Laserfiche WebLink
� ! <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 v✓ww everettwa.org <br /> SITE AD�RESS: �O � /� / / PROPERTY7Axp F �d�?p ^ OI <br /> f U C'(7M1 <br /> LEGAL`er new con;Im�Don� Sr.ort P!aUsubdrvls��on Let No_ (attach tooy of long legai aescr�pf�on) <br /> OWNER � �C (�7 FnonciE�ma�l 7 � � �C Z Z Z3�Z <br /> nae ess p (Z b Z cnvisiaierz a C vev <br /> APPLICANT: Owrer O��vnersAgenl CorPac�er ConVaetoYSAgert _Tenant�,�,.sic�c„euamynci<c�:r-:..c-.�r.e..-.e...or,o�..��.�,•,r.�,c.,=a�� <br /> CONTRACTOR O VV e� Sta'e Lic. # Gty Bus L�,c tt <br /> ;,a�,��� PnoneiEma�i <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> Pho�e:E�ma�i <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK OC�A CC� ___ <br /> Ex�st:ng Use of 8u�ldinq __ __ HEAT SOURCF <br /> Preposed Use o�Qwltl-ng Gas_ [iectric_ Cih^_r_ <br /> E3u��ldmg type. _S�ngle FamJy _Duplex_Tcivnhouse _Multi-Famiiy _Commerual <br /> Type of pro�ect New Atld�tion Remodel _Repair_T.L _S�gn_Spnnkler_ _Demonl�on_Change of Use <br /> DESCRIPTION OF WORK(ada,;��na�space Gro��cedo�mo ca:k): <br /> ,,.c �� o��4` o-� �q-cl �'u� 4 . �r�C � 5 ���-�---o L � �J �� s`� ��� <<-� �r <br /> c��a� � ,��_ '�3. -fo 5--�4� [.�1a�-GLS— <br /> MECHANICA� PERMIT APPLICATIaN PLUMBING PERMIT APPLICATION <br /> Typo ol Pro�ect: _New_Addn �Alleration_Repalr Typo of Pwj cC _Now_Addn _Al�eraUan_Ropav <br /> Show Num ber(N)o//ia fures Show Number(a�o!hxfures <br /> NC -air hantlling unds Todet <br /> � Foiced arc systems 8ath�ub <br /> Gas piping Lavatory(wash bas�n) <br /> � Water heater I Sho«er <br /> Gas 6replace +chen smk &disposal <br /> Gas range Dis :�ashcr <br /> I Cloihes dryef Clotlies asher <br /> � �ngc hood Welen c�ai <br /> Exl ust lan Smk(serviccl rlmoplcic) <br /> � Heal p np Dackflow prCven r <br /> Und heat Urinal <br /> � Botler Dnnkmg Fountam <br /> Refngcral�on Floor dram <br /> Woodslovz Grease Irap � <br /> DuUing Rool drains <br /> p����� Metlical Gas <br /> SPRINKLER I SUPPRESSION YSTEM � o�ner. <br /> NumberofHeads � Other: <br /> I nero0y rnrAy Ih,ai I nave rea�ana eaam�ned Ihls appitabcn dntl Anc.v Ine semo Io he irue ena rqtRct AII provSions ot lews end orC�ndnces goveminp Inis lype o1 woM1 v.�i Ce co�•c`.M <br /> xtq�nneln:rspeC.liNnereinornol T�ogr�plingola0ertn]EoesnolNesume�eqiveautnonlVtovie�dlearcanceHnoD�Ov4lonalO�ycIDerslatecrlCWltaxreg•�laling[cosn.Uc� <br /> iCaila:�au��aiica I4eoxnerMl�reP�oPerlyloPeNor . orxNchaGG��cal�.cnism.i�en�dl¢cpiy�a�:nMeSalcCo^.vaCcs�a�,r1827PC�'Ja��.�:PG:;O�V:AC <br /> �l o <br /> OwnedAuthorized Agenl Signaturu �alc (Pev�:ed 3i?0�31 <br />