Laserfiche WebLink
12/15/2015 TUE 11:18 FAx Fa�t water Heater �002/003 <br />_ ... , . , . .... ....... _. -:----------... _. ....._ .__..._.... .. . . <br />. ... . ....... . ........--.,-:--......_..._.............,_..._.. <br />, . _... . .... ... .. _. ....... _._......._....... . .... <br />�RMIT APP�.ICAT�� -._._ -. -��-�� (o <br />BUILDING/M�CWANICA�./PL.UMBIIVG/SIGN/SPRINKL�R/DEl1A�L.ITION <br />CIrY aF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 9B201 425-257-8810 FAX 425�257-8857 w�nrw.�verettwa�org <br />SITE A�n�o� a�� �► ;10� S�,�iP��H' R� P P �x � � P�o.,,T � <br />� 1(V1,1�12p <br />LEOAL fOr new conetniclion: Short Plat/8ubdivleion Lot No. (attach copy of long legel cieSCrlptlon) <br />OWNER v+CTO i�I/-f �i'1 �-I�.�VIT�I �� A�I OXM1 one/E-mall ���si� N���- <br />Aaaress . '� cltylstatel24p � " U �7"� G <br />APPLICANT: _ Owner _ Owner's Ag�nt COf1[CBC�dr � COf1lf8ClOT'S AeBn� � TOf1E111L (musl provltlo e lattqraf cvneenl irom Ihe owner lo Oo wnrk In the epeca) <br />CONTRACTOR ��� 'E'� �� 5tate Llc. # �ftJl/J E- � Q�,C;� Bus, Lic. <br />� <br />�aa�ess ��� � N � : � VU�r S � W � ( ( Phone/Emall o�� (�'3 r� 1`�`S � + <br />TE ANT B AME CONTACT POR PERMIT [��( �. <br />��I K� L� /� <br />Phone/E-mpll _ _�j�p�D�j/�=�1..,,�.�1(JJ�f.CS.�,�IiCvI�W� <br />BUILDING PERMIT QPPLICATIQN <br />CONTRACT PRICE OF WOi2K <br />Exlsting Use of �uildinc� NEAT 5 [; <br />Propos0d US9 Of G�s lectrlc Other <br />Bullding type= Single Fair � Duplex �Townhouse Multi-Family � Commercial <br />Type of pro)ect: New Additlon F2emod ir' Repalr 7 I Slgn Sorinkler Demolltfon ChanQe of Use <br />DESCRIPTION OF WORK (eddltlonel spaca prowdad on the beck): � <br />�.�� �-� r. 1 a C.�._ P�%C%�'��� t.��r.. �c���— <br />� <br />ECHANICAL P�RMIT APPLICAYION <br />oi P Joct: ,�Now _Addn _Aiteratlon _Rapalr <br />5how Nwnbar �! of flxlures <br />A/C -- alr handlin units <br />Foroed alr &vstems <br />VIOL 6f <br />R e hoo <br />xhausf Fan <br />Haat pump <br />Unit heater <br />Boilet <br />Refrigeratlpn <br />Woodstove <br />Other <br />SPRlNKLER / SUPPRESStON SYSTEM <br />Num6er of Meade <br />PL.UMBIN� PEIZMIT APPLICATION <br />of PYuJact: _New _�Addn _ f�itorallon _Repalr <br />Show Number # ef l/xtureb <br />Tollet <br />Bathtub <br />Dlshwesher <br />Clothes wlsher <br />Wafer heater <br />Sink servlee/bAr/m <br />Backflow preventer <br />Urinal <br />Drinking Fount�in <br />Floor draln <br />Grease trap <br />Roof dralns <br />Medlcal Gas <br />Other: ^' <br />I horeby certlfy ihq� I h�vm Yead and axamined Ih16 apglloallon and know the eem0 lb ba trUa and coReGt. All proVlslohs of lawe end ofQlnsnCe6 qoVeming lhle typa nf work Wpl b9 oomp <br />wlth whelhgr 9peC�lled hereln or nat. 7he grentin0 oFa permll doea not pregu�l'10 lo give eulhorlty 10 VlolAle 0� oancel Ihe provlalon Of Elpy Otbar eteta or local lew r0gu�fltl�g �O�siruclion <br />Tnat I eR-i 9UtF1oYl2od by the owner ol Ihle prOpeKy lo pettorm Ihe wOrk fpr wrICH appllcaflon Is med9 e�nd 1 camply wllh the 9tpte Conlra�tora Law 18.27 RCW anU 29(i-200A WAC. <br />OwnerlAut zed Agent 9lgnaturo � � 1 / � ate � <br />�/��`v� iF�svfeed 4/2098,1 <br />