Laserfiche WebLink
( ' <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,W A 98201 -425-257-8810—FAX 425257-8857—www.evere�twa.org <br /> APPLICATIONS ARE ACCEPTED FROM!AM TO 1 PM <br /> SITEADORESS: //�/{J /��/��.� Sf PROPFRTYTAI(/ P IT/ �_D� � <br /> u U L� -U � • <br /> LEGAL fw row�onslruclbn: Shotl PoeVeubOiviaion Lot No._ (attecn copy of brp leqai deutlplion) <br /> OWNER QIJ t+LFA'1rl Pnone�E-meii '/tS-259-9�3� <br /> Addroee ��1� GEOaQ- S�f. City�5lale/LD �✓f�KjW� . 9d1-") <br /> CONTRACTOR NDa r��E, Fi.�[� ft/.,l�cti �e i u�.a ctiJD�F.5o��3S`� <br /> Addroea /�Z�8 /VtR��� ,S-� �07N6��.� l✓� `1�O 1I Pno�e�men y1.S' Ql-9G�6� <br /> ENA U INESS N E �NTA PE � <br /> PhoM�Etneil <br /> BUILDINO PERMIT APPLICATION CONTRACT PRICE OF WORK O,o <br /> D,0� <br /> Exlsling Uee of Building 5 fl�— HEAT SOURCE: <br /> Proposed Use of Buildirg Gee Elxlrk� Olher <br /> Bullding type: �Single Femlly _Duplex_Townhouse _Mulli-Famlly _Commercial <br /> Type of pro�ect: _New _Addition _Remodel _Repair_T.I._Slgn_Spinkler_Demolitbn_Change ol Use <br /> Descrlp�lonofWork(eddAionalspnceO�ovidedonlhebeci): kffC�c'Gl./L L-G(rG9L.�[ /!��—�✓"�-E /�^�:� /Sdd��✓4 <br /> �t' �/E�t� f+'F.�rTi�'�•I <br /> Heve you started worklnp without e parmlt7 _YES _NO <br /> MECMANICAL PERMIT APPLICATION PLUMBINd PERMIT APPLICATION <br /> Typ�o(ProJ�ct: _Naw_Addn �Aluratlm_Rspalr Typ�olProJed� SMwNumWadnolflxlfuni11�_R�PNr <br /> SMwNumMr N o/flxfur�s <br /> ac-e��ne�dr �oug roiie� <br /> Forced eir s etems Balhtub <br /> Gas I I Levato wesh haeln <br /> Water heater Shower <br /> Gas fne lece Kimhen sink&die sel <br /> Gos ra e Dishw�sher <br /> Clothes d er Clothes wesher <br /> Ren e hood Watei healer <br /> Ezhausllen Sink servlcelbadmo etc. <br /> Heal um Backllow eventer <br /> UNt healer Urinal <br /> Boile� Drinkl Founlaln <br /> Refri aration Flaor dreln <br /> Woadslove Grease Ira <br /> Ductl Roof drelns <br /> Olher Medicel Ges <br /> sPRINKLER I sUPPREEs10N BYSTlM otner: <br /> Number of Neads ��ha� <br /> I hereby cehily Ihat I hnve road aM azeminad Ihie epplicalion eM know Ihe eame lo be Inx anC cwre�l.All provlelons ol lav.s end ordinencee poveminp <br /> Ihis lype ol v.ork vA�l be complied wlth vfielMr specified Mroin or nol.TM+yrenling ol e permil does not proeume lo pive suthotlly lo vblete or urcel <br /> the provieion ol e ol �elate or bcal lew regulalinq conelnxlion w the pedormarKe ol conelructioa.Thal I am authorized by the owner ol lhis proparty <br /> to pedorm ihe�+o f ich epplkalion Is maCe aM I comDly wll�the Slele Conlractos Lew 1827 RCW�M 29b2(N1 WAC <br /> �Q'��'» <br /> OwnerlAWh 1 d ent 91po�tuo Oate (ReNaed 7/P011J <br />