|
PERMIT APPL.ICAI`Tt0l!
<br /> r 7F/H;;146:4;„?.--gemBUILDING I MECHANICAL I PLUMBING,/SIGN I SPRINKLER/DEMOLITION
<br /> f CITY OF EVRETT PERMIT SERVICES
<br /> 3200 CEDAR STREET,EVERETT,WA 98201
<br /> (P)425-257-8810 I FA •.4Z5=2578887 1(0 everettepseevarettwa.gov i w+ ti»reversttivag etperrr
<br /> ' ti ito ABN ®.tit% F. ;.,1, . P4E 't:$11'EI l* 4 _ * . <"
<br /> • � ' RPERTY i #, 'PROJECi SITE.ADDRESS: � fot
<br /> LEGAL for now construction: Short Plat/subdivision,_ Lot No. (attech•copy of long legal description) i
<br /> 'v',,S*xi Jnr iitV i.. .... ty oittitt -4yg'. zn .+e.,,..,-
<br /> OWNER NAME:-et I t nil 1r r 41 TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: ~r
<br /> COY, STATE
<br /> f lilt lEt HON / . q p 1 0 ItrirlNErt EMAIL
<br /> CONTRACTOR NAME: Brennan Heating
<br /> CONTRACTOR ADDRESS: ever 4601 `S 134th PI
<br /> crty Seattle STATE Wa zip'98-168
<br /> CONTRACTOR PHONE: 206-248-7900 GoNTI ►CTQR.,EMAiL: Jairnie br nn nheatin .Corn
<br /> CONTRACTOR LICENSE'#tRECtuirtED) .BRENNHA971 R9 CITY AF.EVERETT SUSINEas LIG i* /$itEClttIREDy 0282 0
<br /> PRIMARY CONTACT; DOWNER p CONTRACTOR II O:7 HEI (Please Specify),
<br /> CONTACT.NAM x CONTA T PHONE:. 06-248-790
<br /> Jaimie How CONTACT EMAIL: Jaimief br'ennanbea in9.Dor
<br /> ' . B'Ulti ' tI
<br /> Existing U e.af Building: ontract.Price•ofWer4:.S' I '
<br /> ProposE'd Use of Building;; ?lest Saone: C DElectr ©Other:
<br /> Building Typo: DSFR-Detaches. OSFRAttached D3trptex! 0Muttl=Family4 of Units:. C Comrrieroiat CilncittmtraaI
<br /> Ire Of-Pto$ct: ONew DAdOition CIRefoodel DRepair i' 14 DSicOrr: r$Spditrkier C Demotition DChange of Use
<br /> DESCRIPTION.OF WORK: r; *) 3,,,.. ,,,,, t ... _. , ,,,,,,
<br /> w.,._ - ar,-(- k.),,,,), 1‘.A.)- 1,,,-...),---c ' -
<br /> 0
<br /> ASSOCIATED.BUILDING PERMIT.#(if applicable);
<br /> r`
<br /> Type of Project Now . Addn Alteration Repair Typo of Pra)oct: New Addn :, Alteration Repair'
<br /> #of List of r ixtures' of List of Fixtures Qt"'' List of FFxtures #`of List of Fixtures, —
<br /> Fixtures stunts Pix'turas: Faxttnes
<br /> NC--Air Handling Units Heat Pump. Toilet __ . Backflow Presenter.(Intside Bldg),
<br /> "Forced Air Systems Unit Heater Bathtub> Urinal
<br /> Gas Piping Boiler Lavatory(Wash Basiit) Drinking.Fountain
<br /> I Water Heater Refrigeration Shower Piero'Drain
<br /> Gas Fireplace Wood Stove: Kitchen Sink 4Disposal rhe Trap
<br /> Gas Range Duc* tinp Dishwasher Roof Drains
<br /> Clothes Dryer Hootcups Other: Clothes Washer Medfpal Gas
<br /> Rance Hood ' Water Other,�
<br /> Exhaust Fan V w -Sink( ervice/BarlMoptetc) Other' '
<br /> 81iitit00:010 - rli .
<br /> iChemical orWater er No.of Heads
<br /> A t GVLgOGe Leib:'t care rexiswedtris epees-effort antic ane the,infortation eentainerthenrin is Initrand correct WsvIt Ooneparatiant iotisspentit trtatCOMNY with
<br /> curreatkteroktrarc and focal-tax hs t re t nj st,dhorizesapprevee etertenti ttsuevieuens recrefrorm()Sieben in '' ` rn from t#
<br /> Building O .- ,bees;arrt . enderan}� e i ,theervr r or 1 a aartthorFac by the owner off* y ti€': rax +�for a� t o is made
<br /> and l comp' h t'..,tate Contractors Law SIL27 ROW end 2416290A WAC
<br /> Ctty cork Everett Wotan/se Only
<br /> PER IT#i`
<br /> L.„ . , .
<br /> Own ' thorized Agent Signature ate (13ev1 0, r, ,e'98)
<br />
|