Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett. WA 99201 -425 25749810 FAX 425.257.8857— www.everettwa.G <br />APPLICATIONS ARC ACCEPTED FROM g AM TO 4 PM 9vwqrg/t -l3 <br />S ITF ADDR�S. <br />PFYTY TU4I�D e <br />PERMIT• <br />LEGAL log now comt%-len $non PIaL uoalv'1;gn _ta1(No _ faith c4ct of Ions legal descrolon) <br />- ---PhOWF...matl <br />OWNER DOVA LA 94S-'Lei�/J <br />l. M r (OV fal <br />Address 13, SP <br />GtyrslIIlu.Y7r0 Y <br />p (,t16 <br />CONTRACTOR (, <br />At ) Al Cis <br />L A I Lic 1f GS ReAC' �1C 3 1e � k <br />F/�G <br />Address O V, M Al MILIA7K� Wfill p s"mnn/Frl Z 1j,y2•cifryoz <br />i&NA IT BUSINESS NAML <br />CONTACT FOR PERMIT <br />DAIAOJ (itU V-J <br />ntvmur[�ad � r Q <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE Or WORK <br />Ealsang Use of Building Dlqit, ___ _ HEAT SOURCE: _ <br />Proposed Use of aulding j'bM4, _ Gas 110Electric— Omer_ _ <br />Budding type; Single Femily _ Duplex , Jownhouse _ Mot;{amity _ Commerclal <br />Type of project:_ New _ Addition — Remodel X Repair _ T.I. _ Sign _Sprinkler _Demohaon_Change or Use <br />Description Of Work lad>nonal apace pnuWed an the back): <br />1 ti i+4"-h QN or- <br />Have you stated working without a purniffo _.. YES ILNO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project __New TAddn _Alterahpm Repair <br />Show Numrnr of fisNres <br />Type or Prop ct _ New _Addn _Allerallon _Napa„ <br />Show Number effusions <br />Al - air handling units <br />_ <br />I Tolle[ <br />_ <br />Faced elf systems <br />_ <br />BatOatt <br />pas in <br />Larrato wash basin <br />atn heeler <br />-- <br />110"f --_- -- <br />IGlchen sink A disposal <br />Ges fdeplace <br />Gas range <br />Dishwasher <br />Clothes dryer <br />_ <br />_ <br />Clothes washer <br />n e huua <br />Waterneater - <br />_._ <br />_ _ <br />Exhaled fen <br />Heai pump <br />Sink(serincelarimaphifc)_ <br />Ratieow prevenler <br />Unghealer <br />Uthyl <br />drain Ounlain <br />leer drain �- <br />Grease bar -- - <br />_ <br />I <br />_ _ <br />filer <br />Clnpereknn -- --� <br />_ <br />- <br />Woodstova <br />_ DuctIng <br />- --_ <br />Rooldrelns <br />Medral Gas <br />Other: <br />Other. <br />O!her_ <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />Number ul Ileads <br />I heresy coney that I have reed and examined this apphcaton and snow the same lobe We and correct. All onvitions al laws and ordinances governing <br />this type of Wort Wil be compiled Wlh whelMQf specified heron or her. The gnnsng of a permit deal Mal presume to give ovthody to violate of cancal <br />the Prowislon of any Olhor stale Of local law ngulasng wriftrueWn or tN per innit ice or continuation. That ISM oudtorded by as! ewnat al Iles preperry <br />rope for �(a*h4ivieratian Is made and I comply with the State Conuacmrs Law 18.2y RCW Ind 296I00 WAC <br />11 <br />GwrretlAuthohaed Agent signature q 1 pale Prevfsed we 111 <br />L lfn <br />