Laserfiche WebLink
RERMIT �4PPLICATION <br /> BUILDING/MECHANICAUPLUM�ING/SIGIdISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES 1/ ;g I� <br /> 3200 Cedar St., Everett, WA 98201 425-257-A810 FAX 425-257-3C57 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTv TNc a R a <br /> G e 2 � GcEti�c�oe� ,tr;�, ��fF y.�x� C:0 36Fs0000 s',�c�l ! -C7�� <br /> LEGAL lor new conslruction: Short PlaVsuhdivis^n lol No._ (attach.opy ol long legal description) <br /> OWNER � � ��Mo jm �e�F�uf PhonelE-mail 42s-z4'3-3E! <br /> Address 5�6 �/�� S{ _$E' City�StalefZip E�'� wd 9g2� <br /> APPLICANT: '�Owner OwnefsAgenl CoNraclar _CoMraclofsAgent _Tenantimus«�o„doeicrnroiwnsemrrommoo«nerncowoa�nv�.«s�,:e� <br /> CONTRACTOR �� L 81 Lic.# COE Bus. Lic. # <br /> Address PhonclEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Nzc- z43 - 3«y , <br /> Phone�E-mai� �LEx L k-P�� C"� �`�'"`'` �• � <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use o(Building HEAT SOURC[: <br /> Proposed Use ol�uilding ��i�Lx Gas_ Eicctric_ Othci_ <br /> Building type: _ Singie Fami��upiex_Townhouse _Multi•Family _Commercial <br /> T pe of project: New Addition _Remodel _Repair_T.I _Sign_Sprinkler_Demolilion_Change o(Use <br /> DESCRIPTION OF WORK(addifional spaca pmvided on fhe DackJ: <br /> W� ('�;J,�IQT�. <br /> MECHANICAL PERMI'F APPLICATION PLUMBING PERMIT APPS.ICATION <br /> Typo oi ProJoct: r Now_AOdn _Altoratlon,_Repalr Typo ol Praject: _Now_Addn _Allaration_Repalr <br /> Show Numbcr(kJ o/lirtures �how Numbcr(N)ol lixturcs <br /> NC–air handling unds Toilet 1 � 1 <br /> � Forced air s stems I 6athtub I <br /> � Gas piping i Lavatory(wash basin):T; � <br /> Water heater � Shower � <br /> Gas fireplace � j_ � Kitchen sink 8 isposal I i <br /> Gas range I I I Dishwashcr ( <br /> Clothes dryer 1 Cbthes washer <br /> Z.., Rangc hood Water heater <br /> [xhaust lan ( Y Sink(scrvice/bar/mop/cicJ <br /> tieat pump Dack(Iow preventer <br /> Und healer Urinal <br /> Bodef DrinB�ng Fountam <br /> � Refrigeration Fioor drain <br /> " Woodstove Grease trap <br /> Uucting � Rool drains <br /> Other Medica�Gas <br /> SPRINKI.ER / SUPPRESSION SYSTEM ! Other: <br /> Numher of f Ieads i Other: <br /> I MreEy cerlAy t�al I h;rve renA and e.ammrE Nis apptwt�on an0 Fnav IAe same to 6e Irue and ca�reU All pmnLans ol laws nnd aEman��9oveminq Ihia rype olwork vn�Lo compGeJ <br /> wAp wTMher;peafM nemin or n t.7Ao gmnting ol a perm0 aar.s noi pmsume lo gne amhortty lo vrola�e or cancel No pmvision ol anY olner state or lo�il tan regulalmg wnsirudion <br /> T�dl l am aNhonaM Dy I�C a� cr o!t�is propetly lo pMonn t�e wod for wTiC�app6�lion IS maEe an01 mmDN���hu Slate ConVatlois Lan 1B t7 RCW aoA 296 700A WAC <br /> .� — 2Y^. 7,��� (I 1 <br /> � � L <br /> OwnorlAuthorl �A bnt5ignnWw Dale (1'ev�sedf✓I01?) <br />