Laserfiche WebLink
�ERMIT APPLICATI� <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St.. Everett, WA 98201 425-257-8610 FAX 425-257-8857 ti���nv.everethva oig <br /> S �`�.b ��S <br /> SITE ADDRE55: � 2 I � /)� j� PNOPCRN7AX N ERMIT M <br /> � L ������ <br /> IEGAL tcr new co�>>trucl�on Snort PiaVsuOtlrv�sion � Lol No� (�dach cGpy o11Gn91e3a1 tlescrialior) <br /> � <br /> OWNE-R � 0 p � Phone/E-ma�:! �{ Z�') � g - y 'j�- <br /> nddress ���UI �GL�C! 0 '� �fJ°-(- enyis�aien�v L✓�+'P_�t�- (/J/�- <br /> APPLICANT:��Owner _Owner'SAgeol �COnVd[lot _COn1�Btl0i'SAgCPI _Tendnllmmioro.•�aeiertno�croser.��mm�rao..^.r�oa:�:�M!M+�acet <br /> CONTRACTOR Jll�l.t4�� State Lic. # Cdy 8us l¢ # <br /> Address P�one/Emaii <br /> CONTACT FOR PERMIT <br /> Pho�e1E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> EKisting Use of Bwld,no, HFJaT SOUtiCE. <br /> Prcoosea Use of Buadmg Gas_ Eiectnc_ oine�_ <br /> BudCmg type _Smgle Family _ Duplex_Townhouse _Multi-Family _Commerual <br /> Type of pro�ect New Adddion _Remodel _Reoair TJ _Si n_Spnnkler_Demoln�on_Cnanye of Use <br /> DESCRIPTION OF WORK(addmonai spacepm�idedon rne oack) <br /> 1"C����[t_L� V D� � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLIGATION <br /> Type of ProJecl: _New_Addn _Alteration_Repair Type ol Pro�ect: _New_AtlOn _Alleration_Repaii <br /> Show NumEcr(NJ o/lixtures Sho w NumOcr(p1 0l li+turns <br /> A/C—air hanOhng units Toilcl <br /> Forced au sys;ems Bathtub <br /> Gas pipinq Lavatory(wash basml <br /> Wale� hcater Shower <br /> Gas lireplace K�lehen sinh 8 disposal <br /> — Gas range Disliwasher <br /> Clnihes dryer Clothes washer <br /> Range hood Wafer heater _ <br /> Lxhaust lan Sink (serv�celbadmop/rlc ) <br /> Ileat pump �aCktlow 0����ntci (ins�de bltlg) <br /> Uml hCafCr Unn21 <br /> HoJcr Unnkin Fountain <br /> Relrigcralion Pioor drain <br /> Woodstove Gmasc trap <br /> Ducting Rool tlrains <br /> Olher Medieal Gas <br /> SPRINKIER 1 SUPPRESSION SYSTEM Other <br /> NumberotHrads Olher. <br /> i hereby cendy Ihal I Oave rcaA�nd erammrtl mis apPGca;ien and knew Ihe sa^.e la Ee Ime end coneq.A!I provr5!ons ol lavrs and orE'nances goveming this lype ol work�r,Y be comr,!ntl <br /> w��whe�her spenGed here��n or not t�e giaNmg ol a permd dws ncl presume lo qne au�hoflty lo viola�e or cancel��e provision ol anY olher sla!e or local�aw regula�ing consimn�an <br /> inal I am au onxc0 by me owne�ol t !s prope�ty�o pedortn I�e�mrk for w��c�apphcaion�s ma�e antl I mmply vnth�he Sta�e Conbactors Law 1027 RCW en0 296 2WA WPC <br /> � � �I <br /> �9lvy , "�f�-�.��,/ S�LG�l S' . <br /> Own�/ uthoraedAgeM'Signature Oalc iHev,sedmlJ�S) <br /> U <br />