Laserfiche WebLink
� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLERrDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vnw�.everetriva.org <br /> SITE ADDRE55: � �,-7 �UL—TO/�/ PHOPCRTY TAx p P �I _ O <br /> I <br /> LEGAI!or nevr const��ctioi S�ort PlaUsuOC�vision Lol No._ (altach cepy of iar.g :e9al Ce;cnption� <br /> OWNER �E�� � �' � FnoneiL�rrad ��`— '��j � OO <br /> AAdress Cdy/State2p C � ��. 1(� ��J <br /> APPLICANT:_O:+r.er _Crrer'sAgent Conirader Caclrac!or'sAgeni _TenantiT.�.,n�•:.:eaie�•,r�ciccntrirren�^«c,�.n�t�..cn�nino�oa:e� <br />� CONTRACTOR �(,�,1.) {/ . State Lio # �(1,[�� Z��tY Bus. Lic » <br /> :..ddre;s �D I�� � ✓ � Pnenei[ma�.l M� eTT-��Otit�T2C��Gg{6-z/( <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> P�one/E-ma��l � 'l �.� Lo6 -�� _�� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ���L/� � <br /> Fx!st�ng Use of flu:ltlirg IZ�SLI��ZiL�- HEAT SOURCE <br /> Proposed Use o`f/B�I+ilang Gas___ E�ectnc_ Othei_ <br /> Bw'c�ng I�pe �6mgle Family _Duplex_Tcwnhcuse _Multi•Famdy _Commercial <br /> Typz of pro;e[t� New Adtld�on Remode� _ Reoair___ T I. _ S�gn __Sprinkler __Demol�l��on_Chan9e of Use <br /> DESCRIPTION OF WORK(ac'a r�ona�space piov:ded on tn�bacA). <br /> 2E —�o� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProjecC _New,_Addn _Nteration_Repair Typo of Project: _New_Addn _Allera(ion_Repair <br /> $how Num6er(a)ol IixfuMs Show Num6er(b) o/fiafures <br /> � A/C—air handlmg imils Ta�iet <br /> � forced a�r syslems � Oathlub <br /> Gas p��ping Lavatory(wash basin) <br /> I Water heater � Sho��.�er <br /> Gas fireplace Kitchen smk 8 disposal <br /> � Gas ringe Uish�vashcr <br /> � Clothes dryer I Ctothes washer <br /> � Ran9c hood Water heater <br /> Exhaust fan I Sink (service/badmoD�etc) <br /> � Heal pump � dack0ow preventer <br /> � Urot heater I Urinal <br /> � �o�lcr Drmking Fountain <br /> � Re(ngeralion � P!oordram <br /> � Woodstove I Grease trap <br /> Ducting Roof tlreins <br /> � Olher � Nedical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM � Other <br /> � Number of Heads I Olher: <br /> I r•se0y ceh�y i�at 1 havc re�i nad e.amnetl t�is applca�ion antl Mnmv Ine same lo Ee Imo and corre[t All pmnvons ol laws and crainances 9ovem�ng�his I�pe ol work vn7 Ce comp0e0 <br /> �a;n�.ancm¢r<�eN,e�t+c�em c•net IDe granung ol a pertnA Oaes not Dresume to give aui�ority lo violate ar cancel Ue pmvi5ion ol a�y alher s�a'e or icwl ia�.v rcgWal�ng conslm<bon <br /> Tqa!IamaumeniMOpineoancrali � prcCeiy�opcno�mi^ew:rklor��h:cl�appf�cal,anlsnaeeaaelcomp�ywrnme5laleConVaclorslawi827RCWantl19620�A\"JAC. <br /> � �� /�3/�� �_ ....�... <br />