Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINK�ERIDEMOLI�'ION <br /> CITY OF EVERETT PERMIT SERVICES �(—��` �3 <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereUwa.o:g <br /> i, 7 <br /> ( ' _C, , <br /> APPLICATIONS ARE ACCEPTE�FROM 8 AM TO 4 PM L+ d '+ '�� <br /> PROPERTV TA%N PERN'IT# <br /> 5{TE ADDRESS: !� ? .�,L'V i C%r—'i C'i <br /> ?1�; Tr.cf=so�, /a�e � ✓e����-1 �v'R (S.�u � <br /> LEGAL lor new wnstmdio¢ Short PlaVsubdrvision Lol No___ latlach coOY o�long legal descripLon) <br /> / C C �( +C <br /> OWNER � i/l�cl��t J. Thc//Jc: Pnone�e-mmi�b�� � l .S15 i , '�c�rc 7 � C� _ c�N�l <br /> ndd�ess`l/l l �1Ytj laVt SE t ' c��v�s�aierz�a��Pr�'�'�" �hJ� �"J �,2U� <br /> APPLICANT:�Ovmer Owrz.'�A9en1 Conlraaor ConlractofsAgent _Tenam�m�,iv�w�+e•K�'�,"�"K"�'"jn01•""^°"O°0v'p1ki"1Op1pBU'� <br /> � �� %�`1 ,I'� L 81 lic.A COE Bus.Lic.# <br /> CONTRACTOR '✓'��J. � �� <br /> PIIDne�Email <br /> Aderess <br /> TENANT BUSWESs NeME CONTAC7 FOR PERMIT -S�y S <br /> Tm,:�%� 7ti�;�:,� .2u� 6 �9`I `� <br /> Phone�E-ma� - iN9 ��lU.'�9[' �/1��� /�lii��CcyN <br /> BUILDING (t�ERMIT APPLICATION CONTRACT PRICE OF WORK �U U <br /> Existing Use of Building CS�rlt � ` <br /> ,.� SIIIJG��S..`L HEATSOURCE: <br />� Proposed Use of Building �< <�i �� �'�e�,� D J Pw�x Gas_ Electnc_ Otner_ <br /> BuilAin9lype: _Single Family _Duplex Y Townhouse _MWti-Family _Comme�cial <br /> T e of prciecL New Addition ✓emodel Repair T.I. Si n Spilnkler Demolition Chan e of Use <br /> DESCRIPTION OF N JRK(admtwna�sparo prov�ced on the bacti)-. � I Q- �/j r ( S F7�L tS <br /> 'j� ;' ,;J r .i. .�� �1, � �� �{0 0� �Ci u'� �- � � <br /> , �. <br /> (?,3�/a1N �/A1ac,5 �aar� PR.`��i,:�s�y U,v.�i�vrSi��-o /'r�r�i; f.� G /�7/l - 03¢ <br /> MECHANICAL PERINi i .^.PPLICATION PLUMBING PEIZMIT APPLICATION <br /> Type ol ProjecC _Ne�+_Adtln _Alteration_Repair Type ot ProjecC _New_Addn _A��eraUon_Repair <br /> Show Number(N)alllxtwes Shaw Numberlpl ollirfures <br /> AIC—airhandlingupits 3 Toilet <br /> ' Forcedairs stems �'�l, >tiP '� \ Bathtub <br /> Gas pipin � Lavalo (wash basin) <br /> n . Water heat=r � . �L - �� Shower <br /> Gas fireplace ;� 2 Kitchen sink&disposal <br /> Gasran e .i7Jubl Q. Dishwasher <br /> 2 Clothas dryer �� lY1�t Clothes washer <br />' ` 2 Ran e hood Water heater <br /> ,� Exhaust fan� Sink(servlcelbarlmop/r.tc.) <br /> � Heat pump � Backflow prevemer <br /> Unit heater Unnal <br /> - � Roiler• � Dnnkin Fountain <br /> j�- Refrigeration <br /> Floor drain -� <br /> �- Woods;ove �'�i Greasetrap <br /> Roof drains <br /> ; Ductin Mediwl Gas <br /> �' Other_ ., <br /> SPRINKLER I SUPPRESSION SY,�iTEM Olher�i,��. I ir " P ��� <br /> I �� .� Other: Z"i✓c'o� l,i k��� �. <br /> �� Number of Heads <br /> �) I hbm�y cetldy tlia�I hove matl+m�l c�amined Imx aCP�K��^`^�"�k^"`"��'c same lo Ue irve anE conect AII provrsmns N lans and oNnances govemmp No type ol wn�w��Uc compi�c0 <br /> �I <br /> �Mti wTeVie�spcaf�ed herem or nol IDe granling of a pennn daes nol piesume�o grve BUNOMy lo uwbie ar cancel l�e pmvisron ol any ol�e�slele or Ioral law rtqulaln9 i'�"�•���ccon <br /> Thal I em au�hontnl Gy I�e ovmer of mn piopeM�o pedam Ine wak hr vRiic�nppFcabon is made ena 1 compM�����e S�ale ConVettr.'a Law 18.27 RC W enC 29820011�-�.. <br /> � ��, �� --�— 3�°y 3 <br /> L'wnerlAut�onfetl A9ent Slgna�ure <br /> Dole fRevr e�l fi^0�21 <br /> � IZ <br />