Laserfiche WebLink
No.632o 1 2 <br />Aug. 7. 2014 11:20AM <br />• • <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St, Everett, WA 08201 - 425-257-8810 - FAX 425.257-8857 - iWvw.evereffiva Dr <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM F -Q d - f / <br />SITE AODRFSS: <br />sa"7 , d 1 <br />PRUPEIiIY TAxa <br />c�3 ©o,Oil <br />pE <br />ITa o�7 <br />- L <br />LEGAL'or nix coei lnKlbn Short nloVsubdw.%m Lot No _ lonam xnY et Iorvt �eat1 desaipuonl <br />OWNER dv-. e4-t:2A <br />Phane/Emed &4X <br />Address - LA U <br />ObrSlatellrp W 8 e%n �T <br />/' � <br />CONTRACTOR LT1S y-a+14r']_�/�ore�I 1~ p 81^uc a Y(6)13i 91 �00"I <br />Address 1_JVO ,„ + , •`Q IL TOe o mid phone/rmaA A 00 -7 Q'y -73 ft <br />TENANT BUSINESS NAME <br />IG N(l TACT FOr,,PERMIT ra,66 -71� 7a C-YO <br />1'k ictA:^ <br />rhoodEmal . t <br />BUILDING PERMIT APPLICATION <br />CONTRACT r•RICF OF WOR <br />Existing Use of Building __I_'i <br />_ HF111 SOURCE <br />I <br />Proposed Use of Building 41QVAe- <br />Gas_ Elexvk /d- Omnr <br />Budding type. _LOingle Fel ly _Duplex _Townhouse _ wwramlly _ commercml <br />Type of propct. New _AddNon _ Remodel _ Report _ T.I _ Sign,Spnnklor _Demolition_Change of Uso <br />Description of Work(adddionalspaceprov,dedon thebask) <br />Have you started working without a permit? ___ _ YES _ KhtcT <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typo of Projace _New_AddA —Alteration --.Repair <br />Strow Numher or I7Xi <br />Typo M Project: _New_Addn ­Aheration_Rapah <br />-hav, Number (a) of oxtenN <br />- <br />_ _ _ _ _ <br />NC - air handling un,ts - <br />Toilet <br />Forced airs stems <br />Hatnlub <br />Gas i in <br />Lavato '(wash basin <br />_ <br />Water healer <br />Shower - <br />Gas fireplace <br />_ <br />RltChen Sink IS disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washor <br />_ _ <br />Range hood <br />Water heater _ <br />Exhnust fan <br />sink (serwcarharann etc <br />Heat pump <br />Barhllow preventer <br />_ <br />Unit healer <br />Unnnl <br />_ <br />Boller <br />Drinking Fountain <br />Refri a Ilion <br />Floor draln <br />_ <br />Woodslova <br />Grease Ira <br />Ductin <br />Roof drams <br />_ _ <br />Other <br />Modlull Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other. <br />Number of f leads <br />Other! <br />1 hereby eeroly that I have road and asanxnnd"1is appnslcn and knowthe same to be true and correct As prdwAans of laws and ardnances tiVerrs,q <br />This type of work win be cornplied with Whether sped8011 herein at not The granting of a permit does not presume to two authority to vlalaln or mind <br />Ine Provision of any otter Mate or Io l tow regilatme censVWW or ton police, menel mmtruchon Thut I am nv8+mmd by 0m owner of thisproprAy <br />to perform the work for winch apLllcaeon is made And I comply with die State Conbactols Lew 18 27 RCW and 295 200 WAC <br />(Revised 2POI 1) <br />