Laserfiche WebLink
� 1Cl <br /> � <br /> y� <br />�`�'"L����' �I � � �:�G <br /> ��..1 <br />���'`� PERMIT APPLI�A�I�f� � <br />�+��'`'� BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION �Ip <br /> yr I !��h <br />� �� CITY OF EVERETT PERMIT SERVICES '- <br />�`" `�� 32U0 Cedar St., Everett, 4VA 98201 425-?_57-8810 FAX 425-757-8857 v✓vnv.everettwa.org �" <br /> a� ; i k^� <br /> R� .�.. <br /> t <br /> SITE A�DRESS: PaOPeRTYtq%n P �•1� -" ,I <br /> 5' � og' 62. �t_.4� <br /> LEGAL lar n=_v�-.:onsirccf�on: Sh�rt PlaUsubtlr:isicn lot Na. (allach copy of long!=_gal d^;crip;icn) Aq', <br />�''"e{i�'� OWNER Phone/Ema�i ,�, 7p0 —Ga:.�C� ��'�� <br />:�. �•.�i ' i�,<; <br /> �) %.Utlress <� �� �j' � �OG C�ty/State2lp �j^ ���� <br />�'.� <br /> � APPLICANT. VU.vner _C::neisAgenl _Can!raclor _CoNraclor'sAgent _Te:ianll�.�:�c���.���^����"mcc_ ;r-cniaoo.r.�rweo+��, >,�re�;ae; <br />� �� <br /> A+g <br /> �� �ONTRACTOR State Lic. X C9y 6us l�c# <br /> i <br /> 1��� � ' ',�:�s PhcnclEmad ��; <br /> s�. iFtJANT 6USINE55 NAME CONTACT FQR PERh117 <br />, k'v'y'.., �_. <br /> s3. �.+-i <br />'"-, � PhcnelGmail <br />,-;;._. ' BUILDINGPERMITAPPLICATION CONTRACTPRICEOFWGRK ` <br />�yY'�: <br />` �"�� , •��tino Use ol8mldmg HEAT SOURC - <br /> f <br />�.. ���cnosedUseofBy�iaing_ Gas_ Electnc_ Other_ <br />�°` � <br /> i��,� �� ��i�ng lype� •�Singie Family _Duple/Y_lownhous=_ _Mul1i-Famdy _Cammerdal <br />��i� � ;�-.;ol prc�ecl _ t7ew _Add�lion 1/ Femodel _Reparc_T I _Sign__,Sprirkler._CzmoliLon __Chang�+ of Use j ' <br /> �� �DESCRIPTIONOFWORK(atldfionalspacep�ovrCedonrneDack). � � I •� <br /> ' � L r.: <br /> `' / / ,/" p S�o-U�" �i'�� ��� <br />�-v°� ; �� "t�2 ��1�lTl/ls� ���Ct ry Jc.G2( — �-4��' it1' �7l q-fl'i�j� ' �.:; <br />.,..;.."J � �) !R <br />���:� ��nl� � �, <br /> MECHANICAL PERMIT APPUCATION PLUMBING PERMIT APPLICATION ���j <br /> ;_ <br /> T�pcolProjc[I: _Nc:�_Addn yAl�efalion_Repdif TypeotProjeeC _Nnv_Addn _Alleration_Repair _ <br /> ShowNum6rr(q)o/lixfures ShowPlum6cr(kf ollixfures <br /> � A/C—air handhng unils � Todel <br /> � Forced air systems I �������� <br /> � Gas pipi�9 I Lava�ory(�vash basin) <br /> � VVater heater I Sho•,ver <br /> � Gas freplace � Kitchen sink &disposal <br /> � Gas ran9e I Dishv:asher <br /> � Clothes dryer � _ Clothes washer __ <br /> � Range hood � bVater heater <br /> � Exhaus�fan I Sink(servicelbar/mop/etc.) <br /> Heal pump � 6ackllow preven:er <br /> � Unit hcatr.r � Urinal <br /> � Boiler � Orinking Fountain <br /> � Refrigeralion � Floordrain <br /> � Woodstove Grease trap �� <br /> � Ducting � Roof drains =� <br /> � Other � Medical Gas �!' <br /> SPRINKLER I SUPPRESSIfIN SYS�ENi � other I.. <br /> I Olher i����. <br /> � Number of Heads - <br /> 1� �:reby cenlfy ihai I n�:e�m9 en�e.am��ned i��i;app'caiion ane knov�ihe sarr,c Io ba Im^and emrecl.All provlsions af larvs and aminanees 9e'�emin9 Ih',IYPe ol work wili 6e c:�p ^^ <br /> �,:ii�wh^Iher spco�-�Cerc�n or ret.Tpe gra�tlin�ol o Ferm.l tlac;ncl presumc lo glve aulpo�ily lo violate or cancel Ine pro�is:on cl any ol�,er slale or bc.I la:�ic3ulplin9 mnsl�vU�r:i <br /> Tn n1 I;m au:ncnze��y ihe o��ner cf Inis pmpetly Io pertorm Ihe rmrk/Or�v�ic�appliwlion L maCe an�i cc.T;:/v;nh ihe Staie CcnVacl:rs la:. I B 27�C;J a,�e 796].Con t1'�C. <br /> �,%" iif_�� _'_._.._ . .�/�/ / � . <br />