Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257•8810 FAX 425-257-8857 �w�w.everetriva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> !i �: '� PROPERTYTA%pOI IOIZUL�I,OC� PERMI'p ' `�1G\ <br /> SITE ADDRESS: _ <br /> `�BI I f L W E E'tcT <br /> LEGAL for new const�uclnn. Shcrt Plat'subd�vision�2�7 ��I}� lot No. � (aUac�coDY ol long legal descnpbon) <br /> OWNER ��p n) F r �" /JN1 LV�-� Pho�e�E�ma�l `�ZS-3�J�'s�✓�t'J �t� �1E,25iti�+FNt�["S�u � <br /> �aa�ass t p oX / 4 ,`l c�;y;sia�e!z�o �rLL G�te ' A D 82- <br /> APPLICANT:__O.+ner YjOn'ner'sAgent Coriractor _CenlractotsAgenl _Te�anti.+�s:o�:,�=ea�e-e�_co^sniHor+ee..�euo:+•+n��ces:acel <br /> CONTRACTOR LDR�6P.S'R-�"c {��mfS NLJ L�.�- L81 Lic C ' oRN N 4TU COE Bua Lic. tt D'-19 197 <br /> naares; 7U ('soX �4 2�I �lts L� C��t .w a 9 ,�'i��Z r�none em�i `(t S'-?3.°,5°�'4�i G�zNc�sn� hk c S ��: <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT�� L,��,=N�r.f <br /> Phore%-LmmI �I�-7�^�-S���j' �� Cn1�Aci2STU1Ef'1•>+i[S.l� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF\YORK �� � � ' <br /> Ezistinq Use ol Bu:ldin9 __ __ <br /> HEATSOURCE: <br /> PrcposeCUseoBuilding NEW S�Q _ Gas�_ Eieanc_ O;her___ <br /> Building rype� �Single Family _Ouplea_To�vnhousc _P.1ul;i-Fami�y _Commcrd�i <br /> TypeofprojecC Ne.v _Addilion Remodet _ReGa�r T-I. S�qn Sonn4'er Den•�cldion Chonce e`Usn <br /> DES V RI PTION OF W ORK�ad��oo^a�snace prov�ded on the trz::'� <br /> N6�� �;Ft� — (�n � ic � 3U <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Prolect: ,�New_Addn _Alteralion_Repair Type ol Projecl: �New_Addn _Alleration_Repair <br /> Show N�imber(ff)ollixtures Show Numba(C)ol/ixtures <br /> A/C -air handlinq un�ts Toilet <br /> � Forced air s stems 2 BaUiNb <br /> Gas pipin Lavatory(wash basin) <br /> Waler heater 1 Shawer <br /> Gas freplace I Kitchen sink 8 disposal <br /> J Gas ran�e ( � Di5hwa5hcr <br /> � Clothes dryer Clothes washer <br /> � Rangc hood 'T- 'ti^73tcril�teF <br /> j E.haust(an Sink(service/harlmop�elc.) <br /> Hcit oump BackOow prevenler <br /> Unit heater Urinal <br /> 6oiler Drinkinq Fountain <br /> Refriqer�tion Floor arain <br /> � \Noodstc.e Grease trao <br /> � � Du�t�nc; Roof drains <br /> I n����� Aledical Gas <br /> SPRINKLER I SUPPRE.''iSION SYSTEM Other: <br /> Num6er of HeiCs Other. <br /> i•.�..�:pv:eq�!y IPoI I have reaA anA o.amnnJ C��s aP{��<airin.vn,f�no.m��sa�nr lo he huo and[ort�ci Ali pmvisan5 0l laws an0 OrO�nancas 9oveming t�is lype cl wak wip Oe mmpNrd <br /> ,. ��.nelpnr spenfrotl horen or noi Tlw Braning ol a permA Coes no1 p'esumo lo g��e aul�erny lu volaie oi cancel IOe D�onsron o�any ol�er slala c:bw14�w regWaling:onsWclro� <br /> ,rm� ��na,ehonzeAEylbaownerollhnproportyioDedo�mNeworklwx�kM1app�Ki�unnmaAcanAlcompiym�nlhe5�a�eConlraqorsLaw1B21RC\YanAI96200AWAC. � <br /> � �, � � 7 <br /> `i � � � I rl�... <br /> '- � ` f— � <br /> pwqcriAulhori:cA Agenl Slpnaturo <br /> Dalc Ronsud 6'2012� <br />