Laserfiche WebLink
PERMIT APPLICATlON <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar S� , Everetl, VJA 98201 425-757-8810 PAX 425-257-8857 v,nw�.everelM+a.org <br /> �- a s - / <br /> SITEADDRESS: PROPfRTYTA%N P RIf IT <br /> � l� P/(� �_ <br /> LEGAL�o�new censl�uct�on� Shod PlaVsuhElvislen Lot No. (atlach ropy ol long legal QeSuiDl',on) <br /> OWNER �..1 IJ Pnone/E-mail 'Z,5'-s�1 - � � <br /> AOC�ess VC�Ef �Q_ CAy�51aIc/Zip �V ej"C.� wA OL�� <br /> APPLICANT: Cwre� Owner'sPgenl �Cont�aclo� ConlraqoisAgenl 7enanl�ma+icm.,oe+��o�ro��o�.e�iro�uao-r����eo.c�rsino.;,,�.� <br /> CONTRACTOR �J�� S Slate Llc # r'uLf-517��4 � Cdy f3us. Lic # <br /> AOEicss ( � �Jer'�-� P"onMEmad NZ�—�3(}- <br /> TENANT BUSINESS NA� COp�TA�hF�O�PERMITM U��� <br /> l� �- <br /> Pho.�e�6mail �r-3 S" L�! <br /> BUILDING PERMIT APPLICATION CONTRACT PR�CE OF WORK F�iL� "' <br /> Ey�shng Use ot Builtling S� H61T SOUftCE <br /> PrcpeSed Use o(jluilCing _ Gas_ EleUnc_ Olher_ <br /> / <br /> Bwltliny lype. ,Smg'c Famdy _Uup�ez_To::nhase _I,tulli-Family _Ccmmeiaal <br /> Type cl pmjett New Addnion Remodel _Repa�r_T I _S�gn SonnFler __Uemcliron _ Chang^ cl Use <br /> DESCRIPTION OF WORK(adanena+spacepra.eeUonrre6aca) <br /> ��v-� T� `D c�-�v czv�e.�,-4 �'s0 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypoolPro�rcl: _New_Atldn _NMraUon_Repair TypoolPro�ecC _New__Addn _Allera�ian_Repalr <br /> Shaw Numbrr(k)u//lxtures Show Numbcr(u)o!FxNres <br /> NC-air handling umts I Todet <br /> Forced air sysfems � �alhtub <br /> � Gas piping - Lavafory(wash bavn) <br /> � Water heater � Shoe:er <br /> Gas fi�epiace � Hdchen sink&disDosal <br /> as range shv�asher <br /> I Ci �esdrycr I Cio es�vashcr <br /> ' Rang ood Watcr ca�er <br /> � Eahaust � Sink(se� celbadmop/e�c) <br /> � Heal pump � E3ackllaw pr� enter <br /> � unit hcatcr I Unna� <br /> � 13oiler Onnking Fountain <br /> � Relrigeration � Flomdra�n <br /> � Woodstovc I Grease tiap <br /> Duc6ng � Rool drains <br /> � Olher � hledical Gas <br /> SPRINKLER I SUPPRESSION SYSTE � Other <br /> Nurrber ol Heads � Other: <br /> I�creby cen ty ihat I have iead and e.art�ned Ihis appbralion and Anow Ine same lo Ce Ime anE mrrcct All pmvisions cl laws anE orC nances govercing t�is I��pe o1woA xill Ce compGed <br /> rvi111 whelner SFecReO�erem er net.Tlle g�Onling el a pertn.t doM�ol pmsvme lo S^C aul�only lo rio�]te or cdnrrl�he pmnsM cl any eNrr slale or lordl Idw regobti�g croshuclion <br /> iTat I�autno�rseJ Uy me o�nrr ot Ihn p�eperty lo peporm ine wak tm�M¢I�aDPuwtion�s ma0e ana I wmpty�.tn v�e SL�te Ccm�acmn lmv IB 17 RCYJan:2?6 2Wr WAC �1�� <br /> � Z 5" I 'a <br /> OwncrlAulhoriied Agen Siqn w alr �Re��rsc�13^.a73J <br />