Laserfiche WebLink
I — <br />the Everp*"n <br />CITY OF <br />APPLICATION FOR <br />CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259.8745 <br />EVERETT, WA98201 ❑COMBINATION <br />OR <br />BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />PIUMRING CONTRACTOR MAIL ADORISS CITY Pro PHONE LICENSEI <br />CLASS OF WORN <br />❑NEW ZADOITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN [](;,'RACE ❑BUILDING RELOCATION <br />VALUATION OI WORK <br />�SE9t� cn7 <br />OLSCNI HI WORK <br />PRON)SIDLSI 01 H1,110wG <br />` <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 OI- A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY lO VIOLATE OR CANCFL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATI IRE OF C NIRACTOR OR AUTHORIZED AGENT DATE <br />x t <br />LEGAL DISCRIPIION Of PRorIRTY(SHOWN RLLOW OR ATTACH FOUR COMFIT <br />LOT _BLOCK —Of iA/ r(/ — r <br />Q S W F t 67C 1 <br />r <br />G / <br />It)N AUUk155 - /JCI <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WVAIER CLOSET (TOLICT) <br />AIR COND UNITS -HP EA <br />_ <br />BAIHTUH <br />BET RIGt RATION UNITS-11 P FA <br />LAVATORY (WASH BASIN) <br />HOILLRS-11P LA <br />SHOW[IF <br />GAS FIR[D AC UNITS—IONNAGL [A <br />KITCHEN SINK A 01SP <br />IORCED AIR SYSTEMS —BTU M EA <br />015WASIIER <br />WALL Mk AlI RS—UTU M <br />LAUNDRY TRAY <br />UNIT HEATERS—B T U M <br />CLOT HE S W'ASLO R <br />I VAPORAT IVE COOLERS <br />\VA7LR HI Af f R <br />CLOTHES DRYERK <br />URINAL <br />VENTILATION LAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT— C F M <br />VACUUM BRIAKIRS <br />STOVE <br />ROOF DRAINS —RAIN( LADE RS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SI RVICI —BAR. LTC I <br />SUBTOTAL <br />SUBTOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SL I BACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT 511E <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCLPANCY GROUP <br />NO Of DWELLING UNITS <br />BUILDING <br />$ <br />"'Cl <br />SIZC OF BLDG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />(HDROOMS <br />FIRE SPRINKLERSREQUIR <br />nYR ❑NO <br />S40UNICAI <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 ENVIRONMINTAL CHECK LIST <br />PENALTY <br />DEC <br />SIC 7Oxa) <br />2 BUILDING PLANS <br />TOTAL <br />I FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN T1415 SPACE) THIS 15 YOUR PERMIT <br />5 GRAOINGA XCAVAI ION& Cl I ARINGIGRUHHINC <br />6 DRAINAGE <br />1 ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICI <br />APPLICATION ACC BY <br />PLANS CHECKED HY <br />APPR. FOR ISSUANCE HY <br />91 79 <br />