Laserfiche WebLink
� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION. <br /> CITY OF EVERETT PERIiG!? ccoJICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org (� <br /> APPLICAT10N5 ARE ACCEPI ED FROM 8 AM TO 4 PM �—a I"'�'1 <br /> SITEAD RESS: ',� I GNOPEflTYTAXtI P�MITpo _ <br /> UV � <br /> LEGAL for new consL•ucuon. Sho�PlaUsubdrvision Lot No_ (attaU copy ol iong legal descnption) <br /> OWNER PhoneJE�mail � ' � ' ��<�� r �I <br /> Atldress City/Slale2ip � � —` � V� I� <br /> APPLIG/�NT: IJC(Jwner _Owne�sAgenl �Comractar _ContraaorsAgent _Tenant�m�s�c�orue,ion�roiwot�mnommco�crm�o.,on��m�:�,.,�� ���, <br /> CONTRACTOR D V � L 8 I Lic.# !/l.V G7.� G{ � us. Lic.# II <br /> Atltlress `j{� PhonelEmad � ��'�� <br /> TENANT BUSINESS NAME ONTACT F R PERMIT '� <br /> PhonrJE-ma�l ��� �� �� � � <br /> BUILDING PERMIT APPLICATION �ONTRACT PRICE OF WORK_ �D C� <br /> Existing Use of Bwlding H- T SOURCE <br /> Proposed Use of E3uilding Gas_ Eiecinc__ Other__ <br /> BuAding rype�. �Single Family _Duplex_Townhouse _Mul6-Pamdy _Commeraal <br /> T e of pro�ecc. \ New Addition Remodel Re alr T.L _ Sign.__Sprinkler_Demoli�ion Chan e of Use <br /> DESCRIPTION OF WORK(aadmonai space pro�ided on�he ba�:k) ' <br /> �� � � '� <br /> � <br /> MECHANIC l ERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofProjecC _New_AAAn �Alteralion_Repair TypeofPro�ect: _New_Addn _Alteration_Repair �i <br /> Show Numbm/q)o!/irfures Show NamGer(p)o/lixfurcs <br /> NC-air handlin9 unils I Todel <br /> Forced air,ystems Balhtub <br /> Gas piping Lavatory(wash basin) <br /> Water healer Shower <br /> Gas fueplace Kitchen smk&disposal <br /> Gas range Dishwasher <br /> Clothes C er Clolhes washer <br /> Rangr.haod Waler healcr <br /> Ezhaust(an Smk(servicelbar/mo Ir.lc) <br /> Real pump ��ckllow preventer <br /> Unit healer Uiinal <br /> Ooiler Unnking hounlain <br /> Refngcrati0n Floor drain <br /> Woodslovc Grcase trap <br /> Ducting Raof drains <br /> Other Med�cal Gas <br /> SPRINKLER / SUPPRESSIO X$T M Olher <br /> Number of Heads Olher <br /> i Acrr�y cerlay innl I fcme icaq anJ e�am�ne<l lnis nppli pun.in�l now I�e.imn In pt Ime an0 mner.t Ail piovaion:uf law•.an�l nrtlin:inpr:9nvcimnp Itn•.lype ol wu�k will ln•mmpi�rp <br /> vnRi wOr r r.pcu �ii hr.irin o�not Thc qinnLnp ol a pc il Jo s nol pre,ume lo qrvc aulno�ny in modlc or rinu�l mn provcaon a!anV�Inrr:lalr cr IoeT law rc�ulalm9 mnsimqion <br /> Ihn�m�wlf�mvoif y inc awncr ol mis pmP�'��y b pcilmm wor\Inr hitli applir.vmn i:im�Jc nnJ I canpry vn�h i�in Slam f,onimr:lnr:l.aw III�]fif.W an<I P5f 20UA YJnC <br /> Owncr/AulhonmA A9ml i9nalure Date (Hevrscrl GR017) <br />