Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM T01 PM <br /> SITEADDRESS:22OZ Cl2V@IBfIC� AV@ PROPERNTA%p0037734B003000 P�MIT� _ <br /> LEGAL for new construcl�on Shoh PlaUsubAivision lol No_ IAttach copy ol long lega�tlescnplion) <br /> owNeR Mustach Land Development phone�f_mail4ZS-ZQA-OS49 <br /> naa«5:P0 Box 12176 c�ryisiaie�z�oMill CreAk, WA 98082 <br /> APPLICANT: ✓ Owner _OwnersAgrm Contractoi ComraaorsAqenl Tenamr��•.in��:��i.r���i���:.mnn„mo��mca».».�m�wwi <br /> CONTRACTOR SigflBWfe I IOITI2S �_g � �i� p 200 .O9 Z - OQ COE Bus Lic # <br /> naa�e5sP0 Box 12176, Mill Creek, WA 98082 Pho„��r�„���425-244-0549 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> John Mustach 425-244-0549 <br /> Phonc�C mad <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK__ <br /> F■istmg Use ot f3wid�ng _5���._ �'.�-��j �s�'.. y HE�T SOURCE <br /> Proposed Use oI Budd�ng�Si^y�. �e...:�7 ����=9-_.-_--- Gas ✓ flectric_ Oiher_ <br /> Bwlding type �Single family _Duple■_Townhouse _Multi-Fam�ly _Commercial <br /> 1 pe of pro ect ✓ New �ddilion Remodel Repav T I Si n Sprinkler ✓DemoliUon Chan e of Use <br /> DESCRIPTION OF/W� ORK�/nn�a�no��ai spar.a p�0/vMetl on f0c backl / / (� n <br /> �t'r.ta.���_ �T'HcrS� �q T�'►J ie� � tJ CC.�51/✓c{�i+� n1�� Sl...� l� ktw���7 �o.iae . <br /> J <br /> 20 i 5 � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Pro�oct: ✓ Now_Addn _Altorallon_Ropal� Type ol Pro�ect: ✓ New_Adtln _Allentlon_Repalr <br /> S�ow NumDer(M)ol lirlurcs SAow Number(M)ol/irfurcz <br /> NC-eir hanAhng unds 3 Totlr.t <br /> I FOfC?(I Blf S stems L oemtun <br /> 1 Gas pipin Lavator (wash baxin <br /> I Waler healer Showrr <br /> I Ga5 fireplace 1 Kdchen sink 8 disDosal <br /> I Gas ran c � DiSh.v�shr_r <br /> I Clnthe5 dr er CIUIIIf'i WA5I1Pf <br /> I Ran e hootl <br /> I Lxhausl�an I Sink �scrntr.lba�/mop�Mt � <br /> Ilea�pump Eiackllow prevcidr.r <br /> Und hrale� Unnal <br /> Boiler Dnnkin9 Fountam <br /> Heln cratmn Noor dtam <br /> Wood:.i.,vc Grease tiap <br /> 1 Dur.lin Rool drams <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM otner <br /> Numbrr of Hcads Other <br /> i ne��ny���ery m:n i nm��.�d n�d o.am�nca�ms.�nve��:n��n�,�n����,w m..am.io n�in��nnn�.,n.�i AA prrntaon�W'.w�antl mdmnncve qrnrrmnq IL�S IYM'nl wfnY w�ll�r uimP4M <br /> �xl�whriner sprcAiM herrm m nnl Ih�grarnmg ul a M'�mn aoes nnl p��vumn In gne autAnMy la vxda��rv vinrPl ln�pm�mn itl an�ol�v���mn o�hM A law�e�ul.Hmq rnnsbnhinn <br /> f�al I mm�ul mM�Y thr nimrr nl lnis ryoprtly In padorm Ihr woM1 lor w��xd�nppmalmn�5 maJw antl I r��mply w�101�n Slale Lnnliactrna I.aw IP l]HI:W xu�J91t 1U0�WA(�. <br /> v z3 � �Z <br /> Own 4uthorireA Age �Sipnature f1atN lrtrv,n��d t.n,nr:� <br />