Laserfiche WebLink
I�ERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 88201 -425-257-8810—FAX 425-257-8857—www.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM!AM TO!PM 3 � / <br /> $ I �,.J � iJ 2 �UriLt�T� �r> S7� <br /> LE6AL fot new contlructlon: Shoh PleVtubdlvislon Lot No._ (epech wpy ol lon�IapelOescr�pllon) <br /> OWNER � . 1'1 �C } j Phone/E-mell 2' S� g g 33 <br /> Atltlre6e 'Zl I u CItyISletelZlp J�L 1 � � � � � � <br /> CONTRACTOR /" L 8 I Lic.N <br /> Adtlrese l� PhonefEmeil <br /> TENANT BUSINE88 NAME CONTACT FOR PER IT <br /> �`r' PhorelE-mell <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exiating Use of Building u S���M�� HEAT SOURCE: <br /> Proposed Use ol Building R�`��N� • ^ � «'� Gee Eiectnc O�her <br /> Building type:�Single Famity _Duplez_Townhouea _Multi•Femily �Commercial <br /> Type ot proJecl: _Naw �,Addltlon _Remodel _Repalr_T.I._91pn_SpNnkler_Damollllon_Change of U�s <br /> Deecnplion ol Work(eddifionel specepmnd on fnaP�ac�k�)..:� •� <br /> ����CtlJGz�A'� /�-l.1/ VYJ <br /> v <br /> Have you�tsAed working wlthout e permil9 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMI7' APPLICATION <br /> Typs ol ProJael: _New_Addn _Altantlon_Repalr Type of ProJ�el: _N�w_Addn _AlGntlon_R�pdr <br /> SAowNumDar NJo/flxfuna ShowNumOx(N olflirfun� <br /> AIC—eir handlin units Toilat <br /> Forced air s stems Balhlub <br /> Ges i in Levato weah basin <br /> Water heater Showar <br /> Ges fire lace Kitchan eink 8 die osel <br /> Gas ran e Dishwasher <br /> Clothes d r Clolhee washer <br /> Ran e hood Weter heater <br /> Exhaust fan Sink sorvice/ber/mo letc. <br /> 4eal um Backflow reventer <br /> Unit heater Unnel , <br /> Boiler Ddnkin Fountein � <br /> Relri eration Floor draln � <br /> Woodstove Greese tra ' <br /> �uctin Roof drains � <br /> Other_ _ Medicel Gas ' <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> NumDar ol Heeda <br /> I hereUy cerlity Ihal I heve raetl and ezemined thie eppticellon and know lhe eame lo be tnre and wrrecl.All provielont ol lawe enO ordlnencee poveminp <br /> t�is type ol work will be complied vAlh whether specified�ereln or not.Tha prenllnp ol a pennit doee nol preeume to pNe authoMy to vlolete or uncel <br /> the provislon ol any olher etele or local lew regulaling conclruction or the pMortnance ol wn;lrudlon.Thel I om aulhoAzed by lM owner o11A1�property <br /> lo peAorm�he work lor wl ch epplicallon ie mede en0 I compty with Iho S�ale Conlrecton Lew 18.27 RCW and 498.200 W4C � <br /> / <br /> wnerlAuthorizad Ap n Mlure' Data (Rsviaed 10) <br />