Laserfiche WebLink
�ERMI � <br />APF'LICATIO� <br />BUILDINGIMECHANICALJPLUMBING�ISIGN/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 />APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM �D —' �Z,3 —I � <br />210 SW Everett Mall <br />�RO PERTY TA% q <br />28042400102700 <br />for new cons�ruclion: Shorl Plal/subdivisian See Aliached Lot No._ (attach copy ol long Icc�ai descnplion) <br />LLC <br />19022 Aurora Ave N <br />583-8074/ Liesc <br />line, WA 98133 <br />_Owner _OunersAgeN _Contraclor _ConiractofsAgent X Tenanl(mustpm�acaienero�mnsemimmmev..nermdav.on�nu,espace� <br />Seatlle Goodwill <br />BUILDING PERMIT APPLICATION <br /># <br />Kalerina Prochaska <br />PRICE OF WORK <br />ng Use of Building 210 SW Everett Mall Way � <br />�sed Use of Building Business <br />ng �ype: _ Single Family _ Duplex _Townhouse _ Mulli•Family x Commercial <br />ot proiect: _ New _ Addilion __ Remodel _ Repair x T.I. Sign Sprinklei <br />COE Bus. Lic. # <br />HEAT SOURCE: <br />o( Use <br />)ESCRIPTION OF WORK (oddAional apace provided on fhe back): <br />Demolish po�ions of existing lenant build-out. Install new Job Training Facili�y including three (3) lassrooms, private oNices and <br />new restroom. <br />MECHANICAL PERMIT APPLICATION <br />otProject: _New_Addn _Alleretion_Repair <br />Show N�mber (pJ ol �xtures <br />NC _ air hanrllinn i milc <br />Gas <br />Woodstove <br />� Olher <br />SPRINKLER / SUP <br />PLUMBING PERMIT APPLICATION <br />of Project: x New _Addn _Altcration _Repair <br />Show Number (tiJ ol (xfures <br />1 I Toilel <br />Clathes washer <br />Walcr healer <br />Sink (service/ba <br />Backflow orevei <br />Medical Gas <br />Otficr: <br />Olher: <br />I he�eby cetllM1/ Ihal I have ieaJ antl eramincA Ihs appliratbn and know Ihe :amC Io br. Vuc and cortcct All piovisbns ol L�ws and ordinances poveming Ihu lype ol wurkvnll6c camplied <br />vnih wlwlher speufied herein or not The qrantinp ol a permil does not prcsume to pHe aulhorily io vioLile or ranrcl the pmvision alanyother slale or load law regu4iting consWclion <br />7hal I am aulhonzed by the owner ollhis pioperry to peAortn 1he woN lor which application is made and I compy wiih �he Sule ConVaclars Law 1827 RLW and 296 200A WAC. <br />��-- �.b,�.,� � ��%��3 Y� <br />OwnerlAuthorized Agen[ Signature Datc (Revised Gl2012) <br />