Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257.8810 FAX 425.257 8857 www eviarettwa Drg <br />SITE ADDRESS or 441 W <br />PRGPERTY TAX <br />P <br />,1 <br />S/ 1_- � I <br />�/ <br />LEGAL for new construction Short Plat/subdmslon__ Lot No _ (allach Copy of long (';A deSC iplion) <br />OWNER l'SM efps 1' Af- cem"PIvy ly solid <br />`honelE-mad YA <br />AddiessA 000 70wiei h-eel <br />CdyiStatmz1pEvrfyyV- ZG'r- <br />APPLICANT: _owner _ Owner's Agent Contractor Contractor's Agent Tenant lrna+l pronN elenar of Wn+enl fom ar ownrtom won n ne +pwl <br />CONTRACTOR 0/t-Af riiVI a,OZ r <br />StateLic At o.7MSL5*/1 G CityBus Llc 0 <br />,.,,,'//L- <br />G' yd -r'J7 la✓A VM PhonefEma,l YA5 -fyS-061JP- <br />AddmssiFf/S—/ 7l 4L e sO <br />TENANT BUSINESS NAME <br />Sy <br />/ j4 if (J !/C�1'S C �f < e <br />CONTACT FOP PERMIT <br />((jj AOifrt s ya j J <br />PhonelE.ma i i-re; S AAA) R.'7A," er "I <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK S 000- . <br />Existing Use of Building _ _ HEAT SOURCE <br />Proposed Use of Building CoFFe P S� 6 _ y �E Gas Electric Other <br />Building type _ Single Family _ Duplex _Townhouse __ Muhl -Family /�Commerclal <br />Type of project New Addition Remodel Repair T I XSign Sprinkler _Demolition Charge of Use <br />DESCRIPTION OFWORK (Additional space povidedonncpr ` �Il��/ 4,.e S. 5/7-r iWa// SS• r <br />I nr e .'I.w.i Jr:11'at i o- V' 5 ,!} <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typo of Project: _New _Addn _Altoratlun _Repair <br />Show Number (a) of flxlures <br />Typo of Project. _New _Addn _Alteration _Repair <br />Show Number(aJ of fiafures <br />A/C -air handl,n units <br />I Toilet <br />Forced air systems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />Watnr healer <br />Shower <br />Gas fireplace <br />Kitchen sink d disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />I Sink servicelbarlmo lelc 1 <br />Heat pump <br />Bacliflow, preventer <br />Unit heater <br />Urinal _ <br />_ <br />Bmler <br />Drinking Fountain <br />Relri9eraIion <br />i Floor drain <br />_ <br />Wood,love <br />Grease Ira <br />Ductin <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER <br />I SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Other <br />I barley Will, that I have road and examined lies appeaatmn and snow the so.UO ne het and Ca1rod AA provNmns of laws end oMmences governing this type of well, will be Complied <br />with wheeler specified heron 11 roof The ggntng of a peril does not pfespme to give au1110nly 10 v101010 w cartel the provision of any alber state of It IaN regulating C SINctiM <br />That I run au rated by the + of this plopeny, to Padofm In* w01k fof wb¢h appl,talmr, is made and I comply with the Stale Contractor, Law 18 22 RCW and 29e 200A WAC <br />tZ <br />Owner/Aulhorisea Agent Signature Dale (Revised "013) <br />