Laserfiche WebLink
From: 05/14/2012 12:54 #692 P.002/004 <br /> 53, cI-L475 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 -425-257-8810—FAX 425.257-8857—www.everetAvayrg )N <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROP RN TA%N PERMIT M - <br /> c_-O O <br /> i� �SOGOIUOlOpglo <br /> LEGAL for now construction. Short Plat subdivision - -- Lol NO_ (attach copy of long lleeTg.al descnplion) <br /> OWNER N cla%1`\C "ICs PhonerE•mall (1p 2 0. 3 S\�Gp <br /> Address U I U '•1�7\ C7lJ Clly1SletNzlp GTee(C-�t- w� /`1 r>ZO 2S <br /> CONTRACTOR L&I Lk;.kl I G -• W C <br /> Address0 '52- Pielrp 3` lPhono/Emaill4tiSJo3�3034 <br /> TENANT BUSINESS NAME CfO'r,1TACT/1FOR ERMIT /1 ZS (O ,31 •?D <br /> PnonerE-mas <br /> 3"TIA <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK C__- <br /> Existing Use of Building O p� HEAT SOURCE: <br /> Proposed Use of Building Gasdtrlo_ rlcOmer_ <br /> ofy _ <br /> Building type: p Single Family _Duplex Townhouse _MuHI•Famlly _Commercial <br /> Type of proled: _New -_AddlUon —Remodel Repair_T.1._Slgn_Sp(inkler_Demolition_Change ofUse <br /> Description of Work fadda/onal apace provided on the back): <br /> AmNoll IW� acv- eleckyua R.At ' <br /> Have you started working without a permit? _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New_Adon _Alteration_Repair Type of Project: _Now_Addn _Altorallon _ epalr <br /> Show Numberof fixtures Show Number N of flaturoa <br /> AIC-air handling units Toilet <br /> Forced airs stems Bathtub <br /> _ 1 Gas piping Lavatory wash basin <br /> water heater Shower <br /> Gas fireplace Kitchen sink 8 disposal <br /> Gas re"ya Dishwasher <br /> Clotho•,dryer Clothes washer <br /> Rance hood Water heater <br /> Exlauslfan Sink servicelbarlmo lett. <br /> Haat pump Backflow proventair <br /> Unit heater Urinal <br /> Holler Drinking Fountain <br /> Refrigeration Floor drain <br /> WOodslove Grease trap <br /> Oucting Root Ural". <br /> Other_ Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Hoods Other _ <br /> 1 hereby certify that I have reed and examined this application and know the same to be Inge end coned.As provisions of laws and ordinances governing <br /> this typo of work will be complied with whether specified herein or not.The granting of a pomul does not presume to give authority to violate or cancel <br /> the provision of any other stale or local law regulating construction or the performance of construction.That I am authorized by the Amer of this property <br /> to peerfonin the work for which application In made and 1 comlply win Slate Contractors Law 18.27 RCW and 296 200 WAC <br /> GU+,�r'ne'rl'A-um'orlxotl--Agent P.O.Anne 1 1 Date (Revised 7/2011) <br />