Laserfiche WebLink
3- i0- f � : �C: �g.:�d:TR:.i1E 6[:.TTLE 1.i2C•6aiq3ts u �� � <br /> � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everelt, WA 98201 -425-257-88i0— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEAD ESS: PROPERTYTAXp PERMITp <br /> �' eP� Mo3o5 <br /> LEGAL for now construcllon: Short PlaVsuCtlNision Lol Nu._ (attnch copy of long lapal tlescnption) <br /> OWNER PhonalE-mail 01, S 3�� Q(p Q <br /> Address Cily/5talo2ip C�,., e. G-�- W <br /> CONTRACTOR .SSIYL L 81 Lic.# � S 3� J" <br /> Add�ess �a� �•�d'� G � PMnNEmail ,j-.� �}�'/� � O <br /> TENAN7 BUSINESS NAME CONiACT FOR PERMR � � �� <br /> ��I � PhonME-mall � <br /> BUILDING PERMIT APPLICATION CONTRAC7 PRICE OF WORK � /� 4 DO <br /> Exlstln�Uso of Buildin9 � - � HEAT SOURCE: <br /> Proposed Uso of Building �`7TU�/c�.t.��"� <br /> Gas__ . Elactnc Other <br /> Buildingtypo: _SingleFnmily _Duplex_Townhousa _Multi•Family �Commarcial <br /> Typa of pmJocl: _New _AJ.fiiion x Remodel _Repair_T.I._Sign_Sprinkler_Demotilion_Change of Uso <br /> Uescdption af Wofk(eddiflonnlspnce pmvidatl on thu beck): <br /> Have you startod working wlthout a pormil7 _YES aN0 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typa of ProJo�l: _Naw_Atldn �Altorotion_Ropalr Ty{w of ProJocl: _Naw_Addn _Alleration Repalr <br /> Show Numbor(p)01 fixfaros SMw Numbar Ml o!�rfuros <br /> A/C—airhandllnpuNts I TNlcl <br /> Foreod nir s stems Balhtub <br /> Gas piping Lavato <br /> ry(wash 6asin) <br /> Watcr heater ShowCr <br /> Gas fiicpince Kitchen sink 8 disposal <br /> Gas ranno DisAwashor <br /> Clothes d cr Clolhes washar <br /> Ran a hood Watorticatcr <br /> Exhaust lan Sink(sorvlcc/badmo lotc. <br /> Hoat um Dackllow preven�ef <br /> Unl�hoate� Urinal <br /> Boiler Drinkin Fountain <br /> Rofd om�ion Floordmin <br /> WoOdslovo Giease t2 <br /> Ducllnq Rool drains <br /> Olhe_ A7edical Gas <br /> SPRINKLER /SUPPRESSION SYSTEM Other: <br /> Number of Haads � O�her. <br /> I hereby cetlify that I h�vo road and examinad Ihis appllcation nn0 know Iho some to be Irue and corraL Au provlsbns ol laxs and ordinances governinp <br /> Ihls typo ol wvrk will be canpllM�Nth wholhcr speGfied hewin or noc The gmn6np of a pertnil does not presumo to give authodry to vbloto or wncel <br /> Iho provislon ot any other stale or laai I�w reguloling construcUon w the peAortnonco o(consWction.That I am autharizod hy Iho owner ol Ihis property <br />� to per ui n the r whieh appliwlian is mndo and I eomply xith Ihe SWIc Controelors Law 7827 RCLY entl 296.200 WAC <br /> i°`=XJ�-�"'U 3-fj-f� <br /> OwnorlAuthorizod Ayenl Sipnutura Uolo (Revised 7/2071) <br /> v2EJ(� --S�O - /d..(l // <br /> � �l �G2S e . �,�� (,i-S `�(J f C�( r d' ��`' CLz-r� '� m e n-� i /�FQ `�:_ <br />