Laserfiche WebLink
Jun. 25. 2012 3:27PM EV�'"REEN STATE HEAi � AC ti'o. 2:�2 F. i <br /> 1 <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALlPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES 6�a 6 —/�- <br /> 3200 Cedar St.,Everell,WA 98201 425-257-8810 FAX 425-257-8657 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM 70 4 PM <br /> SITEADORESS: � �� I `� PROPERIYTAXk P RMIT� I � <br /> Y <br /> LEOAL for w wneWction: Short PlrVeuMlivieion Lol No.� (alUch copy of lonp lepal deccApUon) <br /> OWNER YJ �� ��� Phone/E-meit "'�d��tJ 35�p <br /> Atldrees V�� („� � GtylStele/Zlp V <br /> APPLICANT:_Owner Owner'eAge�l Conlrockr Conlrodarsn9enl ^7amM(�.ap�o.�a..MwaeoouMimme»o.,�.riom�nu..wa) <br /> CONTHACTOtt � L&I Llo.N e Q COE Buc.Lic.M UO I i1> <br /> Addreee 1 Q � Phoro/Em�ll 4 <br /> ENA T U31 38 A E (� CONTAC/T1FO�R,�P�ER�fdI�T <br /> r"�'— ' "��ff �"� �1 `�-� PhonUE-mail <br /> BUILDIN�i PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> 6xislinp Use of Bulldlnp HFAT SOURCE: <br /> Proposed Uae o( ulldlnp �-��v� � v� Ges Ebcl�c Olhar <br /> 6uilding lype: Single Family ^Duplax Townhouee _Mulll-Femlly _Commercial <br /> T e of ro ect: New Addition Remodel Re eir T.I. Sipn S rinklef Demollllon_ChangO of Us� <br /> pESC RIPTION OF WORK(edddrona�epaoe provioad a+rne 6xW: <br /> $v°�a �J�Qng'I � � ���o �.o �u"r'°`c� <br /> MeCHANICAL PCRMIT APPLICATION PLUMBIN6 PERMIT APPI.ICAT1oN <br /> rypeolPro�ect: _New�ddn Ilewllon_Repdr ryp�a/Proj�e1: _N�w_Addn _Alurallon_Rapelr <br /> ShowNumDer(NJo/l/xfurts ShowN�m6f� N OI/lrfunr <br /> A/C-eirhendlin unlls Toilel <br /> Forced air s stems Balhtub <br /> as i in Levalo wash basfn) <br /> Water healer Shower <br /> Gas fire lace Kflchen afnk 8 dlsposal <br /> 6as range Diahwesher <br /> Clolhes dryer Clolhec wa�her <br /> Renre hood Waler heater <br /> E#ieuat fan Sink servicelbar/mo alc. <br /> Heal um Backltowprevenler <br /> Unil heater Urinal <br /> 9oiler Drinking Founleln <br /> Refri eration Floordrein <br /> Woalslove Grease lre <br /> DuCUn Roo(drelns <br /> Olher Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM o�her: <br /> Number of Heads Olhe�: <br /> I hemb�uil1�Ihel I here resd and eumined Ws appkalion eM kllow Ne aame 10 De We�M cOfttd.M poNllMf of M�w�nd adln��d�pav�mYq IhI�yp�dwhYA D!OOfllp�ed <br /> �Nh xAeihar�pedfied henN or roL Th�pi�nUrq ol�p�mil do�t no�puum�lo pMs�ulhMr la Ndafe wpncd Ne ploNtbn ol My dtk!NNe af btel NW fep�M�p�����+� <br /> ilql I am aulla/iteC by Ihe ov.ner dlhls propeM b PMan1��ewwlc/or w1iM�pptailon I�mada end I mmpirwN Ih�SIH�COM�xxor�Lni 10.27 RCW mE 298.200A WAC. <br /> �VQ� l�-� -I 2- <br /> OwnerlAulhorizedAgenl neluro Dete (RaWee06�Jf� <br />