Laserfiche WebLink
� � <br /> �----�€RMIT APPLICRTION <br /> BUILDING MECHANICA�PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everelt, WA 98201 -425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPUCATIONS ARE A.:CEPTED FROfd 6 AM TO 4 PM � 6 �I?i <br /> SITE�O RESS: ��� �i��f C�/� �L�/�D,/ R07EHTVTA):N PERMITq —� <br /> y 11fJ5bJ <br /> LEGAL for ne� wnslmclion: Shon Platlsu aivision Lot No,_ (atlach copy of long le9al descriFtion) <br /> l�IlfiNk ' L /y <br /> OWNER ��QOL/ If�E Phone/E�mail <br /> �tld�ess � £p\ /�// � �Q Cily/StalelZip 7��£/ , w/� —L�� — �430 <br /> CONTRACTOR Q Ci� L&I Lic.N <br /> Atldress PhonMEmail <br /> TENANT BUSINESS NAME /�/ CONTACT FOR PERMIT <br /> `j��]J(�c� \ /•�/i/LKi� PhondE�mail a�r �� - 63y► <br /> BUILDING PERMIT APPLIC{ITION CONTRACT PRICE OF WORK U�� <br /> Existing Use of�uilding / / HEAT SCURCE: _ <br /> Proposed Usz of Bwlding ��LL�/��� �� `�� � Gas_ Eleanc__ Other_ <br /> Building type: _Singte Famiry _Duplex_Townhouse _Multi-Famiry _Commercial <br /> Type of project: _New _Addition _Remodel _Repair_T.I._Sign_Sprinkler_Demolilion_Change ol Use <br /> Descriplion of WOrk(addi(ional space prov�tled on ihe backJ: <br /> N�w aaf s�o� w�i����, coo��e . <br /> liave you started working without a permil4 _YES _NO <br /> MECHANICAL PERMIY APPLICATIOtJ PLUMBING PERMIT APPLICATION <br /> Type of ProjecL _New_Addn _Alleralion_Repair Type ol PmjecL• _New_Addn _Alterallon_Fepa�r <br /> Sfrow Num6cr(N) ol lirtures Show Numhci(4)o/lirfures <br /> NC—air handling umis I Toilel <br /> � Forced air systems Bathtub <br /> Gas piping � Lava'o (v+ash basin) <br /> � Water heatcr Shnwer <br /> Gas lireplace Kitchen sink 8 disposal <br /> Gas rangc Dishwasher � <br /> � Clolhes dryer � Clothes washer <br /> Range hood Water heater <br /> lizhaust fan Sink(servicelbadmoplelc.) <br /> Hcal pump Backflow prevr.nler <br /> Unit heater Urinal <br /> p�i Drinkinq Fountain <br /> � Relriqcr. Floor drain <br /> Woodstove Grease Irap <br /> � Dur.Iinq Roof drains _ <br /> � Othcr Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Otncr. <br /> INumUer of I ICads I Olher. <br /> I IiC�Chy CC�h�y Ihpi I hdK`�C�Q dPtl l`XJ�m�Ctl IhiS�pptiw�ion anJ Fnow I�C same Ic be Ime and correc� NI provi,io�s ot law;antl o��finance; 9overmng <br /> IN51ype ol work w�ll Ge complictl vnth w�eiher spCcificd hr.rein Or not.The gran�inq oi a pr.rmit does n01 pre5ume lo give aulPonly to violate oi Wncel <br /> Ine Omvision ol any o�her state or lowl law�epula�mg conslmcUon or Ihe petlorman�ol conslmctiort T�al I am aulhonzetl L::ie ownnr ol t�is pioperty <br /> lo pedmm ihe v for iich 1ppi�cation Is ma:e ana I romply wd�Ihe Slale Contraclor;Law 1B D RCW and 296.2�0 WAC <br /> r� - l- 3��oi�t <br /> OvinedAutliorizcU Agenl SI nuturc Da�C (Rem:cd U201 p <br />