Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION <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 ACCEPTED FROM 8 AM TO 4 PM <br /> SITEAUDRFy�S„O� O^ �S ��� ���� PROPERNTAXN PERMI�� _ <br /> � - �T CiV <br /> LEGAL for ne�v conslmction: Shorl PlaVsubdivision Lol No._ (atlach copy of long�e�al descriptian) <br /> OW NER 1�US t/..1� rU C'e Phone/E-mad 7 06 - 7l�T- ��� �J <br /> Address ��8 /7 / 7G ��' �� CitylState2ips{��//DN'�'� 7� �°' � G�`� <br /> APPLICANT:_Cwner Owner'sAgenl Contraclor _ConlractorsAgenl _Tenant(m�:ip�o„eeamu�r�iro�.�rummir.acwrer�om.�o�k��mescacel <br /> CONTRACTOR / E��S [Qf�u.S � � C �g� ���.� FEosflK�`I6 PE COE Bus.Li:.# <br /> �OZ�5 J/Sl.�vP -�f_ ��/2r{."[ �!'r" pGC/ Phone/Err�ail �ZS ��Zg —��� <br /> Address <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> ��D�7 hPQ/ f � g d. �-��.— PhonelE-mail�2s I 3 2g —��0( <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 6oO <br /> Exisling Use of Building re Si 0�2 HEAT SOURCE: <br /> ���� Gas_ Eleclric� Other_ <br /> Proposed Use o(Building <br /> Building type: �,Single Family _Duplex_Townhouse _Mulli-Family _Commercial <br /> Type o(projecC Ne�v __Addition� Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTIONOFWORK(additionalspaceprovidedontheback): ��� �e¢e� �— �L'�"� <br /> Distira��-fle o/a° �j�3 l;ue wi fZ+ <br /> ��su ��ue � �� ��e <br /> MECHANICAL PERMIT A LIC TION PLUMBING PERMIT APPLICATION <br /> Type af Projecl: _New Addn _Alleralion_Repair Typo oi Projecl: _New_Addn _Altoralion_Repair <br /> Show Nunrber(p)of lix lures Show Num6er(7J)o/Bxmres <br /> A/C—air handling units � Toilet <br /> Forced air systems I Bathtub <br /> � Gas piping i Lavatory(wash 6asin) <br /> Water heafer I Shower <br /> � Gas fireplace I Kitchen sink&disposal <br /> � Gas range I Dishwasher <br /> � Clolhes dryer I Clothes roasher <br /> Range hood Water healer <br /> C-xhausl fan � Sink(service/badmopletc.) <br /> Heat pump I Backllow preventer <br /> Unil heater I Urinal <br /> �oiler � Drinking Fountain <br /> � Refrigeration I Floor drain <br /> N'oodstove Grease lrap <br /> � Ducting I Roof drains <br /> Olher � Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM j Other: <br /> Number of Heads I 011•�er <br /> I hereby cetl�fy thal I hova read and exemined Ihis appliwlicn and knmv Ihe samo to ho Irua and cormcl.Ail provisions cl la�.vs antl ordiwnces goveming thls Iypa olwcik xAI ba camplled <br /> �ea�x�el�e�spen�ed hercin or nol.Tha granlin9 0l u permd tloee nol presuma lo givo out�ority to Ne!ate er wnccl�he pmvis�nn e/any other stata or local lan regulalm9 construaion <br /> Tha1 I am aul�mizetl by o' r 011his pmpchy lo pertOrin Iho worklo�which applitation i9 matle and I Ccmply�n:h t�a S�a�c CoNra[lon La.v iB 27 RCW��d 2?6 200A WAC. <br /> � �` ���� io....:...w<nn.o� <br />