Laserfiche WebLink
NOV/01/2016/TUE 12; 27 PM North Cree[c Aoof ing FAX No, 425 487 G524 P, Ci02 <br />, � � <br />PERMIT APPLICA7`�O�V <br />BUII�DI�IGIIII�ECHANICALlPLUIIIlBrNCISIGNISPRINKL�R/DEMOLITION <br />C[7Y O� EV�R�TT PERMIT SERViC�S <br />3200 Cedar St., Everet�, WA 98201 425-257-8$10 �'AX 425-257-8857 www.evereEtwa.org <br />APPLICATIONS ARE ACC�PT�D FROM 8 AM TO 4 PM <br />S2TE ADDRESS:� �,�,� �� �`� PROPERTY TAX # IT�kr D� t—� <br />ll l <br />... .� - - - ._.,__.. <br />LEGQI. for new construction; 5hort Plaf/subdivision Lat N❑, (attach copy of long iegaf descr�ptinn) <br />OWNER � Phone/E-mail "\, �1^�- � -- � d � <br />Address �� � C�ty/StatelZip �Q,,I�k W �� ZQ� <br />4PPLiCANT; � Owner � pwner's Agent Contractar COflifdCfOrS AgBflf _ T2fla�lt (mVsi D�'�0� a letl5f of COF18Bf1t frOftt 1hb Oymarto d � ih Iho sDa <br />�ONTRACTOR �,, L & I Lic. # � �S~ � — �i � CO� Bus_ Lic. "<b325� <br />�ddr�ss �� C ( � V � `� �%'� V O PhonelEmafl l (�S�" � g' 3 � � � <br />fEN,qNT BUSiN�Ss NAME C NTACT FOR PERNilT <br />S-e� y--►4� a <br />_ Phone/E�mail 1��►,ca�.ci n7a @v�u,r�c.c��.-���-�-t� - CC�✓` <br />BUILDING P�RMlT APPLICATION CONTRACTPRICEO� WORK � � b,'"i.�C� <br />—� <br />�jcisting Use of Building HEAT SOURCE: <br />Proposed Use o Building Gas Elecvic Os <br />Buifding fype: �ingle Fsmily _ Du lex_iownhouse _ Mufti-Family _ Commercial <br />�pe of projact: New __ Addition �F�emodei Repair T.l. Sign Soril�kler pemofition � Change <br />DESCRIPTEQN OF WORK (edd"dional space provided on the back): ` <br />�-t."A� c� ��'U.�,A., �c 0 0�� , �f .� --c�-�c. , ��A�'k�.�. �,� Cc�rn r� _ <br />MECHANICAL PERMIT �qPPLIC�#'�1�1�1 <br />Typa at Projecr. _New_Addn Aitewation_Repair <br />ShowNum6er(# affjatures <br />A/C — air handfing units <br />j Forced �ir systems <br />� Gas piPing <br />WaEer heater <br />�as ranqe <br />Clothes dryer <br />Ran e hood <br />Exhaustfan <br />Fleat pump <br />� Unit heater <br />J---- eo��er <br />Refrigeration <br />� } Woodstove <br />Ducting <br />Other <br />SPRINkCLER / SUPPR�SSI�N SYSTEM <br />� Number of Heads <br />� <br />of Use <br />� ��� <br />PLUMBENC� PEFtMIT QPpLICATIUM <br />of�rojsCL' _New_Addn _AlieraEon_FZepaPr <br />Show Number (#) of Fxiuros <br />Bathtub <br />r <br />i sink & disoosal <br />Glothes washer <br />Water hester <br />Sink (service/ba <br />Urinal <br />DrinKing Fountain <br />Floor cirain <br />Greasg tfap <br />Roof drains <br />Medicaf Gas <br />Other: <br />Oth er: <br />f hs�C�y certl7y tha[ I hava read end axaminsd thfs epplfcatton eod know ttie sanZe to be �n�s and wrroct. AI� p�visions oPla�vs and orAtnances govemfng t},is {yps of woric wifl be wmprea <br />w�th whelher apeclfied herein or not. The granling of e permPt does not presume to give guUlo�ity to violate otcancel the provlaion or any other etete arrocsi aa�� reguiati�9 construaion <br />1'hal F em auNorized b� e owner oF this p�aperty to psdorm the woric for which eppOcauon Is mada a�d i �pmpy vrtth the State Contractors Law 18.27 RCw ana z5a,2aoa wAC. <br />� �.��l��� �--- N / � i l I � <br />uthorized nt Signature T� Dete (Rev�sad 6/Z012) <br />