Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/Pt_UMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SEP !ICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 421- 257-8857 www.everettwa.org <br />wr DTCn PPnM R AM Tn 4 PM � - 3 1 `1 <br />APFUCAr ivno nn Li... <br />,.__..._...__ _ <br />PERMIT # <br />SIT E ADDRESS: <br />3030 NOYT Adc) ue <br />PROPERTY TAX # <br />OoT�(9or�co <br />_`� �c7 <br />LEGAL for new construction: Short Platisubdinslon-__ Lot No.. (attach copy of long legal description) <br />OWNER I SS Lie R 1;&Tea P IrLlstrs L P PhonelE-mail — <br />Address 11z5 WAMITY k17. City/State/Zip d 37W <br />APPLICANT: Owner _ Owner's Agent _✓Conuactor _ Contraclofs Agent _Tenant tmuzicrowea enuarcoesemrromme ow,n w¢.. Mn nesp.l <br />PLUS L & I Lic. # S iGppNSP I SX W COE Bus. Lic. p <br />CONTRACTOR C 1.1 S <br />PIi56QFinail l-�t(,S <br />Address7(,b MAQINe DIX. eELLIA1CWAM,wd 4 126 +i A us M7u Co <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />SA ME AS Coul-A ACT-O/L <br />�/�// <br />ac)nCo 1x/Cu(CAL- <br />Phone!E-mail <br />BUILDING PERMIT APPLICATION <br />6115 <br />CONTRACTPRICEOFWORK u200 <br />Existing Use of Building RI!TA 11. HEAT SOURCE: <br />Proposed Use of Building 12ETA 1 L _-__ _ _ _ _-_- Gas_ Electric Other_ <br />Buildingtype: Family _Duplex_Townhouse '—Multi-Family I,/Commercial <br />_Single <br />Type ofproject: New Addition Remodel Re air T.I..Il _ Sprinkler _Demolition_ .Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back): <br />=yJ$TALC- 'iwo NON LI'T 51CP5 <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Project: Alteration _Repair <br />Type of Project: —New _Ad —Alteration —Repair <br />_New_Addn <br />Show Number (#) or fixtures <br />Show Number #) of fixtures <br />AIC - air handlingunits <br />Toilet <br />Forced airs stems <br />Bathtub <br />Lavatory wash basin) <br />Gas piping <br />Shower <br />Water heater <br />Kitchen sink & disposal <br />Gas fireplace <br />Dishwasher <br />Gas range <br />G <br />Clothes washer <br />Clothes d er <br />Water heater <br />Range hood <br />Sink service/bar/mop/etc.) <br />Exhaust fan <br />Backflow prevenler <br />Heat pump <br />Urinal <br />Unit heater <br />DrinkingFountain <br />Boller <br />drain <br />RefrigerationFloor <br />Grease Ira <br />Woodstove <br />Roof drains <br />Ductin2 <br />Medical Gas <br />Other _ <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />I hereby cxlry tut I hive <br />relit end <br />examMd CIM and knit the ro be true and correct. AI WovWaa of khwa Ord adMrcee 9vverr Xt dye type of work Will be WrriPled <br />with whetter speci%d herein at not. The nk a unit does rut p ume to give authority to violate or cancel INmee State ion <br />Lawprovisof any other stale8 27 RRCW and 298.200A WACC. <br />That I am authorized by the owner of S prop Perform the which appication is made and I cornply <br />(Revised 612012) <br />L�2 <br />