Laserfiche WebLink
From: 04!'^�2012 11 :10 x3J4 P.002/002 <br /> � 1 �j`�SB ZO <br /> PERMIT ARPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLEWDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES �{�/$�/1, <br /> 3200 Cedar St , Everett, WA 98201 -425-257-8810—FAX 425-257-8857—www everetMi org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO�PM <br /> 51T ADDRESS' 11 I^ VR07EPTV TA%M P�J�EMIT N � <br /> C�.�i � 'v C �i- f I Y l - <br /> LEGAI�or new conalrucuort Shorl PlaVeubdni�lai Lat No_ (enach coDY ol!on0 ie0d tlenaiDUan) <br /> OWNER L7 � � Pnone�E�mnil � � �. ?J � <br /> 4dOre�f l .JO V`7 1.,.�\1\�U "\ - 1� ���Y�s�o�uz�P E�IeCe. ZG� - <br /> CONTRACTOR ,V L 6 I Lic.M I I G • W S G <br /> Addre�� {uD� 132 A'Ve � �� Q.IL W �jy Phoner[meu .7 <br /> TE ANT 8 5 NESS NAME �+ A i FOR ERMIT 2S (a3(�•? <br /> J uliG �'0.S � <br /> Phona/Etne:l �� Q Q � L� <br /> BUILDIN(t PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> 6xfstinp Use ol BuiWlnq HEAT SOURCE: <br /> Propoaetl Uee of Buildnq Ge� Eieanc omar <br /> Bullelnq tyDe� _ShiQb Femlly _Ouplex_Townhouee Mulll-Femlty _Commerual <br /> Type ol proJecl: _Now _Addilion _Romotlel �Repoir_T I._Sign_Spnnklnr_Damolfllon_C�anpn ol Usa <br /> C•sCtlpllon of Work(etldabm�space povidM on fno b�cA), <br /> R��( �� ac� o�as w a� 1�.�a-1-�-� � n �m�-1 �� I , <br /> Hava you st�rted worklnp wlthoul a pannil7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Ty0�o1Pro��c1: _Naw_Adtln _Altenllon Rep�lr TypeolPro��c1: _New_AtlJn �I4nllon_ReO�lr <br /> S�ow HumDN oI/7rturo� S�aw NumDor M of flrfuna <br /> A/C-elr hentllin unils 7oilat <br /> Forced elr s slams Bethtub <br /> Ges pipin9 Levator waah besin <br /> Waler healcr Showur <br /> Ges fim leco KNchen elnk 8 die osal <br /> Gae ian e Dlahwaene� <br /> Galhold et ClolheEweshef <br /> ftan e hood Weler heeler <br /> Exhaust len Sink servicu/ber/mo /e1c. <br /> Heal um �ackflow reventer <br /> V�it heabr U�mel <br /> Bollar Urinkm Pounlain <br /> RofY aretlon Floor dreln <br /> Woodslove Greeae Ve <br /> Duclin Rocl tlrains <br /> Other Madical Gea <br /> SPRINKLER /SUPPRESSION SYSTEM otnor: <br /> Number o1 Heads I Other: <br /> I hereGy cerlAy Ih�l I�ive reaE�ntl e��min�tl IM��pWiution�ntl krwwllu ume lo b!1lue�nE CArteGt.All plwl�bns o11evA md or0lnence�povominp <br /> Inla rype ol wnik N111 De Complletl Nllh Nhelnar�ped0[411ero1n ar nol TAe prentlnp al�ppnnil tloes nd D�eWme lo plv��u111oNy to vbl�ls or CentN <br /> the provlsion ol eny olher atete a IOCaI law repulelinp cun�IlUCtion or Ihe poAortnence oi Con�VuClion.ih�l I�m eullwtliad by l�e oNnV of Ihi�pfppetly <br /> lo petlorm I�e Mark�o�whic�aOP��ulion Is me0e entl I oomD�Y�M�h IM Sl�le Contr�clon Law 1 D.27 RCW and 2DB100 WAC <br /> nor/AWhor�Apm�n `I I Ol lat� (Revlaatl7/'afl) <br /> Y <br />