Laserfiche WebLink
• � p��N -,osZ <br /> s�+� � 9 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everetiwa.org <br /> Fj(0� APPLICATIONS ARE ACCEPTED FROM 8 AM TO�PM <br /> SITE ADDRESS: �ROiERTY TAIt M RMi s <br /> T�M1� E E " O OOOOUO - <br /> LEGAL lar new[onslmclion SAorl PlaVsubOrvision pdOW �iFQMS�Q ..Lol Aa_� (atlach copy ol long leyal tlescr�pliory <br /> OWNER �j(c(L(Zn� E/�O�W Phone�E-man �' R� <br /> ndaress[.� I N1, IE�JIfwV6�.1 RD. C�iv�Sieie�Z�p �J�h, W�{ O, O <br /> APPLICANT: Owner OwnafsAgent �Convaclor ConliactofsAgeN Tenanlimwworae.i.nao��,a,�i�meo.�e�mao.w.�.m.sv.cs� <br /> CONTRACTOR (cn��2t�pi << L 81 L�c A /�p �� F D' L COE Bus L�c a <br /> 4Z5• +y•. . f� <br /> naaress � �� 'r, 3 �k.SE. $o'T?1Gt.1... WA. $(�IZ Pnone�Emeit [1..SS�L� rl•��^���,� •Co.+� <br /> TENANTBUSINESSNAME CONTACTFORPERMIT �N ��,SSI.Ey �o6-�q9-bZz9. <br /> Phona�E�med W/IJUcS/� L �Ro���ti ,[0.+� <br /> BUILDINfi PERMIT APPLICATION CONTRACT PRICE OF WORN_ <br /> Ezistiny Use o�BuJding HEAT SOUNCE�. <br /> Proposed Use ol8uild�ng S�tiIGL� �/�M�Li Q��DE�I�_ Ges Elecmc_ Other <br /> Building type. �Single Family _Duplex_Townhouse Mutli-Family _Commercial <br /> T pe of pro ecl� �New Atldifon � Remodel Repair T I. Si n SO�inkler_Oemo60on_Chanae nl Use <br /> DESCRIPTION OF WORK�edod�one�spece pm�idedon tna oeck/ <br /> �6e�� :d�a,��£ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Pro�act: �Now_Atldn _Alteratlon_Repalr Typa ol Pro�ocl: _New_Addn _Alter�llon_Repalr <br /> Show NumDer(MJ ol/i+funs Show NumDer(p)ol li+(urea <br /> A/C-av handl�ng units ! Toilel <br /> Forcetl au s slems 2 ' E�athlub � <br /> Gas i m Lavelor wash basin) <br /> Wa�er healer � Shuwer <br /> � Gas lireplace � Kdchen smk d d�s osal <br /> Gas ran e Dishwasher <br /> Clolhes d er Clolhes washei <br /> Ran e hood Waler healer <br /> Ezhausl fan Sink(service/bar/mo /e'c ( <br /> Heal um 9ackllow reventer <br /> Un�l heatcr O Unnal <br /> Boiler O Dnnking Foun�ain <br /> p Reh�geraaon Q Flooi tlram <br /> p Woodslove O C;rease ira <br /> Ductin Roof dreins <br /> Other Med�cal Gay <br /> SPRINKLER / SUPPRESSION SYSTEM Q � Other <br /> Number of Heads � Olher <br /> I A.roOy aMy I�H I�eve re�0 and e�emined��n eppl'[atbn eM�naw I�e mme lo Ee Irue en0 mned AlIO��noro ol lews mE orCinencei goveminq�Mf lyps ol worl n+ll Oe compM1eE <br /> wlln wtu1�N speclGeU�erNna�nol Tl�a pqnl�nq ol�pertOn 0oef M1 pesume Io phe IN�oMy Io vrolale or un[el lne povbon ol�ny olqer fute w bul Inv rtyublinq conatrunan <br /> • TI�N I�m M�w�reE DY tne owner ol�nle propeM lo pMam�he v,ak la xfiich ep0�iulbn b meCe�M I comp7 wB�t��Slele Caitnefas l�w�E 17 RC W�nC 19B t00�WnC. I <br /> ly <br /> /(o <L <br /> Owner/A orltedAgan Ipnalure Date (ReviscC6?OI7) <br />