Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGNISPRiNKLERiDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everelt, WA 98201 425-257-8810 FAX 425-257-8857 www.everetriva.org <br /> APPLICATIONS ARE ACCEPlED FROM 8 AM11 TO 4 PM <br /> SITEADDRESS: -7 PHOPERTYTA%k PERMI77 t D � <br /> �`�� I I5{PL W E "" i �A. c1J l7I I D I ZU�iD I:JOLI'. 1 I � �� � <br /> �� � S Lot Na� (atlach�.opY a��ong Icgal CescnDUon) <br /> LEGALIornewconsUdction: ShonPlallsubEh�ision Ty L3 T _, <br /> OWNER �p tJ /JW LVL PtonerE�ma�i �ZS-33��'Sgv�l ��Q ¢n1eZ57vvFNc�nci�� ? <br /> n Gry/Slate'Z�P �.6L G.'�L ' A ��z- <br /> Adaress rp �OX � y �y <br /> APPLICANT: Umer YjO.merS.4r,�r! ,Ccnuaticr Ccr.Iraclor'sAgen( _Tenan;;,�,ncn.:;eai�eanccnm�i�omcec.*�e•�:eo.m���,�^es:.�e <br /> CONTRACTOR l��R+�ERS'fLi`�c N�mfS NtnJ L�L L&ILic. � 'oR�'� � 4�� coes�5.u�.av�1q197 <br /> AAdres; �O (��Gx �� Z�� ��15 C-�- �-1��� .W'� q�,CJ�'Z Phona�Ema� �Z���i�i���i _}j a�,•,g�it'�SiNc � = S �; <br /> TENANT BUSINESS NAME CONTACT FOR PERM1VT�� �,��ti�=y�(.J <br /> PP,cne'E-ma.l U7j'7��jc�"S,°���SF C�?GN��25Tcn1EFf'a'MLS.I� <br /> [3UILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ( o � �TD�_ <br /> E.is;in�Use ol E�uilCm,______ . __ __- _ _ HEAT SOURCE�. <br /> Gas_�_ Electri,_ Ot."�c <br /> PrcposoC Use cl l3uilCing tiE W SF�' - -- <br /> 6uilCir.gtypc � SingleFamily _Dupiex_Townhouse _Alulti-Family _Commercial <br /> Tyo�_cf grojecC _\ New __Addition Remodel Repair_T.1. SIGn_._Sprinkler_._Demell�ion _ Chance of Use <br /> DESCRIPTION OF WORK(ar:dmonal space prmidad on fhe bactil: <br /> � r � • � <br /> . / i.r- I ��1 ;;{'r'1 :5�%� ' <br /> ,IE Ll� �'_ � 7' L�IJ � ri � 1 : <br /> �V � ���\ (-/ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> ;ypcolProjecC �New_Addn _Altcralion_Repair TypcolPro�e��� ShowoNuntbeaOol/iroresj'on_Repair <br /> Show NamGc�(#)alliitures <br /> NC-air nanClinq unils ToiIM <br /> � Forced av s stems 2 6ath�ub <br /> G35 pipin Lavaloryl �ash b35in) <br /> Waler henter 1 � Sho�ver <br /> Gas firepl3Ce I Kilchen sink R di5posal <br /> � Gas ran e t Dishwasher <br /> � Clothes dryer I Clothes wa'sher <br /> r <br /> � Ran c hoed - <br /> j Exhaust fan Sink(se-vlmlbarlmoWeic.) <br /> Hcal pwnp Back�ow prevenler <br /> Unil hea�er Urinai <br /> Boiler Drinkin Fountain <br /> Re(ri eration Floor drain <br /> � Woodslove Greasetrap <br /> I � I Ductin Roof Grains <br /> � � Othcr M1ledical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other. <br /> � Number of Heads I Other. <br /> . .;.yn+lAylh.tlll�amma,fandC.drtune]II�s.�I�P�,.�:`�^.ind�nuwiM1�tm'„tot•rtlnnrpndcorttt:l Nlp�a,onscllaasan�or4indneo59ovUmingllnslypaolwaAwAlb:ernnplwf <br /> ., .�o!nars{+ecAmd�ioree�ornol Tho9'anluigdaR'�����I�oesnoipreauni�lopnoautborAytovulY,eorcancellhoGrov¢onolanYolhorslaleo�bcallawreguWlinqronsWtlran <br /> ,���.�1 an nul�oraad by,lho m.ner ol this pmC^M�o p^dorm Inu woik lor nhah apU�Ka�on rs mada ane I w�nply e,t�Ine Sta'�o Co�Vactors Law 1827 RRY anC 296 200A�YAC � <br /> I / 1 l/ <br /> � �'`�� � I � f 'tT!,�' � <br /> , , <br /> Ow�edAuthorized Agant Siqnature <br /> n:r., ��,,�;�,:r r.�o��r a, <br />