Laserfiche WebLink
• • <br />PERMIT APPLfCATION <br />BUILDlNG/MECIiANlCAL/P�.UIVlBI�IGIS�GNISPRlNKLER/DEMOLIT�ON <br />C1TY OF EVERETT PERMIT SE12ViCES <br />3200 Cedar St., Everett, WA 98201 425-2�7�861Q �AX 425-257-8857 www.evereiiwa.org <br />AUDREss: <br />c� �� <br />�� o� � i�1�1Mi ��'�f,, _ <br />for newconsirucEton: ShaR Piat/SubdiVieion Lot No.�, {s€iach capy of long legal desaiRtion} <br />' � Q �i DI'� � �� l t Phone/�-mali ��� - ��'� . � �p�� <br />Oumer _ Qwne�s flc�ent �ContracUor _ Cotl�taetor's Ageil� ` TCI18ii� (rrwet proYtAe s 1e11eY trt con8ank Rum tlte ovmer te do vrork fi� 7he epeceJ <br />t/YWt.d►�r� 5tate Lic_ # L�''I City Bu9. LiC. # � a1 �� Q <br />�.L a g � Phone/Email � . � � • � Qb <br />;sS NAME CONTAGT FOR PEF2MIi p„� m` t „vy�f'�a.,r� <br />BUILDINC� PEitM�T APPLICATi0�1 <br />nelE-ma1�1''Yj, �1 �. W i <br />N7RACT PRICE OF WQRK <br />Existing Use of $uilding �� �, <br />Praposed Use of �Ii�CIj � <br />Buildin / 1 <br />9 h/P6- �'��ngle F�mily _ Dupl�ax_To�nmhouse Mult1-Family _ <br />Type of project: EVsw ACSUStion Remode! RepaPr X T f Si�l <br />DE3 RIPTfON OF WQRK {add;l�orra! space provi on the beck) : l <br />� � � � � � -� � i S-�+ � <br />NlECHAMICAL PERI1q�7 APPLICATfON <br />of ProJect: _New �ddn IferatEon _Re�ir <br />5flOW Number # pf ll�re.q <br />AIC — air handlin units <br />Forced air s terrte <br />Gas oioina <br />�as <br />Exhaust fan <br />Du <br />M <br />N�rnber af Maads <br />Commercial <br />Qas <br />FIEAT SOUFiCE: <br />Electric Other <br />:mofiGon Chan e af Use <br />rr�c-� <br />PLUMBING PERMIT APPL�CATlON <br />Type af Project: _New �ddn _�►Iteratian TRepair <br />Show NumDer (�!) of fixturas <br />I TOl�Bf <br />Kitr.hen si nk <br />Dishwasher <br />CloEhes was <br />5ink ser <br />BackflaHr <br />Roof dreins <br />M�icat Gas <br />Other. <br />Other. <br />1 hereny r,�ty �t I have reaa antl ersminea �fs ap�Yticatinn ana �owlhe gama tA be QUE dnd Com�ci All provisior�s of lews and orrjlnBRcas gWezning thit �po of wo�ic wll be comp <br />���5 apaciReci haretn or noL Ttie gran�g of a psm+h does not preeuma 2o glve sut}wrily fa vto�te or cen cel 43e provlebn cff any cHher alste arlowl lsw regul�tinp conatnuiton <br />Tha I ani autho�izea by the rnm r af thig pruperty to pe,7o,r�, tha wwt� �O� �� aDDlicatlon ts mada ane I comply with ihe 5tate Gontractors Law t827 RCW and 29620DA WAG. <br />qAutl�o ze9 AgeM �g ura Date ��I ,���,� G <br />I (1✓ 1 � [Revised 9/2014J <br />\YJ � <br />