Laserfiche WebLink
Oct 24 12 03:07p Washington Water Heaters 4257461563 P � <br /> PERMIT APPLICATION <br /> BUILDlNG/MECHAf�ICAU�PLUMBINGlSIGNlSPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett,UVA 98201 425-257-88'I O FAX 425-257-8857 w�titiv.everelriva.org <br /> APPLICA710NS ARE ACCEPTED FROM 8 AM TO A PM17 <br /> „ aaor�a�vraxn acwti�irn <br /> 51?EADDRESS: " � �� <br /> $�� .'�i �1�7.(t�5�� '�Lt ° L G� ' .� � � ! (�3(.�60 rfl - <br /> LEGALIornewmnsWction: ShoriPlaYwOtlivislon LoWo._ �atiadiap7olbng:epaldesc�ption) <br /> OWNER V � �il.. "7 .r'���� PhonPJEmail ��`.> "3�—�� O�-� <br /> ' i i �l�i�� . <br /> �aa��:`�`{f:� �a-✓u'.��5�'.!� '('� chis�,ierz:p : �` " . fl' G.. �L <br /> APPLICANT:_Ow�er O�mM5A9�1 ,�Cr.,VacWr _ContrzctofsAger.t ,_Tsant(�w���+c'ecrtimrafo,�erc.rmmNe�+.�er�oaowoanv.oso+ce� <br /> CONTRACTOR �����`;1�%�%i.;�'�� ����;i�=�i.. ,�,�r'�'TC��S L 8 I Lia� L�'�Sr/ � %Y�;Cl� COE Bus.Lic.# <br /> Address IJ�,��� f\�llif^iCl;.� ���,J1[-��1 �/��t.�iLt'. /�.r:_ ����/lii j Ph�nrlEma:l JCt� `'//t�_��✓J�� /f'G�1ZL�'Uf.�i�7�'�'r`, <br /> TENANTBUSINES5 NAME CONTpCT FOR PERMIT ���= tc'�•:�.� ;97 <br /> 1 �Jctt�•i j�CCl�tC�:' <br /> ;L,%�'�—` Phone�E-mail � '•:i9P !.{�� CC�7�.`�1"LCCiL�i✓ <br /> � � n <br /> BUILDING PERMIT APPLICATION CONTRACT PRiCE OF WORK _ <br /> EeistingUseaf6uilding ���i�`�51C���"�^'�%'�' HEATSOURCB: <br /> Proposed Use of Building Gas Eiectri,. Othcr <br /> Buildingrype: �-SingleFamily _Duplex_7amhouse _Multi-Family _Cemmercial y--�rii�,:����^��.i- <br /> T pe oF cro ecL New Addition Remodei Re air T.I. Si n SprinWer Demol'i�Mn�ba tkJsu <br /> UESCRIPTION OF WORKladdifior.a�suaxpmvidedon&etrauq: <br /> � �� - � � t s� 't���?CJ �!i.'(i' �� %1.;'C�.r�.-} <br /> , .:� 'f(`L i'� (,i „ ('.—;.; ,i I ,� <br /> r�. <br /> MECMANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypoofProject: _,New_,Addn _Altcralion_Repair TypcofProjeet: _New_Addn _A�leralion_Repair <br /> Show 1Jumbet(X)o!(+turos Show NumGer(=)o!fixtures <br /> AIC—air handling unils To,let <br /> Forcedairs stems BaL�Wb <br /> Gas pipin Lavato (viash basi�� <br /> Waer heater Sho���er <br /> Gas(ire lac� Ktchen sink 8 disnosai <br /> G^s ranae Disnwasher <br /> , -� � Clolhes dryer ' Gothes washcr <br /> Ran ehootl Waterheater <br /> � [xhaust fan Sink servicelbarlmo /etc.) <br /> Heat pum Ba[kfiow eventer <br /> i � Unit hoater � Urinal <br /> ' Botler � Dnnkin FounWin <br /> � Rofrgeralion ' Floordmin <br /> Wocdstoca Grease tra <br /> Ductino ' Roof drains <br /> Otber_ htedical Gas <br /> SPRINKLER / SUPPRESSION SYS7'EM Other. <br /> Numher cf Heads � Other: <br /> i nanty u�rtMY=`at 1 havo rcatl antl c�.�m�noJ L'�Is ap�.;ation and Mow N�cama lo Du W u an0 Gorteti M pmvicia�s al w�vs an�oS'v��nu�s qoveming llJs�Fa af wo�k wY W WmpLaE <br /> vAN�aT�et�e�spetl,ted hemn or noL The qraniny of a�e.�rr.it does nol prewme lo ghe nullwd,y b ubGio or nnrel lho pro+�do�o!any ower stale M local law m9ulalinp cansLuaion <br /> IucnaulhotlxoEbyNon�ncro(Niapiopo�lJ'IopMcrmL�o larwhld�uDF�����maGeondlmmplyv.iNlne5laWCmtatlor.lawt8.27RCWana393200A�VqC. <br /> �,�� '�'���,��i.� `����C[,ct_ ' J ��a%Ia��a,^�I�'Cl.;:�. �? �tiiGr.i.1 �!����;�" ��� <br /> r / <br /> /Y L '1 i L�{7 <br /> oate ' i.`�Li t��Z� a�-'r 1 i�I,L�l�v lAe��m�52ors) <br /> Owner/Authorizetl AOcnt Si�^ature — <br />