Laserfiche WebLink
PERMIT APPLICATION <br />BUILD#NGlM�CHANICAL/PLI�MVIBINC/SlGNfSPRINKLE�?/bEI11�OLITION <br />CITY O� EV�R�TT PERM17 SERV�CES <br />3200 Cedar St., �verett, WA 98201 425�257-8810 FAX 425-257�8857 www_everettwa.org <br />51TE ADDRESS: O�� � PROPOERTY TAx # PE MIT #_ �` � <br />� DO O O � d <br />LEGAL fur new constructio�: Short PlaUsuFadivision �ot No. (2Itach copy of long lagak descriptio�) <br />OWNER QY 1 �� ��C.l �I . �J�p • ��'"1 <br />PhonclE�mail <br />Address �sl--- City/S43te/Zip <br />APPGICANT': _ Ow�n�� _ Owne�'S /�cjsrtt ConiraC[Of Contrector'a A9ent Tsn�dnf (mu•t o«v�dc � icncr ol con-cntR m N �vn r � d w �a� i h <br />CON7RACTOR <br />TB <br />BUILpfNG PERNIIT APPLI�ATtpN <br />,._ . O 9 4 8 0 0 0 n l 9 309ca) <br />State Lic_ # k-�-I City 8us. Lic. # b o{ ��0 <br />PhonelEmail � . a � g • � Q� <br />ACT FOR PERMtT aj n.-�� t ,�,yti,y`p,� <br />i Gu m�+ -� 6�! <br />f PRiCE OF WOR}C <br />Existing Use of suildiny � <br />PropoSeq Use of uildin� � <br />BUildinr� type: �S{ngle Family _ Duplex �7ownhouse _ Multi-Famiiy ,_ Cornmercial <br />T e of rp ect: New Addltion f�emodel Re �II' T.I, Si n S rinkler <br />U�SCR PTION �F WORK (edditlonalspace p�ovr�ed on th ¢ack): I,. � v <br />.� 1'1 S� 1 � �� � �ob �,�j CLU G�l.t S.f t� �� � �� <br />MECNANICAL PERMIT APPLICATION <br />of Aroje�t: �New _Addn �A <br />St>oW Ntrmber # of fixt� <br />AlC — air han <br />,�J Forced air sy; <br />Gas pipinq <br />� Water heater <br />� Gas f(replace <br />Clothes diyc <br />Range hood <br />Exhaustfan <br />Heat um <br />Unit heater <br />_Repair <br />Unit5 <br />� Ductin <br />Oiher <br />SPRINKLER / SUPPR�SSiON <br />Nwi�bor of Meads <br />� <br />�'33ao " <br />hEP,r sou�cE: <br />�lecnic_ __ Other,___ <br />niolition __Ghanqe of Use <br />PL.UMBlNG PERMIT APPLtC/�T10N <br />Type of Projeat_ _New_Addn _A,Iteration _Repair <br />Show Number (#� of ifxtures <br />I Toilci <br />Shower <br />Ki[chen sink & c <br />Dishwasher <br />Clothe� �vasher <br />Water hester <br />Sii�k (servicelbr <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Roof drains <br />Medical Gas <br />Other <br />! hersby cenify that I have reau anU gx�mir��d lhiv �pplication and know the same to be true and correct. All provisions of laws and ordiRanccs goveming ihla type of woric vAll be comp <br />whelhcr spscified herein or not. Yhe grsntirig ot a perm�t docs not presum¢ So give authority lo violaia or cance� tha pravuion of any �Iher state or local law rs9ul�6ng con��r.,ioti•�n <br />Ths � ym autho��ed by the own r of thia property to pertorm Me work for w� h applic kion is made and I comply with tne State Contrectorb Law 18.27 RCW and 29o200A 4VAC. <br />� � 1 �� l� <br />nerlAuthor zed Agent glgn3turc pa s (Rsvrssd 9�2014) <br />