Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , [veretl. WA 98201 425-257 8810 FAX 425-257-8857 www everettwa org <br /> SITE ADDRE55: PROPCRTVTA%q PERMITI <br /> 2�U2 C ve llve. vcv tt � �q ��c a5 m 9.s8ia/60/ � ��Z <br /> LEGAL�o��icw ccrSPu�Lml SIio9 Pln!'su6�h:ro�or Loi No I�Ilarn ro�./cl lar9 ir9ai tlesoq-�ponl <br /> OWNER � yi � �I Pnoner6m»d '� �." (C �/ r A7 I � <br /> �a���s= ?���D� C C�elancZ Ave ��,��s��«�zi� Cveve�t VvA. �1 ?�� <br /> APPLICANT: � 4:e�ni ,proncYs .:qrn' __ConPa<Ini .._. ronlr,�r,IersAqrnt frn.tnl�..c•,.r...��.�,�..rc,�r..,.,�-n„���n�r-.+-.�•o��nr.n•vr,..:�i <br /> CONTRACTOR �.oJ7{�4iyiFL �C ' CL� Statel� a w Cdy �us L�c # <br /> aed�e�.� � �Ltvf�/Ir/C IQ✓� - �tfi� �✓/1 �/� � 1'none�Ema�l Z� G�/ - ��� <br /> TENANT BUSINESS NAME CONTAf,T FOR PERMIT . � <br /> �.'�y�✓/I/PYS P.C�y�L"ci �IYIR/ �• L�D�'7�! <br /> Ghonr.Fr�ad <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK__71O• � <br /> F�ist�ng Use ol���iding_{�jj fJ __ ___ HUT SOURC[ <br /> Proposed Use of�u�iCmg __ ___ Gas__ Eiertnc.� On�ar_ <br /> f3u�iA�ng type �S�ngle Famdy ___Dupiez__Townhouse _h1W1��Fam�lq _Commeroai <br /> 1 ypc ul p�o�er,l New Atld�tion Remotlel Repair_ T I _ S�gn_Spn.^�,L�r _ . L'emold�on _f,hary� cf Us� <br /> DESCRIPTIONOFWORK �2c'.-r.v-;�vcnro.c:enn�'^�ro•� <br /> CGn��e{'�i; ?x�s�sl�r� o�as Mztev -�'�v i�Slnl�n1�� �� �ns .�re.����r. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projocl: _New _ _Addn _][Alteratlon_Repalr Typo ol Pwjrc�: _Naw_Atldn _Altera�lon_Ropair <br /> Show Nunrbcr(a)o//irh�res Show Numba��J o/h.fures <br /> t A�G � au Landling unds ' lo�l��t <br /> Forcctl art sys�ems BaR��ub <br /> �( (7as p�pin I 1 avaiory Iwash basin) <br /> Walcr healcr 1 Shoxrr <br /> � Gas fun,pl;ice ' Kdc�ei sink 8 d�s0�sal _ <br /> Gas ran c � D�sl',xi�shpi <br /> � Clothes dryer ', Cio!'me.washer <br /> Rangc hood � Watcr bealcr <br /> fxhausilan i SmA(s�.ivir.c;banmop/Mcl <br /> Hcat p.unp -- I Ba[Vfloa�preventei <br /> Uni� hea�er Unnal <br /> ' (lodei i Dnn�mg founlam <br /> Rehigerat�nn i FIOO�dra�n ____ ____ <br /> _� Vloodsiuve � Gie�Se Irap <br /> � pu�un3 I Ruoidrains <br /> Other I Pdetl�:al Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Ot��er <br /> I Nurnber ol Heads ' Olher <br /> I�ere0y crili'y:�al I�ere�wd unC e.am��ned R�s npC�'��"�un n��d�npn iM1rt sa+re lo oe Vue u�i�co��M� /•A p'ovnmr!ol laws anC e•finunces qmeming Inis I�pe ol wcrF n���e ccm�+e] <br /> wiln wnylhr�syer�hM ne�e�������� TCo g�antinp•I a pennq eues rct ornun�e lo gi',e a�.Roqly���,e'ale M cp�re���e f�uva�o�ol n^,clner lln'e or Itta�law mgWeU^g w�ftrocuon <br /> I�ai I am aut�sn:eJ�y I�r onner al mis f'�:Ceny�n pcdoim P�xml�.�r xni-h dCfb[Ym�rs�np�e ar,J�c:m���v.�4 tnn�'i,pe� ,ntrac'vt l:�x IP:1 Pi 1':a�a:°5:o^n Y,AC <br /> �lil��l�l ��-��1��y <br /> Ownar/Authmixad Agenl Signa�ura Dale �F'c�.�z��a 1:`GIJI <br />