Laserfiche WebLink
�, <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES I—o9'�3 <br /> 3200 Cedar St , Everett, WA 98201 425-257-BB10 FAX 425-257-8857 wwvv.everetlwa.org <br /> .,PPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SITE ADDRESS: ��C ��, • �S � .- <br /> PROPERTVTAXN P �TN –OO <br /> LEGAL lOr new conslmcnon Shon PleUsubA�v�sion_ <br /> Lol No_ (Bnech mpY ol lo�g�apel Eescnplion) <br /> OWNER ���J-� fj,l' r 1L Pnone/E�meil J-(�(G " �C – �J C <br /> nee�sn � P ll � � cn��s�eiarz�o - f�' 2 <br /> APPLICANT:_OMner Ovmer'sAgenl J�Co�trectar _ConireclofsAqanl _Tenan(immi>o.��d�wnrdm�•.��x�P•�^�'��°'M0^'^�"'0�`�� <br /> CONTRACTOR F (t � C N � �(t Y� � �a�u� a N E Kh�AL 6 S 1-'� COE Bus.Lic N <br /> �7 � A ' � 'I1jLPhane/Emeil�� ' S75 " �7L�U ��1u5 �� `a ���� <br /> Address �4I1L� � "� � <br /> CONTACT P R I jL rs�y� rQ 1.(S k'�p <br /> 'YJ7� 7�1�' sN`i � <br /> �CI <br /> � �U • �� /�Cf1V1'' CPl1 � l' rno�a�ema�i {z�uSkcC' Gu' maHso✓l• cc�7� <br /> BUILDI li ��ERMIT APPLICATION CONTRACT PRICE OF WORK � -� ��7 <br /> HEATSOURCE� <br /> Exisling Use r,r BwlOing <br /> Gae E�ectric_ Other <br /> Proposed Use ol8uild�ng � <br /> Bullding rype _Single Famdy _Duplex_Tovrnhouse _MulU�family _Commeraal <br /> T eof roect New Adddion Remodel Re atr TI Si n S nnkler Demohtion Chan e o�Use <br /> DESCRIPTION OF WORK feamrmnni soece n��bed on me oacti! <br /> f'����uv� � liv ���� ( �,) hr� i� r , ���r! �ssoc�a �r�� ve�zl p�� w�rfe-r <br /> U(� S . <br /> MECHANICAL PERMIT APPLICATION PLUMBING P[RMIT APPLICATION <br /> TypeolPro�ecl: _New_Rdtln _Alterallon_Repeir TypeolPraecl: __N�'�+—Addn _A��arellon_Rep,lr <br /> Show Number(NJ al/irWres Show Number(M o/flxfure� <br /> A/C–avhanChn um�s � loilet <br /> '� ForceA eir s stems Be�htub <br /> Lavato wash basin <br /> Ges � in � Shower <br /> � Water heater Kdchen smk 8 dis�osal <br /> Gas lire lace -- pi,hwasher <br /> Gas ran e <br /> � Clothes washer <br /> Clothes d er Water heater <br /> Ran e hood Sink 6ervicePoar/mo lelc <br /> � Ezhaust Ian <br /> Heat um <br /> BackOow reventar <br /> i Unnal <br /> ' Uml heater I � <br /> Batler Unnkm Founlem <br /> � Relri eration � Floordrem <br /> Wcodstove <br /> G•ease Ire <br /> Rcbf dreins <br /> Ductin – <br /> Med�cal Gas <br /> Olher <br /> SPRINKLER I SUPPRESSION SYSTEM Otnar <br /> Number o1 Heatls <br /> Othei <br /> i nr,rnr�^hM met I nnve rrxn nnn e.amnM Ihn epplcnMn nntl���'�he�eme ta be Ime en0 carect a v�ornron�d b+�ana oromancea povem�ny mn ryve ol woA vA ee mmOYeE <br /> W�1�1 VA�I•I��1!1 f�ll`L111r'd���1!�1 Ol lltll �11P Q'Ai111110 OI11{1111i1�IIpP]1101�IIl111111!10QIVE lJMOM��O VIWO�!p����me Slpl!COlIM1Y.IOf\I W,B 2��CW�e���A WAC'�qn <br /> I1�NI19I11 011R�1�I�1[4��'IIIP OW�1'�OI1�11]O��I�PM�������T 111P Wf1A�111 v.�rM1 epD���a^�s msUelnJ I[anply <br /> .�--� <br /> / ' <br /> 1 �(� ��� \ k., �7� 1-�! �J <br /> ! l�c�--"> � ���–��` fRevire062ofz) <br /> Owner/Authmite Apen1 Signature Dale <br />