Laserfiche WebLink
09/28/2014 09: 07 4252929068 LOUIS SCHIEIG P--'-CIE 01102 <br /> • 0 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 9820, 425.257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITEADDRESS' P1tOPLRTY TAX# <br /> LEGAL fru now construction: Short Plat/subdivision— _ Lot N©- (attadt wpy 0 long lagal description) <br /> OWNER Phone/L-arW <br /> Addrass CttylStste/Zip <br /> APPLICANT: Owner _0vmer's Aggnt _XContractor _Cora 9ctos's Agent _Tenant(nuiat promEo a fa w of c,wa n Iran the ohawr to do work{{M tv spam) <br /> CONTRACTOR ni �' I is t stale Llc.# nJe2 rN r3 P�7 g 1)Tx CI Sus, Lie_A? <br /> /3 *' iZ -� Phor lEmalf <br /> Address G. !S 3e2 /�lvr tl. .j/ e. ( f,��. - <br /> TENANT 505 NAME- CON—T—AFF6R PERMIT <br /> •..J PhonelE-rna� <br /> BUILDING PERMIT APPLICATIONCONTRACT'PRICE OF WORK /< <br /> CONTRACT <br /> EAstIN Use of Building 0 w r^' IC^ f, 7 c HEAT SOURCE: <br /> Proposed Use of Buildirtg Gas Elactne 04het <br /> Building type- Single Family _Duplex_Townhouse Multi-Fatuity ✓ commercial <br /> T of project: New Addition v' Remodel Repair T.I. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(addi0onal space provided vn the back): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New TAddn _ Afteration_Ropalr Typ of Project: —New_Mdn _XAlWmUort,_Repair <br /> Show Number of 1TXtt M Show f wmb'aw of ffrturw <br /> A/C-air hA"inq units Toilet <br /> Posed airs tams Bathtub <br /> Gas piping tavat wash basin <br /> Water heater Shower <br /> Gas fir ace Kitchen sink&dls al <br /> Gas ran a Dishwasher <br /> Clothes d er Ciothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink sei-Ace/tar/rno etc. <br /> Heat purnp Backflow preventer <br /> Unit heater Urirlai <br /> Boiler Drinking Fountain <br /> Refrigeration E Floor drain <br /> Woodstove Grease tr <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION S"Y"STEM otl�i� <br /> Number of Heads Qilter: <br /> I hemby certify that t have rmad and axaminad th}m avpk,as n and know ma aartte to be true and correct Alf proviaione of fawn and ordinances govemi w&�&t),> of wok 4o bo comp <br /> with whether specflfetl heroin or opt,T40 granfhig of*permR does not pfesurrte to glva authority fo viplate or cartced Hxa provision of any olhar sista of loco taw regaaang corrstrtcbon <br /> That I am authorized by the owner of Chia property to perform tits*,DA for which oppk:awn is mock and t cwnply with the stat©cQnW0C10m taw 18.27 RCW*ad 296,200A wAc, <br /> fAutttoris Agent Sig ee Date (Roviaod 9/2094) <br />