Laserfiche WebLink
P 'RMIT AP ICAYION <br /> BUILDINGIMECHANICA PLUMBINGIGNISPRIN <br /> KLEPJDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> 1R <br /> SITE ADDRESS' <br /> PItOPEKt7YTAX# d, �Lj �'lL"> <br /> LEGAL for new Construction. Short PladsUtx Holo Lot Na— (attach dopy of long legal deacfiptkm) <br /> i + <br /> OWNER S�rrJ Pho€1eIE-mail 1'��G l 7 U <br /> ddresa 377 ( G�ti ►i ve 'i L O <br /> APPLICANT._Owner _Owner's Agent X Contraotor _CorrtraCloes Agent —Tenant u mbw or wnuntfom&*vow to m rods In ttro spnm) <br /> CON'T'RACTOR <br /> state Uc # /4 Sus-Lic. <br /> lCl7R5� <br /> Address 17 0 <br /> wa r <br /> TENANT NE C FOR PERMIT <br /> �a-Co <br /> Phona/F�-mail �W ka-�A <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Vbdating Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas effoutc otrier <br /> Building type: Single Family _Duplex Townhouse _ Mu15-Family CoMmrclai <br /> TVM of pruiftt New Addition remodel Repair, T.I. Sin S rinlder Demolition.—Chan4a of Use <br /> DESCRIPTION OF WORK(edditionai space provided an the baud: <br /> A4 6 V ZA)t4ol- (5j <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of ProjaCe „_New Addn —Alteration_pair Type of Project __Now Addn AtterBtlon�ijepa it y <br /> Show Nvraberffl of fixtures Show Number of � "j <br /> I <br /> A1C–air handling units Toilet <br /> Forced air s s#ernsl Bathtub <br /> Gas piping Lwato wash basin <br /> Water heater Shower <br /> Gas fire face Kitchen sink&din§ai <br /> i Gas ran M%hvvasher <br /> t Clothes dryer Clothes w fisher <br /> Ranqe hood Water heater <br /> Exhaust fan Sink seNcalbadmo /etc <br /> Heat Pum2 Sacldiow preventer <br /> Unit heater Urinal <br /> Boiler Nnkinq Fountain <br /> Refrigeration Floor draln <br /> Woodstove s Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER 1 SUPPRESSION SYSTIRM Other <br /> Number of Heads Other: <br /> I hareby GeNry that I hays read and exemined this appOC*hon and know Me same to by two and correct.AD pmvkWo or Iawoand ordfn mwM govemtng th¢ty�of wank w>B Ae Comps <br /> vM whother SpGcMd nataln or not_The gnantuig of a pamn dose not ptmme to gbe aumot>ty to violate or can ai the pmv€alon or any Misr Mta orb=law ragidarvtQ oonatrwfian <br /> Th9t I ant suthorizod by the armor of thio praperf}} to the work w wNch epp&C:ttion a made and t Comply with the State ConU2ctom Law 10.27 RCW and 2S6—K*A WAC. <br /> Owner/Authortzed A90nt 319neWtO tate (Revised 92094) <br />