Laserfiche WebLink
from: 12/��I2012 08:20 �045 P.003/003 <br /> � � I � g2 1 <br /> PERMIT AP�'LICATION <br /> BUILDING/MECHANICAL/PLUMBINGlSIGNlSPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8010 FAX a25-257-6857 www.evereltwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE AODRESS: %^I 7ROPl0.TY7A%tl a O f b PE Mi'x � ^ � <br /> W l; <br /> LEGAI�ot new constru�llcn. $�oh P'eV6uDtlivis�on lN No (att;ich copy ni�ong Ipqal Jescnption) <br /> OWNER �� �- ���-�a� Pnone/[-mau Z�—,�3 9- G Q 6 S <br /> nac�c�s p Q c�iv�siai�iz�P �V e Y 't - d <br /> APPUCANT: Owner WmcisAgm�t �COMradur ConlraetofsAponl TOn3n�1m,n�orome�Mn�iMCW�eT.somi+�e...��m�ro.+�nmh�p�cs) <br /> CONTRACTOR � S'1� Vca r 7 L81Lic.n� S�C��1`UI� �P�C_CO[Ous.Lic a (y� �'j,Tj <br /> AOtlrGsslL�Ul ��Z- yC IV— �/� and �tA (IGJI_. PhonulEmUil n�l �1J1��.:nt����Cl'�''���i- � <br /> TENANT BUSIN[SS NAME CONTAC7 FOR P[RMIT � .�;� �A�, ' <br /> ��25 �a�-1 s J� <br /> VbonelG�maJ � '�Al •�-Q71r�� <br /> BUtLDING PERMIT APPLICATION CONTRACT PRICE DF WORK �• IJ � <br /> Eaisting Usc ol[3Wlding HEAT SOURC[� <br /> ProposeG Use of Duiltling Ges� FiecvK Omer <br /> Buildingtype: �SlnflleFamily _Duplex_Townhouse _Multl-Femily _Cammerc�ai <br /> T e ol pro eU�. New AtlOdion Remadel Re air T.I, Si n Sprinkler Demolition_Chen a of Use <br /> OESCRIPTION OF WORK(edcrtiorei spaa p�ow000 on the Dack): <br /> ��,o�e �`��Ia CQ �(G� W a.�'e 2' L�.Pst�� Y <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypaolProjecl[ _New_Addn _,At�entlon_Rapalr 7ypaolV�ojeci: _Now_Atltln _Allerallon_Repalr <br /> Show NumbcrlP)ol Itrfu�ca Show Number(M)ol tlrfures <br /> • A/C—»irhantllin unils � loilet <br /> i Forcetl air s�stems ftathtu6 <br /> Ges p�pin Lavato (wash basin <br /> I Walcr heater Shcwer <br /> Gas lue lace Kilchen sink 8 tlisposal <br /> Gas ran e Dishwashcr <br /> Clolhes d� er Clolhes washer <br /> ' Ran e hooA Waler healet <br /> Exhaust fan Sink(semce/barlmop/etc.) I <br /> i Heat p�mp l3actllow preventer <br /> Unit heatcr U�inal <br /> 6oJe� �nnWnp PouMain <br /> � Reln era6on ` Floortl�ain <br /> i Wooaslove Grease trap <br /> Ductin Roof Orains <br /> Oiher � Medicel Ges <br /> SPRINKLER / SUPPRESSION SYSTEM otnor: <br /> Number of Heatls Olher <br /> I I'emLy cMlly���11 f�eve IPnO dn0 eMTlnad l'v!OpD�'�elm0 en0 hnow�he��To lo Up Ilu��n0 CIXtlLI AA PlObs9nf Ol ltrnt]n0 of0Y1s1Kt�povOnmp 1����yPB Olwpn Yn]Ge Camp4C <br /> vMh wl�eNai tpo[ife0 Lcrein ur nnl ltie y�nnhny ol o��onnc Cd!s not piesW�e lo plva eulM1o�Yy lo Noblv or unwll�a pmviabn ol ony ol0oi�I�Ipe�bcei Hw rnpWetnp Cu�i�Ntlhn <br /> 14e�i em eu0�oriiea by��e ewnei cA Yiie V��oeiry Io pnifumi Um wm�Im wTa�e^.C�'sloq b rnacrt enE I wmpp wtb inr Sb!a Lamnnen Uw tO.P�iC W entl 7BE TODh WAG <br /> 1 ` <br /> � t�__ Z D �I Z- <br /> q . � u�horizedAyent5lgna�ure Dale (HevisedCV70t2) <br /> �/ <br />