Laserfiche WebLink
��,�q k�m �� <br /> PERMIT APPLICATION �_�� b� <br /> BUILDINGIMECHANiCAL/PLUMBINGISIGN/SPRINKLERlDEMOLITION <br /> C�TY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WP 98201 425-257-8810 FAX �725-257-8857 �vww.everettwa.org <br /> s- l9 -- ► <br /> SITEAD RESS: PRUPEPTYTAXI7 P Mli# <br /> 05- <br /> LEGAL lur new eonslrudion: Shoit PlaVsubdivision Lol No._ (allaeh copy of long legal descriplion) <br /> OWNER PhonelE�mail <br /> AUCress City/Slale/Zip <br /> APPLICANT: Ownei Owner'sAgent Contraclor ConlraelorsAgenl Tenanit����v����o�i�v��oiu�temoom��so+,���i000wo;�nma,p��o� <br /> CONTRACTOR ��(' /1� � Slate I ic �AAI✓n Cit Bus. Lic.# <br /> �ddrrss L� �j�j7 � � Phone/[mail l ��—� �'�7 <br /> TENANT BI.SINESS NAM CONTACT FOR PE IT, <br /> � b��G D� e�er S �S�(�• Phonel[�mail �/��–;f -�/� 7 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK� '— <br /> Fzisling Use of Dmiding HEAT SOURCE: <br /> Proposed Use o(6utlding Gas_ flteclnq__ Other <br /> Bu�lding lype _Single Famdy _Duplea_Townhouse _Ivlulti-Famity _Commeraal <br /> Type of pro�ect. New Adddion Remodcl Repair_T.I. _Sign_ .Spnnklcr_Dzmo!it�on Change ol Use <br /> DESCRIPTIONOF WORKl,3dd�t�c�aispaceprov� eJoniheback <br /> ��l�e� ir�j��� �e/�2� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypuofPro�ecl: _New_AdJn _Nleralton_Repalr TypoolProjecl: _New_Addn _AIMra�lon_Repair <br /> Show Numbcr fal ollixfures Sbow Number(d)of/ixtures <br /> NC–air handlin,q units I Toilet <br /> � forced air sysicros � Ualhtub <br /> I Gas pipin� Lavaiory(v+ash basm) <br /> � Walet healer � Sho���sr <br /> Gas fucplaec I Ki�d;en sink 8 disposa� <br /> Gas range Dishvrashcr <br /> i Clothe,dryer � Clolhes wa,hcr <br /> ! Rangc hood Watcr heater <br /> [xhausl fan � Sink(scrvicclbarlmop/etc) <br /> Heatpump � BackPov+prevenler <br /> Um�hcater I Urinal <br /> � 6oJcr Orinkiny Foun�am <br /> ReG�9cralion � Floordrain <br /> � WOO�SIUVO � Lf(?BSC Ifd � <br /> Duchnq RO01 drain9 <br /> � Olhcr A1edlwl Gas <br /> SPRINKLER I SUPPRESSION SYSTEM � Olhcr. <br /> �_Number ol I Icads I Othcr <br /> I�areyrc�trtyi�allhavoronianJevam�nrJlhuappiica0onanJAnowlhesamelobobucnnAconed Allpiov�:ronsallawe.ndnrE�nancesgOvemin9l�islVPeolwo�kw�AbecompLr.d <br /> w.,�whclncr speu�eJ�acm or nol.Tho granling ol n pcime does nol pmsvmo lo giva avl�orny ta viola'c nr cancel Iho p�ovislon ol anym�cr stala or Iouillaw�egulatinp mnswction <br /> ihal I,m auiM1on:cd Gy ihc axnc�e(�hn piap^_qY�o petlrnm i�e wo�A(o�v.nrU�appLcahon Is maCe anG I mmpl�w�ltl Iha S�a!e Conbnqo:f 1 aw I�27 HCW an0 3'i6 2110A WAC. � <br /> � / <br /> -%�.� .-L1i�11��i �-i9/S/ <br /> Owncr u0wrimd AymilSiynalum Dalc (ReviscA:t90f7J <br />