Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBINGlSIGNISPRINKLERIDEMOLITION <br /> CITY OF EVEFacTT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everet�.org�_r` <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PPOPER7Y TAX p P MiT p <br /> SITE ADDRESS: �� � � . I a _ ,/�C/ � - <br /> iv r <br /> LEGAL Ior new consWdion Short PlaVsuWrvie�on Lot No_ (atlach w0Y ol long legal descnption) <br /> PhonrJE-mail -1 L� �'� �"- �G�""l J" <br /> OWNER � � }� /� � .}- <br /> Address �� l,' � �� � I�i �' �� �i CitylStale/Zip L L��' `�t, t � ���� ��� : ���' � <br /> APPLICANT:_Owner _Owner'sAgent Contractor _ConiractofsAgent _Tenantim�+�wo.+��:aa�reram�srni�����++a,°°"°"'"'^°'^'"`� <br /> CONTRACTOR �� I�, C /1��1 � .l�� �' �� L&i Gc.# �1 1'1��� ��t � �Bus. ic. <br /> Pddress l�1 �l C�N- �� ��� � � ��� �� PhonelEmail <br /> TE T/B�USINESS NA(ME / ) <br /> � CONTACT FOR PERMIT /�.7��--���� "� /1 - <br /> ���I IC�� � � I l. �1 ��� J�/�`� � �/ /`i '��� � Phone/E�mail I��L�%lYl IC� 1 "� �Z�- <br /> BUILDING PERMIT APPLICATION CONiancT rRiCE OF wORK �I l �( '� ' � ���� <br /> HEATSOURCE-. <br /> Exisling Use of Bwlding <br /> Gas Electnc Other_ <br /> Proposed Use of Building — <br /> Duildingtype�. _SingleFamily _Duplez_Townhouse _Multi-Family _Commercial <br /> T of roecC � New Adddion Remndel Re air Tl. Si n S rinkler Demolition Chen e ofUse <br /> DESCRIPTION OF WORK(addmona�space prowded on tne vacwl�. <br /> 1 � � ��' i 1'� I ���� L-t�- <br /> � 1��-;btL�!i'l�' f� ��� ���,���1; 'i�,�.� � <br /> MECMANICAL- ERMIT APPLIC:ATION PtUMBING PERMIT APPLICATION <br /> TypeolPrqecC ew_Adtln _A�leration_F.epair TypeolPrqecC _New_Addn _Alteration_Repair <br /> Show Num6er(ft)ol Iixfurcs Show Number(#)o/fixtures <br /> NC-airhandhn unds Totlet <br /> Balhtub <br /> Forcetl au sysiems Lavato (wash basin) <br /> Gas pipin Shower <br /> � Waler heater Krtchen sink 8 disposal <br /> Gas fireplace Dishwasher <br /> Gas ran e Clothes washer <br /> � Clolhes d er Walcr healer <br /> .� - � Ran e hood <br /> Evhaust fan Sink(servicelbadmo letc) <br /> � Backflow prevenler <br /> Heat pump Urinal <br /> Uml heater <br /> Unnkin Fountain <br /> i �v� ' Boiler <br /> I Refri eration Floor drain <br /> Woodslove Grease trap <br /> Roof drains <br /> Ductin <br /> Medical Gas <br /> Other <br /> SPRINKLER 1 SUPPRESSION SYSTEM other. <br /> Olhec <br /> Number of IiGa <br /> �priepy cetlRy Ihai I�avc ma�and ew cA tins app�¢atw i Ynow I�e samc�o Ge Iruc and cortetl.AF provis'°^s ol qws and oNiwnces poveming tlus Iype ot woM1 wil be compNed <br /> ,„u,wn�m��s������a nere�n or noi n gtanlmg ol a pecnf.tice noi presume lo grve aulhoMy m viol�le or efnml me provrsan ol any otner xlaln or Iorai law regulatmg conslmdion <br /> ������� �y I�e mmer ol� is properlY��lx��^^m�' rk lorwhrh aVV����b^�s m. e anC I compry mm me tiia�e Contmcmrs Law IB 2i RC�V and�91i 200F\NAC <br /> // . <br /> � � , � l u% � 2, <br /> / Dale (Rev�sed 6ROtt) <br /> Ownnr/Authorized Agen�Sign re <br /> � <br />