Laserfiche WebLink
PERIIAIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLiTION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, V 8201 425-257-8810 FAX 425-257-6857 wUnrceverettwa.org <br /> SITEADDRESS: PROPCRTYTAJ(q PER I h <br /> 3�z, +u z. s� '-��.�;-� C� p � <br /> LEGAL lur new wnslmction� Shorl PlaUsuhdrvisiorU+�1�G��G PA21L �o�No ZZ (atlach ecpy ol long Iegal descnPtion) <br /> OWNER �L.�G \�(�L�r1L `�OW1�GS Phone/E�mail q2S S�i '" Z�d'� ��. <br /> naare55 lZo S i J �ii MA�L- wra, cryisi�t�z�a �J�,CC"� t-�t4 . �tis2GQ <br /> APPLICANT:_Owner _ONnefsl.genl _Conlraqor _Conlrac�orshgent _Tewnt!muei�ti.�m��a�ra�.-.s�mo-o-�i+�-r.rer_,00wo���n��P=�e� � <br /> CONTRACTOR SL�Z.Pv~Tl..rt— ���F' TGS State Lic N56ACCPti $' l) Cil Bus. lic.tf(>C3•�Z �y� <br /> Adaress 5w,,,Kr� Phoneirmad Sp�/�j� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �G�� ('p��>�•L�.( <br /> PnoncrE-mai� s(Z5 5 i C) — 'QLO�Z— <br /> BUILDING PERMIT APPLICATION CONTRAGT PRICE OF WORK <br /> Existing Use of Buildmg HEAT SOURCE: <br /> Proposed Use of 8uilding _ Gas__ Eleclnc__ Other_ <br /> Building type' ✓Singte Family _Dupfex_Townhouse _htulti-Family _Commercial <br /> Type of project� ✓New hddition Remodel Repair_T.I. _Si n_Sprinkl�r_Cemolition_Change of Use <br /> DESCRIPTION OF WORK(acC:rrona!spacc 0�+'aetl cn t�a OacY): <br /> Z��n �.v L�oz ,�i� �3�is:� � QL3 1403 - o� �l <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLiCATION <br /> Type of ProJoct: _Now_Addn _A1loratlon_Ropalr Typo of Pro�oct: _Now_AdEn _Alteralion_Royair <br /> Show Number(k)ol IlzNres Show Numbcr(F)ollixfuics <br /> — NC—air handling units 3 I Toilet <br /> I Ferced air systems Batntub <br /> Gas pi in Lavatorv(wash basin) <br /> ; Waterheater Sho�,��er <br /> Gas fireplace Kitchen smk&disposal <br /> Gas range � UishHasher <br /> � Clotlies dryer Clothes woshcr <br /> � Ran c haod i _ <br /> Eshaustfan I Smk�service/badmoG'��c.) <br /> � j Heat pump �^ � 8ack0ow prevenler <br /> - Umt heater I Urinal <br /> I Bo!ler — I Dnnhin f'ountain <br /> I Refrgeration � Plccrdrain <br /> •— i Woodsrove — i Crease Irap � <br /> Ductin I Roof drains <br /> � Other — � Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I omar <br /> Number af Heads � Olhzr: <br /> 1 M1e�eJy cenly Ihat I�aro re:W anG e.em ne7�hia ap�Le�tivn ana Mn�H the sarca to Ce bue nn0 co:rect All prorz¢n^,ol ta.v:anC cmmanws govemmq i,�is tYpe ol w:rk Hnl ye comp5nl <br /> �mID+net�er fpecireC�etem ci not.iTe pmntng M:l DertnA dces not presume lo gno aut�any lo vlolgle w wncei 1ne prcr�sim al a�Y otlie�state cr lo:�l lr.v rcyulatmg confWdicn <br /> Tnn;i n a�ea oy ihe ownr.r c�h�s property to petlerm me wo�k lor wtiiU epo'iw;ion is maae a�tl i compry w�n tne Sie:e CunCacwe Law 18 P7 ftCW znJ 296 200F tVAC <br /> I <br /> 3- llv-l5 /2 <br /> Ow rlAuthorizod Agont ignaluro Dalc (Hevisetl 72013) <br />