Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Si., Everetl, WI�98201 425-257•8810 FAX 425-257-8857 www.everetrivaorg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �- 5`��� <br /> SIT S: D VNOPER T P RMIT p ' <br /> DD <br /> LEGAL lor new con:Wd:on Snort Pla[suCara�o�i loI 40. Witach co;,�o'long Icqal Cescnptionl <br /> owNeR nho,���„�� — 7 Q ' <br /> aaa�ess G� /� a;y�Staic¢m C� � <br /> APPLICANT: Or.+�er _ Qnnc�SAge'�t Conlrnttor Cantrar.iorsPgent Tenan�p�.,}:�+ry.�narr..�,r�;�sni+u.im�...�..�r�e�...��.�:r�a:�.��i <br /> CONTRACTOR� . � U•FiU l 8 I Lic tt CG JE {� � 7 IZ COE Bus L�c uOV a � <br /> RAAmss �j ;� /r � 7hCne�Email �3 <br /> TENANT BUSINESS AME CONTACT FOR PERMIT �����p�� �, � �G`G_iL- <br /> 7/ <br /> �r.o��r-m„ �D' - <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> E�isung Use of BuJC�rg_ H[AT SOURCE�. <br /> PropoSCA Usc of Bu'ding Ga� _ Eic:�nc _ Oincr <br /> f3w�0ing typc� _S�nqle Famdy _Dupler_Townhouse _`dr.lh-Family _Commerual <br /> Tvpe of o�n�ecY New Addd�on Remodel Repalr T.I S�qn__Sp�im.�cr _Demolition ChanGe of Use <br /> DESCRIPTION OF WORK p�ndo::na�s ace pm.:een r,n me bac�). <br /> �re ,��un�� l,�c�l� - ���c� <br /> MECMANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Project: _New_Addn _Alteration_Repair Type ot P�ojeeL _New_Addn _Al�eration_Repair <br /> Shaw Num6er(pJ ot�rtmes Show NumDer ItlJ o!fiifuros <br /> l�iL"—av hanAlinq un�ls I Tadc� <br /> Fnrced air syslemti I 8at'dub <br /> Gas pipm Lavam� wash basin) <br /> 6Vaier heaicr ' Shoe�cr <br /> Ga5(irep:ace Kdc�en smA&disposal <br /> Gas ranqe I UisnHasher <br /> CIotL•es Aryer C!o!nes washer <br /> Rpnrp I�cwd ��I ti'iter heatel <br /> CH�dusi lan I Sinl lscrv¢ePoarlmop/cIc 1 <br /> I I��;�t pinnp I 6acAliow prevenlcr <br /> Umt hcater Unnil <br /> RoAcr [Jnnimq Fountain <br /> RMnqcrauon Ronr Urnm <br /> Wooestovc Greasc Iran <br /> Ductmn Roc'Crains <br /> Othr.r Me:ir,al Gas <br /> SPRINKLER I SUPPRESSION SYSTEM o;n�, <br /> � Numher ot Heads Othec <br /> I�erepY�h��/Ipat 1 na.'•reTd i'n1 e.ammr�l t0:s aPL'.=;alipn 0W Ano+l�e sdmx lo Dr Iluc nn�mrteU nll prn.6+>ns a'Nw5 urC��inancrs gnvNni�id IN;�yi����I wcrv wdl he[amp�c0 <br /> w:;�wneL�ar SCeCe�I�rren m�al IDn n��:rq ol a pnrtn�rlces rnt Pe<u�ne to piao a.enonp lo v a�a'r n,rar:e�;�r,'vrao�o'anv r,t^e�a:aln or N;.���aw�nG,ia:-p mmbuctr,n <br /> TM1allam . �e�LyPecwoe�o� M1�sG:4�.Tt c.Aun•�.Louo. I�rw�inipn'�:���onlsm f. � �I;n�rC� � I- Sia•rCi•,,octor.Lnw�O:'.CYJ �-,4:�e��94VlAC <br /> s'/s//y <br /> OwnedAulhori d genl5ignafure Da•r (Revisril6':0�71 <br />