Laserfiche WebLink
i <br /> PEFtMIT APPLICATION <br /> BUILDI�IG/MECHANICALIPLUMSIMG/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www•everetlwa.org <br /> APPLICATIONS ARE HCCEPTED FROM 8 Ah7 TO 4 PM <br /> P RMIT fF <br /> SITEADDRESS; _ ` PROPERTYTAXq z.C� . _ L� <br /> _L L�? '( <br /> LEGPL for new constructlon: ShoA PlaUsuGdivision <br /> Lot No._ (attach copy ol long legal description) <br /> G <br /> OWNER C�}- 1 fSLJ't� Q. Phonel6mail – S � (} <br /> Address � J,�C� 0 SSUT� '� CitylSlatelZip • Y v <br /> APPLICANT:�Owner OwnersAgenl Conlractor _ConiraclofsAgent _TenaN{m�sivmreesianeror�nsemimmmaow��rioaowor�mmaspacel <br /> CONTRACTOR V� L&I Lic.# COE Bus.Lic.# <br /> PhonelEmail <br /> Address <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> PhonelE-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICF_OF WORK <br /> HEAT SOURCE: <br /> Exisling Use of Bui;ding <br /> Gas ElccMc_ Other <br /> Proposed Use of Building � — <br /> Building type: _Single Family _Duplex_Townhouse __Mulii-Family _Commercial <br /> Type of projecl: _New _Addition _Reinodel _Repair_T.I._Sign_Sprinkler_Demolition_,Chan e of Use <br /> DESCRIPTION OF WORK(addifional spacoprovidedon Ihe back): <br /> � ��(7 C�GL{�/L <br /> 0 <br /> h7ECWA��ICAL PERMIT APPLICATION pLUMBING PERMIT APPLICATION <br /> 7ypeofProJucL• _Naw_Addn _Alleretlon_^epalr TypuofProJecf:,_Nuw_Addn _Alteratlon_Ropair <br /> �'�Show Num6er(N)ol lixfures ���Show Number(�l)of fixfures <br /> AIC–air handling unils I� Toilet <br /> Forced air systems I � Bathtub <br /> '` � , Gas piping � -. Lavatory(wash basin) <br /> � �Walerheater � `� Shower <br /> � Gas fireplace Kilchen sink&di_�posal <br /> � Gas range � Dishwasher <br /> � Clothes dryer � C101hes washer <br /> Range hood Water heater <br /> Fxhaust fam, � Sink(Service/bar/mop/elc.) <br /> Heal pump � Backflow� reventer <br /> Uni;heater � Urinal , <br /> Boiler \ � Drinking Foudti . <br /> � Refrigeration � Floordrain <br /> Woodslove \ Grease lrap \ <br /> Uuc�ing I Roof drains �� <br /> Olher P.ledical Gas � <br /> SPRINKLER I SUPPRESSION SYSTEM Olher: <br /> Number of Heads Other: <br /> I hereti/ceNN ihat I hava read and examined Ihis appiicaiion and know ihe same lo ba Irua and rortect.All provisions ellaws and ordiwnres goveming lhis y{'s of workwl�l ba complied <br /> �vAh whelher specifed herNn or nal.TTa granting ol a permil tloea not Dresumo Io give aulhority Io violate or cancel�ho pmrislon of any other slato or local law regulating consirurAion <br /> Tnat I am aNhotized Ey Ihe owner ol l�is pmpe�y�o pedortn ihE work br wfiich apPlicalion Is matla antl I comDN W����ha S�ate Conbacbrs Law 1027 RCW antl Y96 200A WAC. <br /> _� <br /> ;, r � -.,_, ��. <br /> ; . . <br />