Laserfiche WebLink
� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVEREi7' PERMIT SERVICES ��j-13 <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www ever a.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: ry.,�I/}/) P�n�OPER�Axa ��O —OO PERMITp <br /> J (L� v� �, <br /> LEGAL for new constmcbon Shotl�'�aVsuOd�vis on lot No (attach cooY of long legal desa�ption) <br /> OWNER ,.[/!�' P�one�E�mad L„ R� <br /> nco;es; ! CityiStatelZip � �jJ� �. ' B�/ <br /> APPLICANT: Ovmer Owcer'sAgenl • �Contractor f,onbacior'SAgent _Tena�t��.ic���.<�ak+�,�'a,:�mn�.�no�.���,�oeo..,-. �r�,ca�.� <br /> CONTRACTOR G U L 8 I L�c # CG �� COE Bus L�c a 8 <br /> Aadress Q (y'b/y� B PnonelEmaJ 2 Q(0 <br /> TENANT USINES NAME CONTACTrcPO���RMI} a0�—�S � y,7bS ��� <br /> � v�e��b��(S '` <br /> �� Phone�6mad G� 5 • GO <br /> BUILDING PERMIT APPLICATION .:ONTRACT PRICE OF WORK .5� <br /> Ezistmg Use ot Bwltling HEAT SOURCE� <br /> Proposed U5e of�wltlmg Gas Eiectr¢ Omer <br /> Bwlding type _Single Family _Duplez_Townhouse _Muql-Family _Commerual <br /> T pe of ro ca� New AOdition Remodel Re air T I. S� n S rmkier Demolltion Chan e of Use <br /> DESCRIPTION OF WORK(aedeiona�spacc pmvmedon�ne eactri <br /> � IMOVIU�'Yi�iv► � �✓�0��1� �� ` #2- NOt�1 -1�1T <br /> MECHANICAL PERMIT pPPLICATION PLUMBING PERMIT APPIICATION <br /> Type ol ProjecC _New_ADOn �Alleration_Repair Type ol Project _New_AOdn _Alteration_Repair <br /> S�ow Numher(M)o!liriure,; S�ow Num6er(a)ol linmes <br /> A!C—air hanChng unAs Todet <br /> Forcetl air s stems Dathlub <br /> Gas � m Lavato wash basin <br /> Water heater Shower <br /> Gas lire lace Hdchen s�rk 8 0�5 osal <br /> Gas ran c D�shwashcr <br /> Clolhes d er Ciolhes washer <br /> Ran e hood Water heater <br /> Exhausl tan Smk Iserv�ce/bar/mc icic <br /> Heat pump Backllow preventer <br /> Umt heater Unnal <br /> Boder Dnnkm Founlain <br /> RefngeraUon Floor dra�n <br /> Woodstove Grease lre <br /> Duci�n ROCf drams <br /> Olher Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM otner: <br /> Number of Heads Other� <br /> i nereCy cervy ina11 nave ieaa ane e.am�nea m�s appieauon anE wnow ine same m ee we ana mnea All prpvlsons ol laws anE ordin2nces govemmq Nis lype ol woM wiil�e compurp <br /> wiN w�e�ner sOe�eC�ere�n or t T�e qranUng ol a pert�A Aces no�presume lo pne aul�onry lo vioiate a�wncel Itre OroviSron ol any ol�er s�ate or�owl law regulating mnsWcuc� <br /> T�a�i am autnan¢etl�y m ner I mrs proneM�o pertortn Ne work ror.Mm�nOD���ation n maae an01 compN w��Ne$la'e ConVacion Law 18 77 RCW an0 29fi 200A WPC <br /> O uthohze ent Signature �L� IFevae�6/20i2 t�v � <br />