Laserfiche WebLink
� <br /> � � <br /> . PEF2MIT AP�LIC�ATI�N <br /> BUILDING/MECf-'ANICALIPLIIMF�ING/SIGN/SP��NKLER/DEMULITION <br /> CITY OF EVER•L•TT PERMIT SERVIGFS <br /> S2;J0 Cedar St., E�rerett, WA 98201 425-257-8810 FAX 425-25?-G95; NnNv�.everettwa.org <br /> 7 `� `� <br /> � SITEADDRE55: ��f�J PROPERNTARI! pF�RMi1T�� <br /> S . � �t 3 71 <br /> I.EGAL for nevi conslructlon: Short PlaJsuhdrvision Lot No._ (allad:copy of long legal desaipnon) <br /> OWNER � � Phone/E�mail 'J�� �� �-�b',� <br /> Adiress �'� �� CAylSlale2ip �� <br /> W S <br /> APPLIQANT: Ownei 0'.vf1B!'SAgenl _ConVeeler __Con�raeloisAgeni TC11��I(mvslF�o.iEuale•Iceohnn:cr.11iomNocenm!o0oworx•n�.nuspoce) <br /> CONTRACTOR T �;I� fi{ State Lic R <br /> � ( City Bus. Lic.# <br /> Adaress Phone/Eniail 'f�-2Z�'— � �•(� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> � w �-o��G- �1 FH� <br /> �/"�M �Cj�� P�one/E-maii — ZZ. � G�CL'��CC <br /> BUILDiNG PERMIT APPLICAYION CONTRACT PRICE OF WORK <br /> Existing Use of Bwlding_ � HEAT SOURCE: <br /> Proposed Use o(Buiiding Gas Eleclric Olher <br /> Owiding type _Singie Farr��ly _ Duplez _Totvnhouse _F.4ulli-Famdy _Cemmercial <br /> TyGe of pro�ecl _ New _Addilion _RemoCel Repair_T.I. Sign_Spnnkler___Demohlion Change ol Use <br /> DESCRIPTION OF WORK(adtl�Ronal spapce p�rov:Ced on fhe Uack/: / <br /> �%� /(A���� lJr� avl �CYi�N�� (�%f�r'� ;i/� Y'�R:�e(�t/�e � <br /> / <br /> ! ti-(��,! (�I� C�'�_. 7;-�-�� r'S' � �.o �� �G�"�" �'� <br /> MECH.�NICAL P�ERMIT APPLICATION PLUMBING PERMIT APP�ICATION <br /> Type al Project: _Nc��_Addn _Alleralian_Repair Type ol Project: _New_Addn _Allerallon_Repair <br /> Show flum6cr(#)ol/ix(urc.^ Sirow Nam6cr�qJ ol Iixlures <br /> !VC—air handling units � Totlel <br /> I Forcedairsyslems � �alhtub <br /> � Gas piping Wvalory(wash basin) <br /> Waler healer � Shovmr <br /> Ga, frepiace Kilchen sink 8 disposal <br /> � Gas range Dishwasher <br /> � Clothes dryer � Clolhes washer <br /> � Range hood Waler healer <br /> � [xhaust(an � Sink(service/badmop/e1cJ <br /> � Neal pump � t3ackflow preventer <br /> � Unil healer � Urmal ' <br /> � Boiler prinking Founlain <br /> I Refrigeratiun � Plcor drain <br /> Woodslove � Grease trap . <br /> Ducting Roof drains <br /> � Other Medical Gas <br /> SPRINKLHR / SUPPRESSION SYSTEM � Olher: <br /> Number of Heads � Other: <br /> I�ereby cc�ily Ihat I�nve reatl and examined Ihi,apphcaiion ond kno�.v�he same to oe lme and corrcU.All pmvisions ol la:vs and oreiwnce;goveming tnis lype olwork�m'I be comp:ied <br /> wnh w�elher specified nerein or nol.7na granling ol�pertn.t Ooes nol presume to give awnonty lo vmlate or cancel ine Fwvision af any ot�er;�aie or lowl iaw regulafng cen;imcnon l <br /> Tha1 I am aWharized by Ihe ovmer o(Ihis piopetly In petlarm I�e woih for�Mich applicalien Is made and 1 complywith Ihe Slale Conlractors Law 18 77 RCW anC 19fi 200A WAC. �/ � <br /> ��` � � � <br />