Laserfiche WebLink
From: 021 012 10:50 #541 P.003/003 <br /> �J�10�4g�J <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 .425-257-8810—FAX 425-257.8857—www.everettws o,/ / <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO PM <br /> SITE ADDRESS: PROPERTY TAN a PERMIT a <br /> `lh 1 Sr! o81toT 000t 300 <br /> LEGAL for new construction Shon PleNubdiNsion _-_-_ _Lot No__ (elbch copy of Imp loyal desmptiohl <br /> OWNER <br /> y O �. Pnme/E mai <br /> Address 32 P,I Sw CIty,Statelzip Cveceii, w(\ Glgzo:3 <br /> CONTRACTOR 1'V Q �. L 6 I Lic.M'' II I I G W H94,90 <br /> C <br /> Address lapo 132 PN,e C �� W 3q mronolEmed (p.7 <br /> TENANT BUSINESS NAME CONTACT FOR ERMIT '12.5. 1031p•7Oe� <br /> �ulie Cas `T a lea cowl <br /> Pnonc,EEmad .r <br /> BUILDING PERMIT APPLICATION 1CONTRACT PRICE OF WORK_ — <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use rroo�ff(Building Gas Eloc Olhlher <br /> K Building type: Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: _New _Addition _Remodel g Repair_T.I._Sign_Sprinkler_DemolRlon_Change of Use <br /> Description of Work(additional space providedm the beck): <br /> Re�`n ave '' 10.c e 9 as vJ ci-ke r V\.e cAe/ <br /> Have you started working without a Permit? _YES --NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Adds _Alteration AinepNr Type of Project: Now_Addn _Afteration_Repair <br /> Show Number of fixtures Sri, w Number a of grfures <br /> A!C–alrhandlin units Toilet <br /> Forced air systems Bathtub <br /> Gat piping Lovalo wash basin <br /> Water heater Shower <br /> Oat firelata Kilchen sink 6 ilia oral <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Ra a hood _ Witter heater <br /> Exhaust tan Sink service/bar/mo /etc. <br /> Heat i Unwo Backflow preventer <br /> Un healer Urinal <br /> Boiler Drinking fountain <br /> Rein oration Floor drain <br /> Woodstove Grease Ira <br /> Ducting Roof drains <br /> Other_ Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> 1 hereby certify thea I have read and examined this appl"lion and know Ina fame to be trus and correct.NI provisions of laws and ordinances governing <br /> this type of work will be complied with whether specified herein or hot The granting of a permit time not presume to pale authority td violate or cancel <br /> the provision of any other stale or local Iaw regulating construction or the performance of construction.That I em authorized by the owner of this property <br /> to perform the work for which application Is made and I comply veth the Slate Contractors Law 15.27 RCW and 796 200 WAC <br /> nerlAulhontod Agent pKimaturs ole (Revised TRdit) <br />