Laserfiche WebLink
1 <br /> f <br /> � PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERlDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM , _3,d � <br /> SITE ADDRESS: t� eo�� PROPERTY TAX p <br /> �00 3rd �/ �t�c� l�l�� le�"o 2�Q 0002��0�0 PE MITp <br /> . D7- 0 <br /> LEGAL for new conslruction: Shotl PlaVsubdivision Lot No � <br /> _ (atlach copy of long legal d^scdption) <br /> OWNER E p PnonelE�mail 11 J'S�—[u�-�a �{t�pr�c �o��,COUA� <br /> Address IOo2� �3� R � Ciry/5ta(e2ip � �'�O� <br /> APPUCANT:__pw,�er _OwnersAgenl�Conlredor _ConiradofsAgem _Tenantim�.�orwna,ke�,aim„u,nr,,,,,u,eo,,,erooao»m,,,,m,swr.e� <br /> CONTRACTOR L L 81 Lic.# <br /> 319 E � '�9�a� �oE a�5.�,� � <br /> AdCresi �J/1� r LLlN � S Phone/Email �� IG�OSJ/ ��io 6W�fa�✓ <br /> TENANi BUSINESS NAME �'�� <br /> CONTACT FOR PERMIT <br /> 4(�1 ��}a. <br /> �(va.Z9�•Z.O(o'� <br /> Phone/E�mail qr�c✓i [t � SO . CU <br /> BUILDING PERMIT APPLICATION CONTR/' :T PRICE OF WORK - o <br /> Ezisting Use of Bwlding F HEAT SOURCE�. <br /> PropoSEd USe of Building_��-N4.�. Gas Elecinc Other <br /> Building rype: _Single Family _Duplex_Townhouse Multi-Famity _Commercial <br /> T pe ot ro ecC Ne� Addihon _Remodel Re air_T.I. Si n Sprinkler Demolilion Chan e of Use <br /> DESCRIPTION OF WORK/adomona�spacc provided on rne back/: � <br /> �ntST��� �V S'o�a(t � P�kq-r Ta E�c�ST�dC1 �F oF s <br /> ��� <br /> MECHAPJICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typp ol Project: _New_Adtln Alleration_Repair Type ol Project: _New Adtln Alteration_Repair <br /> Show NumDer(p�,�/�xtures Show Number(MJ o/�Mures <br /> A/C—air h:,ndlin units Toilat <br /> Forced air s stems Balhlub <br /> Gas i in Lavato wash 6asin <br /> Water heater Shower <br /> Gas fire lace Kilc�en sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Clothes d er Clolhes washer <br /> Ran e hood <br /> Water heater <br /> Exhaust lan Sink service/barfmo /elc. <br /> Heat um Backflow reventei <br /> Unit heater Urinal <br /> Boiler Drinkin Founlain <br /> Refn eration Floor drain <br /> Woodstove Grease tra <br /> Duc�in Roof drains <br /> Other Mediral Gas <br /> SPRINKLER /SUPPRESSION SYSTEM other <br /> Numher of Heads Other <br /> I hemEy ce�Ry I�al I�ave reaE anC ec�mmeC t�n appl����,��4 know Pn same to�e We and mrtep.All pmnvons ol laws and orilnanxs goveminq Uu lyy,ol wurF wtl De cnmpl�eC <br /> w+��whellier cpcofieA hernin or not.IDe gran�ng of a pertnil doex nol prewme fn B�o awhomy ro vqqle or emrnl Ihr O�ovmon ol anyolher SL�Ie or local bw reguL�ting conslrudnn <br /> Thal I am aulnonzM Ey I�c awner ol t�a property lo peAorm Nc wod lor vRir1�appLra�on is maCe ana I mmpiyvnID i�c Slale ConY.itlors Ww ttl P7 RCW ana PBF 200A W�L <br /> � Z� (� <br /> er/ Whorizetl Ag� rit S' lur p��� <br /> (Revi5e0 6R072J <br />