Laserfiche WebLink
� • <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA °8201 425-257-8810 FAX 425-257-8857 �Kvw.everetNva.org <br /> SIT.C-A�DRESS: PPOPEflTV TA%F PERMITi�0 2.-00� <br /> �31 �r�st�rY� ./f-�'�t�uC #3a�, ��� > <br /> IEGALfornewtcnsLUL'icn' SnortPlaUsu�tlrvision letNo._ (a!lachcepyollongle9alCescnpLen) <br /> OWNER �l PhonelEma�l <br /> A�dress C�ryl5late/Lp <br /> APPUCANT:�O�cner Ov:nersAgenl _Ccnlractor _Cenlrxclor'sAgenl _TenantfR.���o�c.�eeaicrnmmn,em�:on�neoncrioaow:��n�neswcc� <br /> CONTRACTOR � L�l`�L�� S�V JC�' Slate Lic. d � OS�D C�ty Bus. Lic.d d�/� <br /> wAs !.1 ��.� 9''Id-U �' <br /> AdOress Phone/EmaO' <br /> TF.N NT BUSINE55 NAME CONTACT FOR PERMIT <br /> �,fEst�lfc3•rcrc ����G- �v�uG.,�'�l.n/ru�� C>ERTfi�D To/3;.�.�o ,t/ <br /> PnonMEma�l LS��O — 07 d <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exlsting Use of BudC��ng_ HEAT SOURCE�. <br /> Proposed Use ef Ouotl�ng Gas_ EieUnc _ Olner__ <br /> Bu�ltlmg IyD" __S�ngle Fam�ly _Duptex_TG'a:nnoc5e _�•�ult�-Fam�ly �Ccmmerc�al <br /> T ecf ,roeU New Add�lwn Remodel Fe au TI Sic�n 5 nnkler Demcldion Chanoe olUse <br /> DESCRIPTION OF W ORK/aca�ne�ai space v�onaed on rne�ack1�. <br /> MECHANICAL PERMI7 APPLICATION r P:.UMBING PERMIT APPLICATION <br /> TypeofProjec�: _New,Addn _Alleration_Repair ITypeofPmject: _New_Addn _Alleration_Repair <br /> ShowNum6cr(xlol(�fures 1 ShmvNumbrr(alolli�tures <br /> AfC—�ir handlin umis � Totlet <br /> � �ilhlub <br /> Forced arc s stems � <br /> Gas i in _ Lavato wash basin <br /> Waler heafcr Shower <br /> Gas fre lace Hitchen sink 8 dis osal <br /> Gas ran e I Dishwasher <br /> Clothes d er Clolhes washer <br /> Ran e hood Wa�er�eater <br /> Ewhaust fan Sink servicel6arlmo /etc <br /> Neal um I Backfiow revenfer <br /> Un�t heater Urinal <br /> Boiier Drinkin founlain <br /> Refri e�alion Roor d�am <br /> Waodslove Grease trap <br /> Ouclin Rool drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM otner: <br /> NumberofHeads � Oiher: <br /> I neic0y cendy I�at I nave reaC an�e�dmi.iea Inis applltd0on aoa know ine same la be W e 2.nd conetl.NI provis�oas ol laws and oN nances govem'ng Inls�9e o11voB w;I Ce cDmpl <br /> wn�w�elnrr speafied hersm or not.TTe g�aneng ol a pertnn does nol Dwsume�o give aw�omy lo Wolaie or cancel ino pmvnion ol any at�rr s�ale or local iaw reyNa�n9 consw:t��cn <br /> TTali am awhoneed by ine owner ol ihis pmpeM io petlortn ine work lor w�ic�appi:cal�on Is ma0e anC I compty xit�i�o Siale Conbaciare Law t B 27 RL1V anA 136 200A v;AC <br /> ��/��r Lf /�'—C(�Q'rrr�� _ . ' ". . <br /> <J zvtt.� ,�- <br />