Laserfiche WebLink
� <br /> •RMIT APPLICATION <br /> BUILDINGIMECHANICALlPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SER`IICES <br /> 3200 Cedar St., Everett, W� 98201 -425-257-8810- F/U( 425-757-E857 -v�nvw.everettwa.orq <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM //��(��.� <br /> PROPtR1YTA%N PERM N - M <br /> � 70 =' S � �Z1v� w <br /> LEGAL�or new conslructiore Shon PlaVsubdivision Lot IJo._ (��������aP'/of long Ie9at tlescnpuon) <br /> OWNER 1F112 U�—�jC7tJ Phone�Gmad <br /> �ddress -`��9 � "� � �. CAy/SIaIclZip �/�, �S `13� <br /> l �1 LEILiC N <br /> CONTRACTOR CVU� � � - � � �' ' ( _ <br /> Phone/ma5 L O�(0����j5N2�f.L[, ��% <br /> �ddress 2�2.� �AL1 �G <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> PhanelE�ma�l <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK L� Q � <br /> Exishng Use o(Budding _ N@AT SOURC[. <br /> Proposed Use ol Bwlding Gas_ Eicanc_(\ omer_ <br /> f3uilding lype: �Single Famdy _Duplez_Tov+nhouse _Mulli-Fam�iy _Commercial <br /> Type of projecL• _New _Addition _Remodel _Repair�T.I._Sign_Sprinklcr_Demolition_Change ol Usc <br /> Descnplion of Work(adC:l�o�a�space pro�•�cen on me ba=k1 <br /> Have you started working withoul a permit? __YES �NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projecl: _New_Addn _,AlMralion_Rcpair Type ol ProjrcL' _New_AUJn _alieration_Repair <br /> Show Namber(Ml ollirfines Slrow Numbcr(a)ollufurrs <br /> A/C -air handhn unds Todel <br /> Forced air systems _ BatMub <br /> Gas pip�ng _ Lav.lory(wash basin) <br /> Waterhealer __ Shov:cr <br /> Gas freplace _ KA.hen smk E dispOsal <br /> Gas iange = _ Dishwashcr <br /> Ctolhrs dryrr _ Clothc�.viashcr <br /> R�ngc hood _ Watcr hea�cr <br /> - Fahausl lan Sink(5crvicc/barlmopletc) <br /> —:� Heat pump e =f t3ar.klio•.v pieveMer <br /> Und�ealer Unnal <br /> — I �o���� Dnnkmq Fou�lam <br /> Rcingcrahmi Floor dram <br /> — Waodslovc G�casc trap <br /> ---- Uuc'inp _ Rw�Jrains <br /> � Oth�.r Medical Gas <br /> _�-- —_ _ _ <br /> SPRINKLER I SUPPRESSION SYSTEM _ Other <br /> I:Wn'�nrO�Hr,li1: - - —— <br /> I here�y CeNN thal I have�ead ana e�ammed�hr,�pp��cal�on and know Vre same to bc Iwe and conecL Ail prov,ions ol law,and o�tlinance,9ove�mng <br /> ll���.typc ol vm,k vnil 6c compLed rnth vihethcr spcafied herem or nol Thc granlin9 0l a permd docs nol presume to g�ve aa�hordy lo vlolaln or wnccl <br /> �hc prrm;�on nf an ol�er slnte a�loc law regulalin9 conslrucl�on rn the pedormanca ol conslmcUon IM1at I am auihoritetl hy Ihe owner ol t�¢p�operty <br /> 1r>pr,r!onn tN �o/iX lor wh¢n app alion s mada and I cornply vnlh Ihc Slale Conlraclors Lan 1B 27 RGVJ and 296 200 NJAC <br /> `� ', � I 7 /Rov�s�Att?01n) <br /> Ovmcr/Aulhuiited Aycn�Signalufo �'�" <br />