Laserfiche WebLink
, - 2(I�{I►Z ��� o� <br /> ' PERMITAPPLICATION ���mb . <br /> f1 ne <br /> BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLER/D MOL TION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 Cedar St, Everetl, WA 98201 -425-257-8810-FAX 425-257-6857-www evereriwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM <br /> SITE ADDRESS: PROVERIY TAl(R P M T� <br /> b 1 Sflijl � � `�✓ert�-� 0 - <br /> LEGAL for new mnytmtlion Snort PlaUsubCiasion Lot No_ (attatl�copy ol Icng Iegal tlescnDt�on1 <br /> OWNER ►G� -Y �.�[ L Pnonc/E�ma�i <br /> Aaoress f�/'( C�ry/Sta1c/Z�p L�j-L�--}-- y�/q q Lj� <br /> CONTRACTOR SQ,y' LL (lA�lb( j h L 8 I Lic p ,S Z�j�- �U <br /> ,N - 1I '+K�L4o-ui� <br /> lWtlress Z�up � (O lJ� S � �3�o Y�YIWU�eI W^9D0lL PhonMEmaJ � .� UM � ns Nt"f' <br /> TENANT BUSINE55 NAME CONTACT FOR PER�.:T <br /> Pa+�•<c.�. D��Junca. , 4�s'-�.10-Z� si <br /> anonc/F�ma�i I InGc ((,tM{�� {1d ,�iL�' <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK t l. QXS� <br /> Ezisting Use of Bwlding }�1 M1G HEAT SOURCE�. <br /> Proposed Use of Bwld�ng hpMG. Gas Electnc Otner <br /> BwlCing rype �Single Famlly _Duple■_Townhouse _Mul,rFamily _Commerual <br /> Type of cro�ecL _New _�dGdion �C Remodel _Repair_T I._Sign_Sprinkler_DemoGtion_Change of Use <br /> De/senption ol Work�aCaa�ona�space pmvraea on me back�� - r <br /> C.�Y"OU.v�t�(.1�W�(.(_ r r(�,,�A�—�-.-, � ��I�l,u,b�.-5 rElN,� 6�. a-y�oo r2C• <br /> Have you started working without a permil9 _YES�NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Project: _New_Addn _Rltoralion_Repair Type oi Project: _New_AtlAn _Alteratlon_Repair <br /> Show NumDer(OJ of firtures S�ow NumDer fal o/fiRtures <br /> NC-a�rhantllin cnlis ,Toilet <br /> Forcetl a�r s slems � �athlu6 <br /> Gas pipin Lavato (wash basm) <br /> � Water heater Shower �(q <br /> � Gas fire iace Kitchen smk&tlis osal <br /> Gas ran e Dishwashe� <br /> Clothes d er � Clothes washer <br /> Ran e hootl Water heiler <br /> Fxhausl fan 3 Sink Iserv�crlbar/mop�etc� <br /> Heat um AackFlow reventer <br /> Umt hcatcr Unna� <br /> Uoder Dnnkin Faunlam <br /> RMn eration (_ Floortlrain <br /> 1 Woodslove Grease trap <br /> � DucUn Roofdrams <br /> Othcr I Metlical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Q I o�ner � •y <br /> p � <br /> � Number ol Heads � i Othei F (,(K_ 1�C.K. ✓tt�llL <br /> l ILfVV�IC.uC✓ b�C <br /> I here�y mfy t 1 I liave reaG and ev�m�netl tNs appl�catun and Anow the 5ame to De iNe anU Cqrre[t All prov6w�s o laws and oromantes goveming <br /> (his rype i we w�ll be co pli��y,�p y.Tel�er Specihed he�em or nol The gran6nq of a pertnii tlee5 nct presum�e lo grve aNhonty lo vio�ate Or cancel <br /> Ne proviS�on any oth s te or local law rcgNat�ng construq�on or ihe pertormance ol consimction.That I am authonlecl by Ihe ovmer ol lh¢0'operty <br /> to pedor i ih Hoik r � h applirabon is made and I comply�th Ine Stale Cantractors Law�9 27 RGW and 296 200\NAC <br /> 7 <br /> OwnerlAu orizee Ageot Signature Date (Rewsed 2? t) <br /> a � �a � «- 3/3 <br /> ... ,. . <br />