Laserfiche WebLink
�ERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, �NA 98201 425-257-8810 FAX �#ZS-257-8857 :�n,riv.evereth��a org <br /> SITE ADDRES5: p " ' peoc�eRiv rnx a <br /> GZ�4 yH 1,1� . � �/�i2-Ft-l � PEPfAIT� _ O�� <br /> LEGALfcrnewcrnsiruction ShoriFlaUsubciviy,anCASC'�C1fz P�.�` �oin�oZI �, <br /> _ �+ (atlach Copy ol long Icgal Crcrphcn) <br /> OWNERSFL�.��fl�L Q(�•C,<<l� 1�. '/fZs Pho�,:•if'��,ad L}ZS� C'153 � zGOC <br /> !.�]'C5;1 . � �'JT'C <br /> 2G iz.V;:7�. — u cayisimaz�� lzv4Z¢.� i,� - c1G}LGQ <br /> APPUCANT: C:vr,er _G.�ner'sA9en1 f.cn;ric!o• Co��;rac�or,Agent ier,ar.i��..,�,�.-�,,!.•n,..:.,., <br /> -- - — -_. --- . uccnnc.-iuc^�cac,rn�o:+o»:n:�ac:ca.el <br /> CONTRACTOR �-r4CT _Li �� Stale Lic " i� - <br /> - 3l0 o C�ty Bus Lic .'.SFs��i +� -R <br /> PJdress SJ11'HSL Fht:ne:Emaii SA W1 r —. . <br /> TENAN7 BUSINESS NA�AE CONTACT FOR PERM1IIT i <br /> �GL+N J2f(,f—p2C'� <br /> pr,one,E mai C 2�� 3S O�- 4GG'� <br /> BUILDING PERMIT APPLICA'TION CONiRACT PqICE OF WORK <br /> Fxisting U,e of Bw'ding__ ___ __ _ NF11T SOURCE: <br /> Proposzd Use of 9utlWng _ _ _ ___ c;;r; ✓Gi�q�,� C;her <br /> �mlding tyoe �Sing!e Famdy _puplex_lovmhou=_e h7u1!i�Faratly --Cr.n��rnereal — <br /> TYFe r.f prC�;ed�. ✓NP.0 __ Adtldion _ Remetlel _Repar _ T.1 _ S:qn Spnr�d'er _Cereblion Cnarae of Use <br /> DESCRIP710N OF WORK pd:frtronal spece c'r.ded cn tne CacK1 -- --- ---- - - <br /> ��0�10 `�L-r��..> �Z C�2 C7A2a�i� . CIJASI(_' <br /> 3 fl0� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typu of Piojocl: ,New Atle1n Altemlion_Repair Type ol ProjecC _New_Addn Alleration Repair <br /> Shvw Num�er 1��10/lixfures Sirow Num6cr(k)o/lirtums <br /> AIC-air handhnq units "; � iodet <br /> i Forced air sys!ema Z � Nalht�D <br /> � Gas ipmq '— i Lavatcry(wasii C�sinj �-- <br /> � I Water heater - <br /> 1 I S�or:er <br /> � Gas fire lace_ � � Ki;chen sink 8 dis�osal <br /> —��i� Gas rangc Dishw.zshcr <br /> '*"' i I Clathes dryer � Clotfiv5 1485hC1 <br /> ' Ran<enaod --'-- - <br /> ' i W.aterheater <br /> � Exhaust fan I I Sink(;erv¢el�arlmop/elc) <br /> � Heat pump •— <br /> _ � Hacillc.vprevenler <br /> — � Unil he�ter i Unndl <br /> — ! l3niler — -- <br /> _.____ — Dnn6ir�Founlain <br /> — I Refriqeration <br /> ! Wcodslove I Fleor d�a:n <br /> Ducting � Greasclrap _ . <br /> (v � Roof d�ain, <br /> � C�her____ — i Aledical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM — i Otner <br /> i Dlumbcr of Heads � <br /> _ Olhcr: <br /> I;�eip0y cen�i�t",]t I hdve ieud 2��d mNinined:hi5 g�p icJtion arC inmv�he Sairo!p te Ilce ano colt_cl.;a!p�o Ws;eps of I,Mf dnd nrtl�raice;gC�.einiqg I�rs typC ol�mM1,v,-!I Ee co�npl�etl <br /> n;.p�+heNer cpen@ca hrr�i�or naf 'I;e qrarl;ng�r�pemit Cees nat D�esuR�e'o qne:m:f.w:;y lo riolac cr canccl i�e C�'.�sx•i uf any�^.-r xia�e cr icc9laH:epu�aPng co.�a:mct cn <br /> 7�atam t"c:n �Oyl' ownor !t!i;prepe�y'apedonnlhcwuikforv.hrthapP�cTu+�sm�cean�Icomplywun�poSL'dof.cnv;ccn�a.v13Y1RCWunG2Pfi2WAWAC. <br /> \I� <br /> I- ZI- IS <br /> Own r Authorized Ayent 5lgnalura Oate (Rci;sed?l201J) <br />