Laserfiche WebLink
PERMIT A��PLICATION <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLIf.A710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE DRESS: vo�Tv T a ,`� PEftMI � O�b <br /> � o <br /> LEGAL lor new mnswdiort Shotl PlaUcubdrvision Lot No. _ (atlarh wpy ol long legal desrnptlon) v <br /> OWHER�-lQl'h�S 'Z �OILIS �G�SS0.{ PhonelE•mail 'ZO( • o� 3a '�qBQ <br /> ���ia.r ve g�Am��� (� c�r�s���z;a E Ss1c� hcQ ll1'A 9 So �I o <br /> dreu <br /> APPLICANT: Owr�er Owner'sAgenl'X,Contractor ConlractofSAgenf 7enan�t*�nROMcs+�,a�ca.+xmxme+�v.,�mao.wneKm�� <br /> CONTRACTOR 5 . Q . �J1G L 8 I Lic # pC - � COE 8us.Lic.p O� �-3Z <br /> �d�b enJiYrDRe �Z� �onelEmail2CXA 36 �,� <br /> TE NT BUSINE S NAME CONTACT fOR PERMIT e4L (,(4 �e�N�,_ <br /> ��/��°o��/� -���kC�/��, � ' 3!�y Ny�/s <br /> PMndEinad �aY I(4 e G.5` 1 C(,'tPyl C�eC^Fi Il <br /> BUILDING PERMIT APPLICATION COHTRACT PRICE OF WORI( I� ' "" <br /> Ewsting Use of Building Li L �S D S HEAT SOURCE: <br /> Proposed Use of Buildir.g 6t'�1 A(� �"�1OpS Gas_ Eiecv�c_ Ou+er_ <br /> Building rype: _Sing�e Family _Duplax�Tovmhouse _Multi-Family �Commercial <br /> T ot ro'ecy: New P,ddition Remodel ' Re air T.I. Si n S rinkler DemoliGon Chan e of Use <br /> DESCRIPTIONOFWORK(adddronalspaceplovidMontheeack): .p�y�� �p�yyS �i� n') Y1Q�b�_ <br /> ��+alt a� �0.Yen, �.' �� S"f�ee.f-. �rs-� I/ V�&Rsi� a olob��0 Sr��� <br /> �p�Y c�'s��rn <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION ��A <br /> TypeolProject: _New_Addn _Alteration_Repalr Typoof Project: _Now_Addn _AltoraUon_Repalr <br /> Show Number(Y)o(fiittures Show Number(N)o(firtums <br /> A/C—air handlin units Toilet <br /> Forced air s slems Balhtub <br /> Gas i in Lavato (wash basm) <br /> Water heater Shower <br /> Gas fire lace Kitchen sink&dis osal <br /> Gas ran e Dishwasher <br /> Cloihes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhausllan Sink servicrJbarlmo /elc.) <br /> Heat ump BackBow reventer <br /> Unil heater Urinal <br /> Botler Drinkin Founlain <br /> Re(ri eration Floor drain <br /> Woodslove Greasa tra <br /> Ductin Rool drams <br /> Olher Mediral Ges <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> -� <br /> Number of Heads Other: <br /> 1�omOy certry il�at I�avo�aa0 ana ammp�oC U�6 applirnWn nnU Anow No samo ro Do Wo anG mrto4.AOO����s ol Nws anU mCmonces gavmnn9 mu rypo ol wM wtll ho mmp4d. <br /> vnVl wlielner spetlfie0�em'n ar not.The B�n4�ig ol a pertnC Uoos nol prewmo te B�'o autnwtly In vKKato ar oncei t7ie 0������V a�����o ar laal qw IppuWMp mnstrualon <br /> Ttial l om outnorized by t�e cwnr�of Ui�D�(krtl'�o peitorm Ne�wh la v.nidi oppliptivn e macla ana I comph wiN Ihe SUte Conlneon Law IP27 RC\4 nnd YBG 200n WAC. <br /> �..�.a..,..��k�.o� `t�,�1�/ � �z <br /> OwnerlAuUodzedpgontSig rn �ate� � (Revissd6?012) <br />