Laserfiche WebLink
PERMIT APPLICATION <br /> BUIL.DING/MECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMlT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425•257-8810 FAX 425-257-8857 �w.�w.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 Ahi TO 4 PM <br /> SITE AD�RESS�qo2 I ¢ � PROPERN TAX N PERMIT <br /> s+pL W E e�r c�I �D I Z000 IUOG� 1 — <br /> LEGAL lor new con,truclion: Shon PlaUsubdivision�2Ty LS(I{j"S Lot No.Z7 (allach copy o�long legat descnplion) <br /> OWNER �0 rJ /JVJ LLC. PhonNE-mal yls-33�'Sgv4J �� .��1eZSrtNFNv� [T�� � <br /> Gty/State.QiD Mra� G�.t ' rS po 0Z <br /> Address PD Ox � U -y <br /> APPLICANT:_O�+ner �Umer'SAgenl Conire:�or Conirac�or'sAgent _Tenant��.:ic�:.�:oa�ec,ec�cc-sr�nc�:^.ew+�er,aoav.:-r��e.sw:�l <br /> CONTRACTOR �.DR+�ERS'R�`�c {�Gm fS NUl LLL L&I Lic.« oR� 4 V 4'7D coe e�5, uo.K o�l q 197 <br /> aaa�ss �o l3oX �N Z�l �3t=L�C�'�� ,w A 8,�iv��— r�no��ema i �/2 5-33°'S�Pi G:zNe�sx�� f-k CS �, <br /> TENANT BUSINESS NAME CONTACT FOR PERh11T�� ��7ZN`�.f <br /> ano�.crEmaiNr�-7,3°-SB°,,,�°I31� �CaRN�Rsn�eH�res.0 <br /> QUILDING PERMIT APPLICATION CONTRACT PRiCE oF WORK <br /> Existing Use of Building _ HEAT SOURCE: <br /> ProposcC Use of Building NE1�1 SFQ _. Gas_�_ Eiectr�c_ O;her_ _ <br /> 6uilding type�. �Single Family _Dupiex_Townhouse _P�fulti-Family _Commercial <br /> TyGe of projecC Neax _ Addition Remodel __Repair_T.L_ S:cn So�inkler Dem;lnicn Ch�nao o`Use <br /> DES C RI PTION OF�VORK(a�td t onn�space pro�-iCed on r!�e bac6): <br /> ��E.�� �,�_�� � ��=�- �-(2 `� <br /> MECHANICAI PERMIT APPLICATION PLUM61�!G PERMIT APPLICATION <br /> Type of Prcj^ct .�Nmv_Addn _A��eraUon_Repair Typo ol ProJa4 �New_Addn _Alteration_Repalr <br /> S�tia�v Number(k)ol/ixtures Show Number(I!)ol IixNres <br /> A�C—nir handiin units Toilel <br /> I � Forced air s stems 2 Bathtub <br /> Gas pipinq Lavatory(�vash hasin) <br /> Water heater 1 Shox�er <br /> Gas fireplace I Kilchen sink&disposal <br /> ) Gas ran c 1 Dishwashcr <br /> � Clolhes Crycr Ciafhes washer <br /> � Ran e haod � <br /> j Exhaustfan Sink(service/barlmopletc.) <br /> Heat pump �acAflo�v preventer <br /> Unil heater Urinal <br /> �oiler Drinking Fountain <br /> Refrioeration Floor drain <br /> Woodstove Grease lrap <br /> , pi��,���, Rool drains <br /> � Othcr M11eCical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM O�her: <br /> � Nwnbur o(Heads Olher: <br /> I fera��ce��'V��`����'�m re0�nnd e�a-w'af th�a pt�p��t,�!u���n�kre�w Ihu samo to�o I:ua anE corteci AY pmvisions oi laes anA o�dlnances govemuig Ihis typn ol v.atM xill 00 romp'ej <br /> wth wliel�ar spoplbU�oren or not TM B��^�""7����ermA Eces nol procumo l0 9ne authority lo vul ite or o�ecel Ihe C�evisan o�anY o����slale or Itta�4i�.regul�ting consW ciron <br /> i l',hi�am au1�0�iiod�yfl�e or.ner alihis poC�'ly to pedorm I�e wOrk brwhnh BOO�kalqn h madn a�»I wm{y n�,i�l��e Sl.�le Conhdclors La,v 19 21 flCVl an�2J6".COA PJAC I <br /> I / � � <br /> i <br /> � .I'!�� I � / �/ iR=�,..edfl'20121 <br /> Ow or/AulHorized Aqenl Signaluro �•��0 � <br />