Laserfiche WebLink
PERMIT APPLICATION <br /> BUI LDING/MECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32G0 Cedar St., Everett, WA 98201 -425•257-8810—FAX 425-257-8857—www.evereltwa.org <br /> APPLICAl10NS ARI_ACCEPTED FF20M 8 AM TO 4 PM <br /> SITEADORE55: JC PROPERI\�Tf,%tt P MIT � <br /> ��,�s allo .4u�� '�I I �'Z- OC <br /> LEGAL for new consimclion: Shor�PlaVsubtlivision Lut No._ (attach copy ol long legal description) <br /> � � / 7 � _ - <br /> OWNER �/Xll �.��C(�-�` PhonelL-inail yo�5� (� <br /> Address //Z�-3 �NL) AW� EY F Cip�/StatMLip E✓C./�e� / i !NA �s�nS <br /> CONTRACTOR /�v%�<ai //c�.��%�' r 'u-�'i L&ILic.M �"vT��0.S S�/SQO <br /> Aaar�ss l% 7 ,/�L% � �/ .�t (.,`�G�4 r✓J� PhonUEmail �1�5'-322 —d��y� <br /> TENANT BUSINESS NAME CONTACT FOR PI:RMIT <br /> P�onM6mail <br /> �%2J —JL-'.��S�V9—J <br /> BULLDING PERMIT APPLICATION CORTRACT PRIC'c OF Wi)RK C� �'a'�- �r� <br /> HEATSOURCE: <br /> Exisling Use of Building <br /> Proposed Use of Building Gas_ Electnc_ Other_ <br /> Building type: _Single Family _Duplex_7ownhouse _Multl-Family _Commercial <br /> Type ol projacl: _New _Addilion _Remodel _Repair_T.I._Sign_Sprinkier_Demolition_Change of Use <br /> Description of Work(addrtio/nal space provlided on ihe back): . <br /> iia��/CC< � ��07"r �!;/�7 Gv!! fr:�i�oi�uj 'Y- /7tnJ /�jF:��/J.'J�cl./ _ �.. ���Y�' Uc.> <br /> � -nlL�l•� �c,� C ...-. Itieil.'tTN <br /> Havo you started working wilhout a permil? _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProJecl: _New_AAtln _Alteratlon_ftepalr Type ol ProJect: _Naw_Addn _Aiteration_Repalr <br /> Show Num6cr(p)ol litlures Show Number(a)of/iaYures <br /> � AIC-airhandlingunits '� I Toilet <br /> � Porced air s stems / I Oathlub <br /> � Gas pipin � Lavalo (wash basin) <br /> I 1Naler healer / I Shower <br /> � Gas firep!ace / Kitchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> _ � Clolhesd et � Cloiheswasher <br /> � Ran e hood I Waler heater <br /> Ezhaust fan I Sink(servicefbadmo lelc.) <br /> Heat ump I Backflow preventet <br /> I � Unit heater I Urinal <br /> �oiler � Drinkin Fountain <br /> � Refri eralion I Floordrein <br /> � Woodslove I Grease irap <br /> � Ductin Roof drains <br /> � Olher � Medic�l Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I Other: <br /> � Number of Heads � Other: <br /> I hereby cerh t I have reatl and examineC this application and knrnv Iho same tn be tnie and correcL�il provisions ol laws and crtlinances 5oveming <br /> tnis type ol roB w I be complie0�hlh whether spec.fied herein or nol.The granting ol a permA tloes nol presume Io give aulhonry to vio'atn or canml <br /> ihe provis n ol an otner slaie or local law i ulaiing conslruction or Ihe perlormance of conslruction.Thal I am authori:etl�y t�e ownet at this properry <br /> lo peilor lAe�mr lor�Mlch a li alion i made anA I to�ply Ah Iho SIaIe ConlreClorS Law 18 27 RCW and 298.200 WAC <br /> / ��-�-(��% /�-z �-��Jl <br /> l �� �" - (Revised UPof f) <br /> Owncr Authodzed Agent Sipnaturc Dale <br />