Laserfiche WebLink
� • <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Gedar St , Everett, WA 98201 4?5-257-8810 FAX 425-257-i'857 �+1w+�verettwa crq`' �/ <br /> �� -v 6 <br /> SREADDRESS: PROO[PTV7aNM P[R •I' I O /� <br /> (17 � � '� S/ � �r <br /> �EO{��!'r rru rn�slr�CL��n $�o9 PIaV5�U0�.;an 1 0l':0 . (��ll.c'�coDY�I��.v.y�r.gr �.1r.5;�t'Lo�) <br /> OWNER `//✓(��i �J i �)1C'_�� vnc���F m.�i Slz� " ''�7 � ��Co <br /> n-�r��,�. � / R.r 5 i� c i�si.��„z,i, c✓ ✓ "V(� U <br /> APPLICAN�Onrcr _ Owrr,�grnl 'o,.•ra-�c, /1.:�Irar.kisAq,..n Tc^a•�lim,,..ir .n.a. � ��.�.�..�n,.r...�....� �...n .�. . <br /> CONTRACTOR (',��_�(�.� � _ State L�c a 1CL������"v ��'s l-�r. aG�(�?�48 <br /> 4a�f�ess I� 'J3 4��� Pl_ VJ k � �.L V^nnnF••.��„ l � -L � C <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> (�IC,��fC.��� �� ""�CYI <br /> �����e-�.ma� Z�� �-1�13-� � '� <br /> BUILDING PERMIT APPIICATION CONTRACT PRICE OF WORK ��9�1'I `" ___ <br /> Frsung Use o'A��'';irq _ __ _ _ _.. _ ___ HEAT SOURCF <br /> Proposed Use n�!/B��Idir�� __ _.. q,�s Fleclnc____ Othe• _ . <br /> Flu�.ltlinglype J45��nqle �a��i'y _. Dup��eM ___(r�w�ihoiise . Dl���.h.fan�iy . ..Com�rc�Cal <br /> T -m ol ro�ecl 4�.� AAdd�on I.em�tlet Repa�r_T I _ S�gn__ SpnnMier___DemoLpnn_ .Change_nl Usr <br /> DESCRIPTION OF WORK(ada�honai vr�vrr p�.�,nen��o nw hnc+/ <br /> /�e��Q �� G�C� 5 / l�I�%�Q C'� <br /> �� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPI.ICATION <br /> Type al Projecl'X Nrw AAAn Allrrnlinn Rrpai� Type ol VroJnct ___N�w AAdn . Altarabon Repair <br /> ShawNvmDP� M nl�ir�inrs _ ShowNumbor/M/o�firfurrs <br /> � NG -B'�andhi�g ur�tlti I ' iu".i�l <br /> _f � Fnrced a�i sys'em, ____' I Balhlub <br /> � Gas pipmy ' I nv2tory(w=tih basm <br /> VJnlrr r�edla _ _'_ SMv.rr <br /> � Gas hre�Incc ki'i h���i�.,���4 R Arv�o5H1 <br /> — —� Cid51Jf1 P � �1nJn•�dSfR�� <br /> Ctr�ll�rs Arye!r �I (lulhes Hs�shcr <br /> Ronqe noon _I__lPd�e� P,ralei <br /> - 6hm�sl lan � :,nF (r;��rv��e�barnnoV�Mt) <br /> Ile��i•� I fldcMflow �r�ve.�llrr <br /> —� Ur�ll�l`alci �_ U�mal _ <br /> ��— Po�'rr � Dnnk�n9 Founlain <br /> — �_ Relriye�nt�on _ I Froo�dra�n -- <br /> � Wondslovc � Grcasalr� ' <br /> � nudu�� _� Rnol tlra�ns <br /> ____�__— I <br /> ()�hPr 61Ctl¢BI GT5 <br /> SPRINKLER / SUPPRESSION 3YSTEM � on�e� <br /> � Numt�er o�Hrads _ Olher <br /> InerrpY.e9��ylnalllwvere��fa"�fp.an�r,.AP�:+t�f"�.•�n: •rpwY�r•.nr�nC�p�.hrea�+lr,r�rrl �9[��'Sinnsc�lawsn^�1orOndnr�igo.en��np'nntYVeOlwnr4x.�pe[t�p <br /> w In wne���er spet�^0 n��e n pr nol ine 4�a�,�. o�d Ce���.t�ires^ot 0'�l��me In g�rn aol^miv r,�r otpin m rd�cN InR povn nn ol aaY n0�r�sla�c e�bcu��aw�equ�alnq cnnslnrtP'.� <br /> Indl t 0m rul�nryitlOY IP^f,inno o�l�S pr Ct �0 D[�r0�•• P�c wC�10'wn�C�OCO�CBI9n i5^a0f a�nf l[omp�y:d�'ne 510ri,fnn�..vlpT t ax�P i!Rf,N'd^tl laG:OO�W�C <br /> / . f/�'I <br /> ! f �/ —/?_'C�� 1��, /�.� ��� <br /> O nerlAulhori�edAqenlSfgnalure Daie ;Rerserl9'10I+. <br />