Laserfiche WebLink
From:Universal Refrig. <br />To:14252578857 0?(��/2013 08:25 #554 P.003/004 <br />PERNlIT' �iPPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPi�INKLER/DEMOLfTfON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 982p1 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: /� .� ,- / PROPERTY TAX # P RMIT # <br />CG' � �J � � >Y � �v^. (N. "9 i � -•, � q / �ry � <br />--- � �-�f.2` �(.�.�C�7'at-f �/C.k...) � .'I I ����•_l ��.�i� '� <br />LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />OWNER �l �?T�'Yt �- /� �i�P"�Ut���� � ��.Q� Phone/E-mail �v�7 ' zG_�''�'-- (GC� <br />Address G � ( �j �.�N� �� G�h�{.0 �p,{���� City/State/Zip — � �/� - ��C� �' <br />APPLICANT: � Owner _ Owner's Agent �Contractor COfI((8CY0�5 /�( @Ili _ T91l8f1i (must provlde a letter of consent from the owner to do wodc In fhe space) <br />CONTRACTOR C�� r-..�n^: � �yr � -- �.� L& I Lic. # f�/V��� r/�-- COE Bus. Lic. # <br />Address ��U� � ° �-�� �� ���;y� � )(°'j�j Phone/Email <br />TENANT BUSINESS NAME CONTACT FOR PERMIT �,��G� r=�,,����� <br />%� �-�. � �"Y`6� ��� - 7�%-5'�zi' ��` <br />. , <br />` �� Phone/E-mail �Jd^ G �� !�J E'� 'u '`ca. 'r rc" d C�-::, <br />BUILDtNG PERMIT APPLICATION CONTRACT PRI E OF oRK � 7 ��, L' �l <br />Existing Use of Buflding � <br />Proposed Use of Building <br />Building type: _ Single Family _ Duplex _Townhouse _ M'u/lti-Family � <br />Type of project: New _Addifion _ Remodef Repa[r �/ T.I. Sign <br />DESCRIPTION OF WORK (additional space provided on the back): �����j <br />/ <br />v��'� <br />MECHANICAL PERMIT APPLlCATION <br />of Project: ' New,Addn ____Alteration�Repair <br />Show Number (#) of flxtures <br />A/G — afr handiing units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />R / SUPPRESSION <br />Number of Heads <br />HEAT SOURCE: <br />Gas_ Eiectric Other <br />�mmercia! <br />_Sprinkler_Demolition Change of Use <br />� <br />rj�� 1'r2cj*�-��Wir �� w; � <br />` j P <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />5hnw Number (#) of tT7ctures <br />Lavatory (wash b� <br />Shower <br />Kitchen sink & dl; <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/ <br />Backflow prevent� <br />Urinal <br />Drinking Fountain <br />Fioor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />1 horeby ce�ify that I have read and euamined thls appliCatfon and know the same to be Vue and correct. All provislons of laws and ordinances governing this lype of work will be complied <br />wkh whether specified herein or not. The 9ranting of a permft does not presume b givo authoriry [o violate or cancel the provision of any other stata or local law repulating construction <br />That 1 am authorized by the owner o( thls property to perform the work for which appNcation Is made and I compty with the State Contracturs Law 18.27 RCW and 296.200A WAC. <br />�_ <br />� u' �`��'..--�%2.-f �.� _ _ I /� / I � <br />Signature I pa� (Revised 6/2012J <br />