Laserfiche WebLink
� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/�EMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8657 wwv�-everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: PROPERTYTA%tt P RMIT <br /> o� � ck '«� S� t3 -ks, v+�oo,700 o5 -od2 <br /> LEGAL tur new construclion: Shorl PlaUsubdivision Lot No._ (atlach copY of�ong legal desuiplion) <br /> OWNER Q�(�C lTp'�r�cPs 'Q� Phonr�E-maii �'Z9�'2�2� �fle �1��1�I0(ll�'fC <br /> Adtlress � ��7� — IVFi Ciry/Slate2ip {�(�� s��lie 1�2�� <br /> APPLIC.ANT:�„Owner Ownef�Agenl �ConUactor _ConVaqofSAqent _Tenanllm�s�pmvaeaicncrrnwnsemnommemmcrioaowa��nmespaa) <br /> COkTRACTOR Notctrk B�t,.e� S L 8 I Lit.# �k V�--��Z COE Bus. Lic.# _ <br /> Address3 �2 � '�+- � )l�t�� ��(W PhoneJEmairy�-Z9��ZyZ� <br /> TENANT BUSINESS NAME CONTACT FOR.PERMIT <br /> � �+cc�c��c � �eiehac�ekbr��ers.C�-r� <br /> Phoie/E-mail <br /> BUILDINGPERMITAPPLICATION CONTRACTPRICEOFWORK <br /> Existing Use of 8uilding �'� NEAT SOURCE: <br /> Pmposed Use of Building Gas_ Electric_ Other_ <br /> Building;�pe� _Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> T e of ro ect New Addieion Remodel Re air T.I. Si n S rinkler Demolition Ch�n e of Use <br /> DESCRIPYION QF WORK(addifional space pm�ided on me back): <br /> �lM�, ekiS-l-�o'C �jF� rtVl�..c��'{�CCte� �qr�1y� <br /> �%— r�o � C�� �� <br /> YMEClCANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeotProject: _New_Addn _Alleralion_Repair TypeolProject: _New_Addn _Alterstion_Repair <br /> Show Num6er(a)ol�nures Show Number(p)ol firtures <br /> A/C—airhandlingunils I Toilet <br /> � Forced air s slems Balhtub <br /> Gas pi ing Lavato (wash basin) <br /> � Waterheater I Shower <br /> � Gas fireplace � Kdchen sink S disposal <br /> Gas ran e Dishwasher <br /> Clolhes dryer Clothes washer <br /> Ran e hood Water heater <br /> � Ezhausl fan Sink service/barlmo /etc. <br /> Hea!pump Backflow revenler <br /> Unrt healer Urinal <br /> Boiler Drinkin Pounlam <br /> Retri eration Floor dreln <br /> Woodslove Grease Irap <br /> Ducting Rool drains <br /> Olher Medical Gas <br /> SPRINKLER I SUPPRES���DN SYSTEM Olher: <br /> Number of Heads Olher: <br /> 1�ere0y rertily Nat I have rcad and eraminc0 Nisappliralion antl knaw me same lo Oe Ime antl mrtetl.All pmvisions al laws and oNmanres govemino i�is rype ol woA wJi be wmplleU <br /> ��Ih w�elher:peCifieU�erein ar nol.The ganling ol a pertnil Joes not presume la give aulhoMy fa vlolale or ranccl t�e pmvision ol any oNer slale ar Ioral law regulabng conslmdion <br /> TTaI I aut�amea�y the awner al Ni, mpetly lo peNartn the woik for xTitli appliw0on is maUe an0 I mmpry wrt�Uc Slate Coniractnrs Lew 1827 RCW anE t96200�WAC. <br /> � -ro-2�1 <br /> O ner/A than edAgentS lurc Date (Revised62072J <br />