Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everelt, WA�J8201 -425-257-8810- FAX 425-257•8B57-www.everettwa.or <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO�PM - - � <br /> SITE ADDRES ' _) PROPERTYTAIf p PERMIT/ <br /> �� � �C1SlNp ft \l L - ci� J <br /> LEGAL lor new construcliorc. Short PlnVsubdivislon I.ol Na._ (ettec�wDY ol long tepal dGscAplionF� �� / <br /> OWNER Phone/E-mell <br /> Address CIIyl5lalalZip <br /> CONTRACTOR �- y I.81 Lic. # <br /> Addres� - ,(. � , .1 � L��' C� 'Y L�-�� �� Phone/Emell� .,�2 /� ����9 <br /> TENANT BUSINESS N/1ME CONTACT FOR PERMIT <br /> .�� � Y �' i' I����v ��� � PhonalE-mall <br /> BUILDIN6 PERMIT APPUCATION CONTRACT PRICE OF WORK �• � 3 S�C Z P� <br /> Existing Use ol8uilding HEAT SOURCE: <br /> Proposed Use of Building Gea Elecvic other <br /> Huilding type: _Single Family _Duplex_Townhouso _Mulli-Family _Commercial <br /> Type ol projecl: _New ,L�Addilion _Remodel _Repeir_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DesCrip�ion ol Wofk(eddrlionel spece providad on fhe back): <br /> -� �►��'^k �''"�`—�r` �- c. �� u ,�..�. �� <br /> Have you eterted working withoul a pormll7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBINa PERMIT APPLICATION <br /> iypo ol Pro�ocl: _New_Addn _Alleretlon_Ropalr Typo ol ProJoct: _Naw_Addn _Alleretlon_Repalr <br /> Show Numbor(M)o!lixturos Show Number(M)o/llxfurer <br /> A/C—air har.dlin units Toilel <br /> Forced ah s slems Bathlub <br /> Gas pi in Lavelor (wash basin <br /> Waler heater Shower <br /> Gas lire lace Kitchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Clolhes d er Clolhes washer <br /> Ran e hood Waler heater <br /> [xhausl fan Sink(servicefbarlmo /etc. <br /> Heat pum Backllow reventer <br /> Unit heatcr Urinel <br /> [3oiler Drinkin Founlein <br /> Relri eralion Floor drain <br /> Woodstove Grease t�a <br /> Duclin Rool dreina <br /> Other Medical Ges <br /> SPRINKLER I SUPPRESSION SYSTEM otner: <br /> Number ol Heads Othec <br /> I he�eby ceitdy thnt I have read nnd e�amined Ihis application antl know Ihe seme lo be iruo and carrect.All provislona ol lewe and ordinencee poveming <br /> Uiis type ol woik will be complied wilh whelher specif�ed herein or nol.ihe prentinp ol e permil does nol preaume lo plva euthotlly lo violele or tancel <br /> Um pwuision ol ony olhm stato or local law regulnlinq conslruction or Ihe pedormanca al conslmctlon,7het 1 em eulborized by Ihe ovmer ol thle propeAy <br /> lo pe�or Ihe work lo�which epplication Is moda nnd I comply wilh Ihe Stnle Conlreclors Law 18 27 RCW end 2BB 200 WAC <br /> � � �����='� 2 - Z�" - � 1 <br /> OwnodAuthor d A onl Slgneluro Da�o (Fevaed 2R011) <br />