Laserfiche WebLink
PERMIT APF�l�:�?ION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/S1'RINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everetlwa.org <br /> SITEADDRESS: PROPERTYTA%q PE �ITg^ _0 <br /> ' 32 ro w �N 9 0� o V <br /> LEGAL for new rnnstruction: Shoh PlaVsubdrvision lol No._ (attach copy ol long legal dascnDtion) <br /> OWNER✓/� f OC C ! j' � PhonnlE•mud y 5-3a3- 610� <br /> Aadross Ciry/s1etNLp <br /> APPUCANT:_Owner OvmefsApent �Contractor ConVactorsAgenl _Tunant�m„vo�o�ae�bw�oim+x+n�wo.++.moo.wnmeio•cel <br /> CONTRACTOR r o r vr� Slate Lic.# l� C'� f 0� City 8u5.Lic.tJ OZ ��i <br /> Pdtlmss ,O, �'e% /� � PnonelEmail p- U om d n YI <br /> TENANT BU3 NE33 NAME CONTACT FOR PERMIT <br /> l T�,., ,L�j e,•�a <br /> T ' �-A�, C � 5 PhonelE•ma� — <br /> BUILDING PERMIT APPLICATION ConrrucT PRICE oF WORK ��O� <br /> Ewsting Use of Building HEAT SOURCE: <br /> Proposed Use of Builtling Ges Electdc Olher <br /> Building rype: _Single Family _Duplez_Tawnhouse _Muttl-Family _Commercial <br /> T of ro'ncl: New Addition .� Remodel Re air T.I. Si n S rinkler Demolition Chan e ot Use <br /> DESCRIPTION OF WORK(edm�rona�spece provided on me beck): <br /> MECHANICAL PERMIT APPLICATIOH PLUMBING PERMIT APPLICATION <br /> Typa of ProJect; _N�w_Addn ,�J1ltantlon_Repelr Tp»ol ProJad: _New_Addn _Alteratlon_Repelr <br /> Show Numbar ol flrturea Show Number ol fixfures <br /> NC-airhandlin units Toifet <br /> Fo,ced air s tems Bathlub <br /> Gas i in Levato wash basin <br /> Water heoler Shower <br /> I Gas firo laco Ktchen sink 8 dls osal <br /> Gas ran e Dishwasher <br /> Clolhes d er Clolhes washer <br /> Ran ohood S � Welorhoater <br /> Ezhaust fan Sink servicolbar/mo /elc. <br /> Heal um Backflow reventer <br /> Unit heater Urinal <br /> Boilcr Drinkin Founlein <br /> Refri eralion Floor drein <br /> Wood5lova Grease Ira <br /> Duclin Roof dralns <br /> Ofher Madical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM other: <br /> Number of Heads Other: <br /> I�emby ceNy Nal I�ere roea entl eramMeC thls ep0����enE knar Ne same ro M trun and conect M povuione d le�enE admanfee poveminp Nis lype ol work Wil be mmp <br /> wtt�vnether epecMroA na�eln or not The grentinB of a pemiR Coes no1 prosume b give au�mry to vblate or wncel l�e D��un ol eny oNer slete or lofal I�w rapuWtlrp con6W ctbn <br /> TTai l em euthmtzod by Ne vwner ol tl+6 O�Certy b peiMm Ne work lor wfilch apd���s meCe o'M I comply wN Ue 51efa Cantacbn Law 18.27 RCW orW 298.200A WAC. <br /> D-n� ^ T//�/�y <br /> OwnerlAvlhorlied nlSlpnaNre ' Dete (Revisetl42014) /�� <br />