Laserfiche WebLink
C� <br />! <br />PERMIT APPLICATION <br />BUILDINGIIUIECHANiCALlPI�UMBING/SIGIV/SPRIN�C�ER/DEMCaLMTION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 Q�25-257-8$1D FAX 425-257-8857 www.everettwa.org <br />u�� <br />PR�PERTY TA7i # PERM17 � <br />�oz �.�A �► oo � � o�- o M 1� CS -- <br />LEGAL for ncw constructlon; Short PlaUsubdivisi❑n Lot No. (attach copy ❑f long legal description) <br />QWN�R �.�C bp-�C p-- J� �� O}� PnonalE-malt ��5 ' 4ii�.,�3 ' LO�J� <br />ress <br />S <br />CItylState/Zip <br />_ Owner _ Owner's Ag9�t C�n�racl�r _ Cantractor's Agr�f ^ Tengnl �mu-� provfc+e. ienaro� canzani from U�R nwn�,rto do v,ork in Ihe rp?cp) <br />iR State �ic, i� L�"1 City Bu5- L'ic. # b oS g' d � <br />�I ` `� g �$ PhanelEm9il � • o? �I 8 • � 00 <br />�INESS NAME CONTACT FOR PERMIT qa �� �, �Q-rl <br />n <br />Bu11.DING PERMIT APPL�CAT�ON ICONTRACT PRICE a <br />Existing Usc of Suilding � � �_ �,,, <br />Proposed Us� of Building _ <br />Building type; � Single Famlly _ Duplex _Townhou5e _ Multf-Family <br />Type of projeot: New Additi0n Remodel Repair T,I, <br />DESCRIPTION OF WORK (additional sp. ,. prov;ded on the b�ck) : <br />�' ��� Q c-c_. .-e. \-t �.kc 1 L. � C r`.o� �-� <br />MEC�#AN�CAi. PERMIT APRLICQTI <br />Type of Project_ _New ,�,Addh �A�tC�71N0� _Repalr <br />ShoW M1lUmbel # o£Nrftnr,g <br />AIC — air handling units <br />Forced afr svst�ms <br />_ � Gas fireplace <br />Gas ran e <br />Clothes d er <br />Ran e hood <br />Fxhau5t f8n <br />Weat p��mp <br />� Unit heater <br />� Boller <br />; Re�rigeratlon <br />� Woodstove <br />QuCting <br />f dther <br />PRINICLER / SUPPRE <br />ON SYSTEM <br />��� �.. .� .�' .��'; <br />��� � a <br />.� <br />� f <br />Ges ElectYiC �' O�her <br />Commsrcial <br />Sprinkler Demalition Change of Use <br />PLUfVlB�NC PERMIT tlPP�ICATIQN <br />7yp9 of PrOJecS: _New �Addn _Qlteration _Rr,palr <br />SAow Number fii) ofT,x�tures <br />Showe �r <br />Kitchen_ sink <br />Dishwa5her <br />Sink (servi <br />Roof drains <br />Medical Gas <br />Othor: <br />I hgrqFjy �prtify Ihal I hav� rcad �nd r.x�minr.d Ihis �pplic�fion antl know lhe same to be I�ue entl cort�ect, All pravi:ion: of laws snU ortllnences po�erning lhis type of work u+�ll be comp <br />wnether apeclbeU nereln ar not. The granqng of a partnit docs not prest�mr, fa givr. �ufhorily lo violsite or cancai the pro�iskon ot �ny olhhr state or locel IRw rcagulating constructlon <br />Thg l arn �i)ihnr4�a� hy tha nWn r of thl� rrnparty to pwrtnrm t�w work fnr which a� Irailon Ix made an6 I complY Wfth tna .g�ara r.ontr,rmr� Lnw 18.27 RCW on4 79f,2oo� WnC. <br />_ � � f f5 <br />ner/Author zed Agent Slgnature p��t-r, (Revised 9/ZOT4J <br />