Laserfiche WebLink
02/10/2017 FRI 12: 25 FAX Fast water Heater 0007/008 <br /> PERMIT APPLICATI <br /> BUILDINGIMEOHANICAL/PLUMBING/SIGN/SPRINKLER/DEMIOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425�257-8810 PAX 425-257--8857 www.evereftwa.org <br /> SITE ADDRESS o PROP RTYT # <br /> P-Somol too a o l- D3 <br /> 1»R'GAL ror new construction: Short Plat/subdivislop Lot No. (attach COPY of lona legal deacrlptlon) <br /> OWN5R R 0 ` 05' ) 8' 1319 <br /> PhonelE-mall <br /> Address V C{ty/state/zip 0q <br /> APPLICANT: OwnOr Owner's Agent Contractor —Contractor's Agent _Tenant(muni provlde a let'erorrnno?nt from trio owner In do work In the space) <br /> CONTR(ACTOR � State Lic.# Uu��-�. lty Bus. LIc. '7} <br /> Address l 1 �PUU�1 �- JAI < <br /> S �/ LJ PhanelEmall01� � W+ I�;S <br /> NANT BUSINESS AME CONTACT FOR PERMIT <br /> T. <br /> Phone/C:melt �YL.� L <br /> FDESCRIPTION <br /> G PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> of t3uliding <br /> o of ulldin <br /> Gas Electrl Other <br /> : ingle Farnl —,Duplex Townhouse Multl-Family _ _ Commerclai <br /> ct: New Addition Romode Re air T.I. 5f n S rinkler Demolition Chen e �Use <br /> ON OF WORK(additional sPsCO Provided on the back): <br /> MECHANICAL aERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> FYPe of ProJacts —New_Addn _Atterntion Rapnlr Type of Prof tact: —N®w—Addn Altarat➢on Rapalr <br /> she er # of f/xtures — — <br /> Show Number # of f/xlures <br /> -air handiln units ToNgt <br /> rorc d alr s stems Bathtub <br /> Bas In Loveto wash basin <br /> Water h ater Shower <br /> Gas fire ce Kitchen sink 8. is oam <br /> Bas ran a Dishwasher <br /> Clothes d Clothes we9her <br /> Range lidod Water heater <br /> Exh t Pan <br /> U061; um Sink ssrvlce/bar/mo /etc. <br /> nit heater Backflow proventer In'slde bldg) <br /> Boller Urinel <br /> Refrigeration DrInkIng Fountain <br /> Woodstove Floor drain <br /> Du c"in OreE18e tra <br /> Other Roof drains <br /> SPRI L SUPPRESSION SYSTEM — �- Medical Gas <br /> Other: <br /> Numb Heads Other: <br /> I hereby aeFtlrythat I have road and oxeminod this eppllomlon and know the eem®to be true end correct.All Provisions of laws end ordlnehcee uLwarnino thio <br /> with wn,thar epaclnaol hereln or not.The gran Iing of a permlt does not presume to give authority to violate or oancel the provibion of any other etel9 or tonal fewregutating oomtrucl pe ofwork will Us P <br /> The't a au the a by the owner OF t la prop®rly to pmrform the work thr which ndpllcatloh la mad0 atntl I vomply with the State r ontra(;tQrs Law 10-7.7 RCW end 290.QOOA WAC. <br /> owner/A t a'lin <br /> D J <br /> govt signal re bete <br /> (Pev/sed 4120iu) <br />