Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 4�7-257-8010 FAX 425-257-8857 �ww,v.everetlwa,org <br /> � 2z-f� <br /> SITEADQfiE S' FL�(iIf(LIN[ pqOPERTVTAKd P RMITY <br /> �D�'� W GASI�JU �D CUF.PF�f 6L66 5' �oOZ <br /> LEGAL lor new ccnstruc6nn: Short PIaVs�Gaivisipn __ Lol No.___ (allxh cnpy ol Inng IepalJesr. �ilion) <br /> OWNER �a����7 �hone�E�mvl <br /> ndJicss PO 66� 3�01 MIS Ol{-13 C�tylSlalc�t�p � � ' 1�, Wr� �p�.l,'�f'—,Z,ZQ7 <br /> APPIICANT:_.j( Owncr Ownei'sAgr.nl _ Cenliactor _ . Conhnctoi'sPgenl icnanl.�n�ntt-���."+�*+^roi.rns.mr�.,m•^no.-.�ia�nw�>n��:-e.pa�.� <br /> CONTRACTOR S - ��r Stale Lir, q $�' '. �:Z� N C- City Hus. Lir. z /J' �_:� � � <br /> AJtlrrs; Fhm�.e.2mad <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> �� �r�y�. qas-z39-v►�$ <br /> Phone/F-mad (� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ����-�;r�2 SDt� <br /> f9xisting Uso al f3udding MFfs _ _ HGAT SOURCE � <br /> --- - ----� - ._. � <br /> Proposed Use of Uudding_ M FG __ _ __ cns [Icr.lrir. Othr.r_ I <br /> f3wIA�n9 type ___Single Faindy ,_Duplex_Townhouse __Multi-F-amily _(L Commernal � <br /> Ty1'"olpro�er.f Nr,�v AdAitir,n ,__Rr.mcdei Repair_TI Siqn _. SprmkL�� Onmolitir,n f,nanqn nf Use <br /> DESCRIPTION OF WORK pid�r.ore�:ro�cumuvicndon n��bace). <br /> iu; LU?7)un� dr (-l� TJ:'A�ctJ.'-� �'�� i7/i i'tio7fl/./Ni? . 7/'i'/rG,t. N�/'�,�F;�/ ll,��t"�15'�vc�i <br /> �S;�D) -76�� F� �� -I.''.D . (e'�=.�.' i'�r.��) <br /> R.�ter• •�� <br /> .I"i ` rGip (i.l .� ( � . �h�/Itl <br /> CHANICAL l�ERMI APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo af Pm�acL __Naw__ AAAn _Altoratlon_Repair Typo ol Pro�ecC _Now_AdJn _Allcralion_Ropalr <br /> Show Nurnbcr(N)nl lirhucs Shaw Nunrhar(p)ol GrNics <br /> A/C -au hand6ng i�nns IoJet - <br /> Ibrr,ed;iirsyslems � O,dhlu� <br /> Cas p�pmg Lava�nry(,vash bns�n) <br /> Woten c�;+lr.r ---� ,5ho�r�er <br /> Gas 6replacr. Ndchen sink R disposal <br /> Cas ranqe Ui.hwashcr <br /> Clothas di rr Ciulhes w�is�cr <br /> Itnnga hood Watcr hea'er <br /> FMhaust lan Sink (scrvir.c/bar/mop/elc� <br /> Ile?I pWnp p�r,kflu+i prr.ven�ef <br /> Und healr,r I Unr,al <br /> Pn�ler Urmking Fuuntam <br /> Rr.lri9erahon Fluor drain <br /> __ Woodslovc Greasctrap <br /> �__ Uuri�nq Roo(dfams <br /> (iR�cr MedicalGac <br /> SPRINKLER I SUPPRES31�7N SYSTEM O�her. <br /> _.._1.. Nwnherollb:adz ___ Othr.r <br /> i1��eui�.�rrmtymaiRor.cicatlrndr.arr�n�•dUvsd,;'�ralinn,mAFnowi�nsamnieGoVvnnnrlcnrretl Allprnvr.or�ollaxann7n:tl�narcc57�vennn9lhrstYC�clworMMl6n�nm�mA <br /> �bAp eT�lpl�5p�r!rA�emm nr nnl Ihn qrnn'inq nf a pen��Ocei nnt pnsume lo yMe nulhuuly lo v!olala m ranm.l!h^V�ov�•�nn ol nny N�er Sla'n o�I�xal law mgulalMg cnmlNc�'"n ' <br /> Ri tl l am mdhoond lry i�m nunn r��bis ryoprtly l,i prd�i n qr�w�d lnr ah¢tvrppironnn n rv�fe anJ I rr.mply Hn�R e S�ole':nnVatlor5l aw I B 71 Rf,W am1 l9G 11Y'A'I:nC � � <br /> �'�I��L �J—�h--- / /;/.ZG�) <br /> Owncr/AulhurliaJ A9ont Slyualurn � Ualu nb.n�.,.d +G'ar u � <br />