Laserfiche WebLink
Feb, 11, 2016 9 : 17AM EV "" STATE HEAT & AC No. 6297 P. 2 <br /> BUIL®INGIMECHANICAUPLUMBINGISIGMIS PRINKLER/DrEMO TION <br /> CITY OF EVERETT PrzR VIIT SERVICM <br /> 3200 Cedar St., Everett, WA 98201 425.257-8810 FAX 426-257-8857 www.everattwa.org <br /> SITE ADDRESS: PROPERTYTAX4 PERMIT <br /> Et efti <br /> LEGAL for new consinfcllon: Short Plat/subd[viislon LotNo._ (attach copy of tong legal descript[on) <br /> OWNERAddrest l( ( U"lr��.7 Phone/E-mails U <br /> s. clty/sta[arztp <br /> s • <br /> APPLICANT:_ Owner ,_Owners Agent _C.poniractor _ coniractor'sAgent Tenant(raml provide a[alter of coWhITIOM rha owner to do WD-1-UIQ W—J <br /> CONTRACTOR l:V E tJ t: Slate U0.# (� Cit bus.Ur..#PO-1 <br /> 2 55 <br /> ZcS��311�s <br /> Address r�U-'C Phone <br /> /mall <br /> TENAN 13US1N9S_8 AIDE COMTACT FOR PERMIT <br /> KEW 5�L�o (gzs-J Z*Z 3��y <br /> Phone/1;mall <br /> I <br /> ENUIL09H O PERM511'AP'P lLBCAI'110 CONTRACT PRICE:OF WORK <br /> Existing Use of Building HEATSOURCE: <br /> Proposed Use of Building Gas_ Elaclrta V 0her <br /> Building type: _Single Family A Duplex Townhouso Multi-Family ,,,,_Commercial <br /> Type of project: _New _Addition Remodel Repair T.I,_SI n 5prinkler_l)emolltfon Change of Use <br /> DESCRIPTION OiWORK(eddlllonel space provided on the back)' <br /> MECHANICAL PIERfU IT APPLICATION PLUMBUM PERMOT APPLICATION <br /> Type of Project: ,_New Addn _Alferation___l?epalr Type of Project' ---New ddn _AfteratPop_Repair <br /> ShowNumbar(!l)offlxfures Show Number(#)ofiixfures <br /> A/C air handlfng units Tollet <br /> MForGedafrtems Bathf 1b <br /> y(wash basin) <br /> Shower <br /> Kitchen sink&dis 0891 <br /> Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(servlce/bsrlmo /etc.) <br /> HeatpumP Backflow preventer <br /> Unit heater I Urinal <br /> Boiler Drinking Fountain <br /> ttefrl eratlon Floor drain <br /> Woodstove Grease trap <br /> DuRfli Roof drains <br /> Other, Medical Gas <br /> SPRINKLER/SUPP "ESSI®� �T�w`i`Ti'l�fi�d Other: <br /> r4umber of Heads Other: <br /> 1 hereby cef4fy thal 1 havo read and oxomined this appilceffort and know the aeme[o he truo and correct.All provtalona or laws and ordinances govarning this typo ofwvrk w1I1 be complied <br /> wish Wholher speciflea heron or not.Thegrantfng or a perrnil doea not presume tagive sulhorgy(o vlawa or cancel the provision of any other slats ar local imt regufaling conalruolfon <br /> Tpa(1 am etulnorized by Iha o%lner of thLs pro o perrorm the work forvlhrch application Is made and I comply v/ilh iho stale conlreo[ors l.avl 15.27120wand 2ee.200A WAC. <br /> "'4 �- It - IGS f <br /> Owner/Auth fzedAgentSgnature Data (,Revised 312013) <br />