Laserfiche WebLink
O1/09/2015 FRI 12:ag FAx Fa�t water xeater �018/021 <br />� � <br />� ( �(a� <br />PERMlT APP��CATION <br />BUILDING/M�CHANICA�/P�.UIVIB�NG/SIGN/SPRlNKL�R/D�MOLITION <br />CITY OF EVERETT PERINIT S�RVIC�S <br />3200 Cedar St,, Everell, WA 98201 425-257-8810 FAX 425-257-6857 tnnivw.everettwa.org <br />51TC A DRE�� I 1"7 'il V� �� G� V PR�p TA OV �� LV V PJ " L I`-��� ` C> I <br />�� <br />LEGAL for naw oonstrucHon: Shon Plal/eubdlvlelon Lel Ne. (ottach �py vf Iong legel �jeacrlpilon) <br />OWt�ER ��1'� �t� f� Phone/�-mall � � ?� � J � �� <br />Address � � Z'"r,� G �'} �� � � U I CllylStetelZlp ���r � �-- � g� � <br />APPLICANT: � Owner _ Owner's Agant �, Contractor _ Contreclo�'s Agenl � TB718(l� (muel provf0e e lelter of oonseM (rom lhe ewne� lo tlo work In lhe aDeaej <br />CONT�2ACTOR -�'� � � l"rl'� I'�� � Stale LIC. # � "� � � �'� � �I� b ��IIY BUs. tic, � 5��� <br />Addreae i� ��� �. ���'y`�l� F ��Y � ��i'IV� <br />�T+IS' INE55 NAME <br />� <br />BU1�.171NG PERMIT APPLICAT�ON <br />COfVTACT FpR PERM T�1/,l1 f" <br />Cy ZS� (v3L =11� �{!V LCi <br />PhonalE-mefl � � �' {�'�(� <br />CONTIZAGT PRICE OF WORi( <br />Existing Use oF Building �� 1/ li(V ��� H�AT SOURCE; <br />Proposed iJso of Bulldfng (3as Eleclrlc Olhar <br />Bullding type: _ Singfa Family _ Duplex,�Townhouse � Multf-Femlly _ C0111merCial ••. �'^ <br />T s of ro ect� New Addltlon Remodel Re alr T.f. Si n S rinkler pemolltlon Chan e of Use <br />D�SCRIPTION OF WORK (edelr�onaJ spece provldad on che back): <br />�u�v� �� �wH�,c-� �� w �tzr�. �����r�- ir� ��ci s �� r�c� <br />����,� . <br />�CH4NICAL PERMlT APPL�CATION <br />of ProJecl: _New _Addn ___Alteratlon _Fiapalr <br />SHOW Number !#) of /Ixlures <br />RINj��, <br />A/C — afr h�ndllnp unlls <br />ForGed alr systems <br />Gas pIPIn� <br />Waler fieater <br />Gas flrBplBCe <br />Gas range <br />Clothes dryer <br />Ranpe hood <br />Exhaustfan <br />Heat oumo <br />�oner <br />Refri eralion <br />Woodalove <br />Ducting <br />Other <br />� SUPPRESSION SYSTEM <br />Number of Heads <br />PLUM6ING PERMIT APPLICATION <br />of ProJset: _New �Addn Tqlte�atlpn _�gpe�r <br />Show Number (#) of fixfures <br />Shower <br />Clothes washer <br />Water heoler <br />Drinking Founlain <br />Floor dralh <br />Greaee Iraa <br />Medlcal Gas <br />Olher; <br />Other <br />1 hereby cerllfy Ihet I have reau antl ercaminod lhis �ppycalion and know �ho samo lo be Irue and correcl. All Drovlslona of lawe end oralnanc�e paverning INa type o( work wlll Uo comp <br />wtth wholhar spooi�ad herein or no6 The yranting of e parm{I doea nol Dreauma Lo glve euthorlly ta vlolela or cancal lhe provisian of any olhar slata or loc�uaw ragula(ing conelructiun <br />Th I em aulhonzed by l�e owner of ihle propeMy m pertarm Iltio work for whl�h epp�loallon I� mada and I compry wllh Ine 81e1e Contraolvra Lew 18,2T RCW and 296,200A WAC, <br />1 � � <br />OwnaNAutnorixed Agant 9nature Date (iZ�vlsed 9/2014J <br />�� M <br />