Laserfiche WebLink
PERMIT APPLICATIaN <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/D�MOLIT(ON <br /> CITY O� EVERETT PERMIT SERVICES <br /> 3200 Cedar St., tverett,WA 9fi201 -A25-257-8H10- FAX 425•257-8857-wv,rv�.everethva.org <br /> r ����- jr� APPLICAT10N5 AR8 ACCGPTED FROM 8 AM TO t PM � � - _ � 'G ����i�- . <br /> SITEAODRESS: PNOPGRTYTA%F � � o PERMITR <br /> Sothell Evezett Hw 0043fl57.46000 `�`'�� X1302-001 <br /> L[GAL lo�new wnsirvq�on: Short PiaVcu6tlivuion Lot No._____ pNatl�wpy of tonp iEgal descYiption) <br /> OWNER ' e . e-G n Med CenteL' PnenrlEmafi <br /> Addms9 z (� CiiylSYale2ip <br /> GONTRACTOR PSF Mechanical inc. ��t�;c.a 848. 535-00-1 <br /> naareca 9322 19t1i Ave S Seattle WA 98108 Phmic.'�mwl <br /> T[NANT 6USINE53 NAME CONTACT FQR PGRMIT Karen Geozge . <br /> Cellnetix <br /> PhonalE+nall 2p6. 812.6768 k eor e2 sfinech. m <br /> 3UILDINGPERMITAPPLICATION CONIRACTPRICEOFWORK 7 500- <br /> Ezistino Use of 6uilding HFJ1T SOURCE: <br /> Proposed Use of Building Gas Elenr�e other <br /> 8uilding type: ^Single Fnmily _Duplex�Townhouse _Mulli-Fomily ,Commercial <br /> TypeMpro�ect: _New _Addltion �Remodel �Repair_T.L^Sign_Sprnkler,_,bemolifion_Change otUse <br /> DC3Ctiption of Work(edd,Nenal spacbprovJdadon Ncbac7Q1 <br /> � '. � c• <br /> i'�i' J+SIG�� � ;1��1���� 4.�r�c�Y���ct^�i� ��in�� <br /> Havc you stnrtod working withoirt a permift ,_„YGS _NO <br /> MECHpNICAL P�RMI7 APPLICATION PLUM6INC PERMIT APPLICATION <br /> 7ypeofPrqece _�lnw_�ddn �.Itoratlon_Ropalr TypeofProJect: _New?��4ddn _fltorativn_,Repalr <br /> ShawNum6er fl o/llxfurss ShewNumGe` k of�afurcs <br /> PJC-airhandli unit9 Toilet <br /> Forced air s�str.ms Bathtuh <br /> Gss i fiq Lava!o wash baein <br /> Water healer Shuv:er <br /> Ga611re lace Kitch��n sink&dis osal <br /> Gas ran e D�sh,vxhr.r <br /> Clolhes d •er " Clolh�s washer <br /> Ron chood N'atcnc�ater � <br /> L•xhausl fan Sink sorvicePoartmo etc. <br /> Heal ump D�ckilnw reventer <br /> UNt heater Unnal <br /> Boiler �rinkinq Fountain <br /> � Retn eration Floor drain <br /> Woodstova Greasa lra ' <br /> Duclln Ronf drsins <br /> Other Medicsl Gas � <br /> SPRINKLER !SUPPRESSION SYSTEM other: <br /> Number of Heads ���� <br /> I nemby eanity that I have road and o■amtned Ilds aDP�icntlan ana knmv Ihe same la be hve end correct All pmvlsimc ef taws antl eNmanras Bovam�ng <br /> in!r,rypa ot work wlli bo complled wllh whoU�er spedfled here�n ot oot.Tho Branllrg ot a pertnil does ncl presume lo pNa au�hoYty lo Jolate or caneal <br /> ina provls�on of eny otlror stnte ar local law mgulatlng cronslructim M Ne pedoimence of cansWqivn.That I am avihorlxatl Dy tTe owxr ef Ihl.pmpany <br /> to parform Ih wark tor which app�icatl in made anef 1 mmply wllh Na Slalo Contradors Lmv 7e.2�RCW nnd 290.20D WAC <br /> n -/,�-/� <br /> aw rfAuthotlzedAgnntSl nlKiiro Dnte fRavrsed7/1017) <br />