Laserfiche WebLink
� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOUTRON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Evereq, WA 98201 425-257-8810 FAX 425-257-8857 www everettw:, org II <br /> SITE ADORE55:�A O � �,( PROvfniv TAN p P nMIT R <br /> -� �r �� l�bAo535�{Z.�� <br /> LEGAL 1or new constmclion� SMtl PlaVsubCivision Lot No (anech copy al long leqai tles:ipLon) <br /> OWNER � (C._ � P�onelE�mM q25� 5 �535Z �nn bnWAb A ,CO <br /> Address 1p �.f CilY/Slalc/Zip ��?�"Q. �Jyf'� Lv <br /> APPUCANT:�Owner Owner'sAqenl CoNraaor Contracior'sAgenl TenaN�m,:,ipoMa.knHe���onx�n•e.�..nao.an�ov+w•o� <br /> CONTRACTOR State Lic.B Cit Bus Lic p <br /> Addres6 P�one/Emeil <br /> EN NTBUSINESSNAIAE GONTACTFORPERMIt `Z�.—�fj/{"535Z <br /> .� 1_ `_ <br /> Phone/E-mall �(�.�0��� ./. .(�OI'� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exisling Use of Buildmg � HEAT SOURCE�. <br /> Proposed Use of Building rT . Gas E�ectnc Olher <br /> BwlCmg lype _Smgie Family _ uplex_tawnhouse _Mutli�Famdy _.Commerual <br /> T pe of pro�ect KNew Adddion Remodel Repair_T I _9 n S nnkkr emoldion Change al Use <br /> DESCRIPTION OF WORKlead�yr�oner space prov�ded on me eeck): <br /> �t•�O��b� 2X�S I�I��AO�fAO�Q��wIt70�`�' <br /> � �� v <br /> MECNANICAL PERMI APPLICATION PLUMBING PERMIT APPLICATION <br /> Typs ol ProJect: ,LC Now_Addn _Alterallon_Rapair Type ol P�oJecl: _New_Addn _Allarallon_Rcp�lr <br /> ShowNumber(N)olll+tures ShowNumber(M o/li+fures <br /> AIC—auhandlm units I Toilet <br /> � Forced ah s stems ' Balhtub <br /> Gas i ing Lavato wash basin) <br /> Wale�heater � Shower <br /> Gas fire lace Kitchen sink d dis osal <br /> Gas ran e D�shwasher <br /> � Clolhes d er Clolhes washer <br /> � Rnn e hood Waler healer , <br /> Erhaust lan Smk serv�ce/barlmop�elc) <br /> Heal um Backllow reventer <br /> Und healer Urmal <br /> Boiler Unnking Fou�tain• <br /> Relri eralion Floor drain . , . <br /> Woodslove Grease Irap • <br /> Ducting Rool drains <br /> Olher Medical Gas <br /> SPRINKIER I 8UPPRESSION SYSTEM Other <br /> Numbero(HeBCs Other. <br /> I hueDY<e�dy I��t I k^••eW mE a�m�neE I�ii�ppFu�bn�M Mnow Ilie aeme to Ce Irve�nd corretl An pmnsqm ol bws�nU ardmnricee qovemnp IAis IVC�ol nod m�6e tanpleU <br /> w�i�wl�el�m tpeCifhO�erein or iq1 Tpe 9��ntnq ol�pamn CMa not pmume lo pbe�W�wlly Io rqUV or cancrl l�e D�rifbn ol�ny oNm tl�b a IMII IIw m9�Itlmq conibuclan <br /> T��I I am aW�ai[ed CY I�t mmn all�if proPe��lo ptAorm t�e worA bt rAk11�PVIKI6on Is mi0e�n01 comDly mt�Ine Sble Comuclaf Lew 1�71 RCW Ina t96 700A WAC <br /> �� . <br /> OwnedAuthorfz� ent SI uro Dale f��9edY101J) <br />