Laserfiche WebLink
Nov.30. 2012 3:49PM EVERGREEN STATE HEAT & AC • No.4390 P. 1 <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERET; PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvvw.eveTethii.org <br />APPLICATIONS ARE ACCEPTED FROM 0 Ard TO 4 PM <br />SITE ADDH[:SS; <br />✓�IyvE <br />OROPERTY TAX R <br />PERMIT p <br />M 1a Ia-ce <br />LEGAL for no,vicenslnrlion. Short PlaVsubdiJSlen Lot ND. - (a!lorh wpy oftong legal dewipllon) <br />OWNER �Ll, An <br />Address NLZL4",1,,TW <br />PhonelE•mailf�25-) 3i% ��03�L .___ _ <br />closlateog <br />'/ <br />APPLICANT:`Oem---r 0�%noesAgord y-Conhactor Contra'. Ices Agent TensnitTv.rpi�ade•t•waeonrmtrants.o..rt.mee»enxneao.a) <br />CONTRACTOR &VERlSrM N $TDT9 AWCr MMi- <br />L S I Ltd. # CV15035 Oi.2c"r CO: Bus. Lic. # 60 5 <br />Address 1tw QAC,tWe_ AUZ.EVEp-VtT WA 99201 lPhonelEnnall Q(x>") Z52-3l/V <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />Ktu Sgt-0 (4.2s:) 252-31I`P <br />Ph0nC1Frrfsll QK3eLlp r <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OFWOR <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building Gas Eledrlc_ other <br />Building typo: _Single Family _Duptex_Townhoure _Mulll•Famlly _Commercial <br />Typo of roect: New Addition Remodel _ Repair _T.1. Sin Sprinkler Demolition_Chenge of Use <br />DESCRI PTION OF WORT( (adddional apace provided on fno barx): 1 <br />cl1Af-1� C)Lct- NOT �.JAe't�-T'AtJV-(�J <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: —.Now_-.Addn __Alloratlon_Repair <br />Show Number(I) of fixfures <br />Type of Project; _New_Addn _Alteration _Repair <br />show Nnm4eT a orllxfores <br />AIC -air handling units <br />Toilet <br />Forced alrsystems <br />Bathtub <br />Gas piping <br />Lavato wash basin) <br />Water healer <br />Shower <br />Gas fireplace <br />Kitchen Sink & d1sposal <br />r Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />EXhaust fan <br />Sink isorvIctilbarlmo ato.) <br />1­1981pump <br />_I <br />Beckflwat preventer <br />_ <br />Unit heater <br />Urinal <br />Buller <br />��t <br />Drinkine Faunletn <br />Refdgerollon <br />Floor drain <br />Woodslove <br />Grease imp <br />Ducllnq <br />Roof drains <br />Other <br />_I <br />I <br />Medical Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />Other: <br />Number at tioads <br />Other: <br />1 hembycor0y that I have read and asaraaned this uppieaW and Mow the same to be Imo and coned. An provisions orlavn and ordawnwa eovemtng We type of work will be compoed <br />wah wholher spcdned heeb, or not. The creme of a permit does fat We Wme to oho auNarOy to vfo!ele or conger the profton olany other slate or local law regulatne construction <br />Th3t14Alh,,,z�!,ed�AqrffZiqnature <br />ed by the owner of Pis property to perform the wore to,01eff is mada and l comply Wah the Siste C0a41C40.4 caw 10.e7 ROW and 3Ba300A WAC. <br />Owner Ua0 (Rdvised W00) <br />