Laserfiche WebLink
. �� � � � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVE�2ETT PERMfT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITEADDRESS:�r n � � � PROPERivTNCN F M�T� <br /> J at �� �"'` Z <br /> LEGAL far new conslruclion: S�ort PlaVsuEdivisian Lot No._ (atlach copy ol long legal descnption) <br /> OWNER PhonelE-mai y ��j �p�3 <br /> Address SQ CitylSta�elZip �-- a2(j <br /> APPLICANT: Owner OwnersAgenl onirador ConlractofsAgent TP,O00�(muslpmvideatenmolwmantlromNeamar(a0oworkinNespau) <br /> CONTRACTOR Slate Lic.# Ciry Bus. Lic.# <br /> Adtlress PhonelEmail <br /> TENANT BUSINESS NAME CON ACT FOR ERMIT <br /> ��/d �� <br /> Phone/E-mail 60 0�77 <br /> BUILDi.VG PERMIT APPLICATION CONTRACT PRICE OF WORK ({-q � <br /> Exis�ing Use of Building�� P��'T— HEAT SOURCE: <br /> Proposed Use of Building�-�jy�.A(� P Gas_ EleUric_ Olher_ <br /> Suilding lype: _Si Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project:��• New'_Addition _Remodel _Repair_,T.I._Sign_Sprinkler Demolilion_Change oi Use <br /> DESCRIPTION OF WORK(adoitionel space provided on the back): <br /> 1 TIl f. � I'1 C1, �i�Q � <br /> MECHANICAL PE MIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typa of ProJect: _New_Addn _Alteratlon_Repalr Type o(ProJect: _New_Adtln _Alleration_Repafr <br /> Show Number(p)o/lixfures Show Number(M)o/!ixtures <br /> AIC-air handling unils Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water healer Shower . <br /> Gas fire lace Kitchen sink&disposal <br /> Gasrange Dishwasher <br /> \ Clothes dryer � Clothes washer <br /> �Ran e hood Water heater <br /> aust fan Sink(service/bar/mop/etc.) <br /> Hea ump Backflow preventer <br /> Unit h ter rinal <br /> Boiler �nking Fountain <br /> Refrigeratio Flo drain <br /> Woodstove Grea lrap <br /> Ducting Roof dr ' <br /> Other � Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I here6y ce ly Ihel I�ave read anC eramined t�is epplicalion anG know��e sema Io be Irue entl correc�.All provisions of laws enC ordinances goveming t�is lype of work�'nll Ee wmp!ie0 <br /> wil�v.�elb spec�etl�ereinarnal.TTegrentNga/epeimitdoesnatpresumalogiveaulnorilytoviolataorwncelNeprovisionolanyol�erslelearlocallawregulalingconsWclion <br /> That am I�otlud by I�e owner ol ' etly lo peAortn I�e woA lo�whic�epplicalion is maGe anC I compry wA�Ne Slate Cantraclors Law 1827 RCW an0 296.200A WAC. �I <br /> Q (Revised 3R073J � <br /> pw Authorizetl Agen na 0 � <br />