Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO�PM �/ �/7 "�3 <br /> SITE ADDRESS: VROVERiY TAI(N PERMIT _O� <br /> LEGAL la new conslruclwn: Shon PlaVsubdrvis�on Lot No._ (atlath copy ol long legal dascnptwn) <br /> OWNER PhonelE-men <br /> Address GtylSlale2lp. . <br /> APPUCANT: Owner OwnersAgenl �Comracla ContractolsAgem T008lII�mmlqovqeiMEerolcpiymlhomq�owarioOo�mMapacp <br /> CONTRACTOR �. � L 8 I Lic.lt COE Bus. Lic. tl <br /> AdAress PhonelEmail <br /> N F R PE IT� ^ � . <br /> `V� <br /> PhonelE•mail <br /> OUILDINd rERMIT Ar�LICATION CONTRACT PRICE OF WORK �1`�j�a�1.p9 <br /> EMis�inq Use ol Building HEAT SOURCE: <br /> Proposed Use ol Bullding Gas Elaclnc plher <br /> Buildmg rype: �Single Famlly _Duplex_.�ownhouse _Mulli-Family _Commerclal <br /> T eof ro�ect: New Addition Re+nodel ,�Re air T.I. Si n S rinkler Oemotition Cha e olUso <br /> DESCRIPTION OF WORK(addrtana�spxe yov�eed on rhe bacw�: <br /> ~�.�;.�� �v,x�. <br /> MlCNANICAL /ERMIT A�rLICATION �LUM�ING r[RMIT Ar�LICATION <br /> Type ol ProJa�l: _INw�AdAn �[Alteratlon_Repalr Typa ol Pro�e�l� _Naw_AdAn _Altaratlon_Repalr <br /> Slrow NumMr ol P.ituns SAow NumDer � a n�rw., <br /> ac-a�rnanai�n unit5 Toile� <br /> Forced air s slems Ba1h1uL <br /> Gas ipin Lavato wash basin) <br /> Wai�r healer Shower <br /> Gas freplace Kilchen sink 8 dis osal <br /> Gas ranga Dishwashor <br /> Clolhos d er Clolhas washer <br /> Ran e hood Waler healcr <br /> Eahaust lan Smk service/barlmo lek. <br /> H�t um Backllow preventer <br /> UNI healer Urmal <br /> Boiler Orinki Founlain <br /> Relr maUon Floor drain <br /> WooAslovu Gtease Ira <br /> DucUn Rpol drains <br /> Olher_. Mcdlwl Gas <br /> s/RINKLER I SUrPQEss10N sYSTEM otner: <br /> Numbor ol Heads p�h�y: <br /> Ihe�eGycMArI�allAarereaCnnOe�amriMlheapd��onanAlrowlhefamelo �etrueendconM NprorsionxollawanndortlnNncnpme�nnqlMtypoolwuiAwQOecqnple0 <br /> wahwhplMrepcifeif�eienarrot Thogwnibgola0ermtlAoesrolprsumelognnnulMrEYlarUatearancellAeqovubnolan�otlrerslaloorlwtlNwiepWbngwraWctun <br /> TAaI l am aulhor@eA bY��b�^o�ol No O�operty b perlwm I�c wod Iw wh[h npplrwlun e made aM I compl�wtlh Ihe S�ale Co�drapors Law IE 2)f7CW an0 796 TOOA WAC <br /> I <br /> � �7�3 <br /> OwnorlAuthurl:ad Apenl 9lpnatwe Date (Hxv�xwl6?017) <br />