS—HP EA <br />GAS RRED AC U�:ITS—TONNnCF EA <br />FORCED AIR $YSTEMS—B TL. M <br />WALLHEATCkS-67U. M <br />UNIT HEATERS-0 T U M <br />EVAPORATIVC COOLERS <br />CLOTHES DHYFRS <br />VENTIUTION FAN <br />RANCENOOD <br />AIR HANDUNG UNIT— C.FM <br />STOVE <br />METAL fIREPUCE 8 [HIMNEY <br />�S <br />RUR YARD SETDACK <br />VAGNi SITE <br />GYE$ ❑NO <br />NO OF �WELLINL UNITS <br />MAX OCC LOAD <br />BY � DATE <br />APPLIGTION ACC. BY PLANS CMfCKED 6Y I APPR FOH ISSUANCE BY <br />9-1�79 <br />PIhN <br />FEES <br />SUB70TAL 3 <br />PERMIT 3 <br />TOTAL FEE S <br />PIAN CMECH FEE <br />FEE ftECEIPTNO. <br />VAlUAT10N fl <br />UUILDINC S <br />PLUMBING <br />MECNANIUL <br />OTNEH <br />PENALTV U.BC. <br />SEC. JO7(a) <br />iOTAI <br />PfRMIT VALIDAiIOH <br />\YHEN PROPERLY VALIDATED (�N THIS SPACE) TNIS 1$ YOUR PERMIT <br />bJF.�y' ' i•�.`" kp qmi �^r``t��"' Yf .t"� 5a�5'",.{� <br />x `� . . ,_ '. . . » ��ES"'z.a�+��iF'Yi���§�t�rY� r�M . A, t�l."'� It - . . ..� ri . _ � _ _ _.. .Sf�.+. Lc �.. <br />FEE <br />1 <br />� <br />� <br />