Laserfiche WebLink
��RMI1� APP�,i�ATI� <br /> BUILI�ING1MECbANICAL/PLIJMBINC/SIGN/SPRINK�ERlDEMOL.ITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everethva.org <br /> 9 `� "J�� �S <br /> SITE ADDRESS: PROFEn7Y 7AN M MIT <br /> 3 3U� �� � <br /> LEGAL!or new cons�iuction: Short PlaVsu6tlivislon Lot No._ (atfach copy of Ibng Iega1 description) <br /> UWNER ��.,- p��] Phone/E-mail �a-� �(9 7—/� 7 <br /> Address � p (o � � Cirylstalerzip � <br /> APPLICAN7: Owner _OwnetsAgent �.Gontraclor _CoNractor'sAgent _Tenant�musiPmr�aoomn�rmcansomimmmeowncrioo�woMmm�spa�el <br /> CONTRACTOR rl �-L Stale Lic.# (oV a S� ity Bus. Lic.il O J� <br /> Adtlress�(� � PhonelEmall <br /> C NTACT FOR PERMIT \ <br /> PhonelE-mall � <br /> BUILDING PERMIT APPLICATlON CONTRACT PRICE OF WORK ' 0 °./ <br /> E-xisting Use of Building HEAT SOURCE: <br /> Proposed Use o(Building Gas Ciectnc_ Oiher_ <br /> Bullding type: _Single Family _Dupl�r_Townhousc _Multi•Family _Commercial <br /> Type ol projecL• New Addition Remodel Repair_T.I._ Sign_Sprinkler__Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space provlded on the back): p � � <br /> �'�-aJD � /SCr- �� ,ST!��'r �' L! �`-�� l b /�..t+v/re CvGta-Tl J n� <br /> i�-.�n �q.La---'c.�t- �3a_I F� �-�ri �n..iL- �BC�. <br /> MECHANICAL PERMIT APPLICATtON PLUMBING PERMIT APPLICATION <br /> TypeotProject: _New_ Addn ,�Qleration__Repair TypeolProject: _New_Addn _Alteration_Repair <br /> SAow Number(N)ol fiaYums Show Numbcr(M)ol fixtures <br /> A/C-air bandling unit Toilet <br /> 1=orced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink 8 disposal <br /> Gas range Uishwasher � <br /> Clothes dryc� Clothes washcr <br /> Ran9e hoad Water heafcr <br /> Exhaust lan � � Sink (service/badmop/etc.) <br /> Heat pump �— �ackflow prevenler(inside bldg) <br /> Unil hcater Urinal <br /> Boiler � f7rinkir.g Founlain <br /> Refric�eration � Floordrain <br /> � Woodslove � Grcase Irap <br /> � Duchng � Roof drains � <br /> � . � O�her__ ___n,� _� Medical Gas <br /> SPRINKLER / SUPPRESSION S`fSTEM � olhcr: <br /> Number of I�leads �Other. <br /> ercby�e fity Ihal I hnve Iend and eaamined I�Is appllcnllon�nd kncw the snme to he tme and corrccl.All provislons of law:antl arclinnnces governing t�is lype ol woik wdl 6e complicA <br /> wAh whelh r,pedfeJ he n o�n t.7he 9i.niing a��permit Aucs no:presumc lo n�vo auihonty lo vlo�ale or cnnceNhe pmvL•ion o/any olher,lolrt oi locnl Inw regulalin9 consliuction <br /> iAnl I m ulhonted li e ovmet 1lhis edorm ihr woik for which opplitalion I.mntic onJ I cornply wJ�ihu Slala Cnnlmclnts Law 10 27 RCW anJ 29fi.200A WAC. <br /> c _ rize t ig �urc J/ D�J� (Revised4/70i5) <br />