Laserfiche WebLink
(� �. <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT 3ERVICE3 <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857—www.everetlwa.org <br /> APPLICATION8 ARE ACCEPTED FROM!AM TO 4 PM <br /> SI E DD S8: � PROPERTYTAI(M C P �t I � <br /> .J 0S — <br /> LE6AL lor new wnelrucllon: Shorl PleVeu6dlvlslo�2 �7T �Z�z Cw�oc-� �h eoPY of lony lepel deeulplbn) <br /> OWNER Phone�E•m�� � �DB� �'� <br /> Addro�� n` CIryISI�te21P � � (O P'�JT <br /> CONTRACTOR l 8 I Lic.N <br /> Addiaee PhonelEmsll <br /> UINE A E OT <br /> Phone/E•mell <br /> OUILDINO rlRMIT A�PLICATION CONTRACT PRICE OF WORK <br /> Exiating Uae ol Building HEAT SOUftCE: <br /> Propoeed Uee of Bullding �G� b I / Ge� Ebdrk olMr <br /> Buildl�g type: ,�Single Femily _Duplez_Townhousa Mii II-Femily _Commerciel <br /> Type ot pro�ed: �New _Addillon _Remodel _Repalr_T.I._Slpn_Sprinkler_Demotitian_Chnnpe of Uea <br /> DBachption ot WoAc(additionel apece p�ovMeO on Ihe DackJ: ���n <br /> bu�'Id ��ew 3 f�cJroom s�nyle s�o� �� <br /> Have you�Urted working wlthout�partnll9 _YES _NO <br /> MECHANICAL PEitMIT APPLICATION PLUMSINO �ERMIT A�rLICATION <br /> Typ�of ProJ�el: New_Add� _Albntlon_R�pdr Typ�01 ProJ�el: N�w_Addn _AlbnUon_R�p�lr <br /> ShowNumbrr o//lxfun� ShowNumb�r o/flxfuni <br /> A/C-eir handlin unita Toilet <br /> Foiced eir s stems Bethtub <br /> Gas i in Levetc wanh baein <br /> Weter heater Shower <br /> Ges fire lace Kitchen eink 6 die aet <br /> �^ Gas ran e Dishwasher <br /> Clothea d er Clothea wesher <br /> Ran e hood Weter heater <br /> Eahausllan Sink service/berlmo /etc. <br /> Heel um Beckflow revanter <br /> Unit heeter Urinal <br /> Boiler DdnY.in Fountain <br /> Ralri eratic,� Floordraln <br /> Woodstove Greaae tre <br /> Ductin Rool drolne <br /> Other Medical Oas <br /> BPRINKLER I sUPPRESEION SYBTEM o�her: <br /> Numbar ol Heade Other: <br /> I hereby cehlfy Ihel I have reed end e�amined Ihle appllcallon and know the�eme lo bs Irue erd conect.All provlelone of lewf�M oNinenca�powminQ <br /> INe lype ol work will be complietl with whe:�er speG�ed hareln or nol.Tha prenihp ol�parmll doat not proeume lo plvs aNhorlty lo Wol��e or uncel <br /> Ihe provislon ol any olher stele or locel law teyulatinq con...ucllon o�t�e peAormanca ol conqnictlon.That I em eNhorized Dy tM ovmer ol lhle propehy <br /> to peAorm the vrork lor which applicallon Is mede and I compty wilh IM Sle�e Conlndon Law 18.27 RCW and Y9B.200 WAC <br /> �.l�n..:,0 /�/b���/ <br /> OwnodAuthotl dApent8lgneluro � Osle ��Ws����� ,I� <br />