Laserfiche WebLink
� • `��'r� <br /> PERMIT APQLICATION <br /> BUILDING/MECHANICAL/PLUM8INGlSIGN/SPRINKLER/D�MOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Ced�r St , [veietl, Wn 98201 425-257-8810 FAX 425-257-8857 �wn�+everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE A�DRESS: VR07ENTY TA%tl PEHt.tIT p <br /> � �Avc � y 3so369 0o av —00 <br /> LEGAL(�r re:i wnstmctmn Snorl FIeS;ute�:.;�c� Lot!�o (.uacn�,;p el long ie9ai ee;a�ono�) <br /> OWNEF��R1��� ��U'•— PnorME�ma�l �nS-S(j� -q'j �jU <br /> A�o«ss N�o�.� �� � �.�Y�s�����Z�� �✓�Hd �'1d3 <br /> APPLICANI' J.�ner O•vnefSAgeM ConVauo� ConVatlors/�9em �nanl;-�-.i:�=.n,•+��re•:ico:r-,r�c-�aos.�c.ua�s.nvo:�.v�� <br /> CONTRqCTOR V� Y� L&I Lc tt COE B��s Lic k <br /> ;.;hr,S � N�onelEma�l <br /> TENANT BUSINESS NAtAE CONTACT FOR PERMIT <br /> Pppne;Finatl <br /> BUILDING PERMiT APPLICATION CONTRACT PRICE OF WORK 32 � <br /> E+�si�.ng Use of Bwlding�r,.��L___ h�EAT SOURCF <br /> J <br /> Prcposed Use of Om'ding �nN�q�- Ga; ecu��c__ Oirer_ _ <br /> --� <br /> Bmlding rype S/�ngle Family _Ouplex_,To�.vnhouse _Idulti�Famiiy __Comrrercial � <br /> Type ot prc�ect _;` IYew Adtldion Remotlel Repa�r_T I. Sign_Spr�nkle� ✓Oemol�;ion _Charge of Use <br /> DESCRIPTION OF WORK(ac��hc�a�spacc p�ov;dro on�ne bact)� �Q �� l� I��� �p �J I �S� <br /> Qx�sHRy y�y� r �lc,c� ��- w�rh �.N�� la,-�« ya��< � � r��c✓ <br /> A�uy� �Uid � ►,a� q iz �, r� <br /> MECHANICRL PERMIT APpLICATIOPI PLUMBING PERMIT APPLICATION <br /> Type ol Pwjccl: _tlew_Adan __Alleralion_ Repair Type al P�ojecC _�New_AdAn _Al�eration_Repalr <br /> Shmv NmnOe�!b1 0l/irfwes S�a w Num6er fal a�(i+'�urps <br /> AiC—au h3ndl:ng units I 1 odM <br /> Forced art syslems Bathlub <br /> Ga,D�pinq Lava;ory(�vash bas�n) <br /> Walcr neater Shower <br /> G.15���1`plaCe HilchCn 5�nk 8 dlspoSal <br /> GJS ranqe DiShv�Bsher <br /> Clotnes tlryer Clothes�vasher <br /> Range hood Waler healer <br /> F_,hausl fan Smk(;crviceiba�/mop/elc) <br /> Heal Pump f3ocldlow PleueNl`f <br /> Um�hea�Er Unnal <br /> l7oder Drinkmq founlam <br /> Re�rigcr�lion Floar dra�n <br /> Wootlstove Grease Irap <br /> Ductinq Rool drains <br /> Olner hirdical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Oiher <br /> Ncmber of Heads O;her. <br /> i re�eor u•.••y iI,,V i cave�c i�a,�n��+arr^e��m.;.�c:'."al'en�na Anov;tno same ta De Ime ava mrtetl P:I prmisions al lawf ano oN�anip;�pveming inis ryF•-'c'rvoM1�v i Le cc mp�:tv <br /> �...i..�v'i�ar.pruPc9ne�u�nere�� ineyr�mnq:'npert^nclocfnotG�esumela7neaWnor;ylormlaieorwnecll�aprov�5ionolanyoinersl.T.corUci!�wirBuie'��npmns;v:•.�,a;� <br /> ir��I I a. ..,en[e � o.mer cI1N;P�eGe�l to pe'tpnn t^�e waM1!or r;Tcn dpp'.i:alqn.made 2�0�eompN w.t�IOe Slo�e Goniraclorz law 1B:]RCW ana 7v6 20JA WAC. <br /> g �- � �� <br /> O�v -r� uth edAgenlSig Wrc Datc (Rensetl6'70ri) <br />