Laserfiche WebLink
FF.ON :E:�ervreFn St?te Heat & f7i� FF1X IJD, :4252596660 Jul. 20 2011 07:28AM PI <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Coder St , Everett,WA 9U2o1 -425-257-II010—FAX 425-257-Bti57 —www.everoflwa.org <br /> APPLiCATION9 ARE ACCEPTED FROM B AM TO 4 PM ._. a.b �� <br /> SITE ADDRES9: VqOPFRTY TA%11 PERMIT <br /> ,� L� � � _��1 <br /> LEGAL lor naw construnion, Shon PluUaubtlrvlsion__ Lot N0,_ (MIacB capy of lonp IEgYI tlelviption) <br /> OWNER I'\ � � (� K� ' f � � Phon�/E-mail UV ` �>U '� � a.s� <br /> naare�. (p c�yrs�oie2m �,1�� O� <br /> CONTRACTOR �� \ � L 81 Llc.p -P V C ��S <br /> Atltlwe� L�.LI� \L Q.F1.�y /�.�!l17� PhonelEmBil ya.� ,��j,�- 3�� <br /> NAN /� E <br /> �'1 Ol 1 ur•�� Ie�sE:• �— none��man ��4j ' �~� 3� (� <br /> BUILDIN�i PERMIT APPLICATION ONTRACTPRICE OF WORK '�hn <br /> Exlsting Use of Bulldinq _� HEAT SOURCE: <br /> Proposod Use o�QuIIdInA ��� _ oae eiec�nc om�r <br /> �uilding typet ;L Sinple f-emily _Du01ex__Townhouse „MuIt6Fnmily �Canmeroiel <br /> Type o1�xoJacl: _New _Add�bon _Remodel _Repair_T.I._Sign_SOrinkler_DemolAlon„Chonyr ol Use , <br /> Descnption of Work(adaamnn�epm:e wov�nod on uw exc�): <br /> �L-�-� � S �'ts�=� �'�'(� <br /> Nev�you atarted workinp without a permlt7 _YES�NO <br /> MECHANICAL PlRMIT APPLICATION PLUMe1N0 PERMIT APPLICATION <br /> Typaol�ro�eel: __Now_AAAn 111t�ratlon��R�palr Typeoiprq�c�: _New_Addn �Altenllon_Repelr <br /> Show Numbsr ol/Ixfuro� Snow NumMr M d N+tunr <br /> A!C—air hendiin unite dlet <br /> orced nir a stems Bethtub <br /> Gns � i Leveto wdsh basin <br /> N�nleir haator Shower <br /> (3as �r ilac;y KNt ien sink&dis osal <br /> GAs rm, A DishWesher <br /> Clothos d er IotM1rs washe� <br /> Rtan e hond Wxter hnn�er <br /> Exhausl fan Smk eemceJbnNm 101c. <br /> lir.nt un, Backflow ovemet <br /> Und hnater lkmel <br /> BWler Drinkln ountein <br /> P.fri emtion Flnor drein <br /> y-- <br /> Wcx�tlsinve GreBse im <br /> Dudi Raof dretns <br /> Atne� Med�cal Oae <br /> SPRINNLER / SUPPRESSION sYSTEM Ot��er: <br /> Number of Me:+ds Olhe.r <br /> I heiaby canJy Uat I nave ree0 en0 ewnmineA!hie appi�oeHon.nO knowthe aam.�o pe true end correct.All Orov��mne ol laws�nA ord�nanca�povemup <br /> v„e iype oi work vnu na compietl vnlh whemer cpe:�hee neralr or not in�Onnllnq o!a perme dnee not presum�to glve e�lnonry to vioid�or cancd <br /> �hn pfOvlSiaO nI pOy olher eln�e O�IOCAI IHW fBDJl81if�COn��ryG110�Of Ih!�BlIOrlflpqCE OI fAMtNG1100 Thal I�m eutMrvrd Dy the ownar of mis prop•Hy <br /> �lo p o�m Ihe�+orM�or wh�ch ep0�icatiun le ma0r.antl I eompiy wlt�the Stala Gontiectora Law 78.17 RCW ontl YB6.200 WAC <br /> k-, � V 1 "1 - '�c� �� � <br /> Uwn Ruthor�rMAe•n191pnemre /' �ete (Revlsed2lXlil) <br />