Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDlNG / MECHANICAL/ PLUMBING/SfGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT WA 98201 <br /> �P)425-257-8810 ( FAX 425-257-8857 j��}�vercrl{aFs(&'}�svBr�fY�:r��+�� wvv�nr.�v��etivr,�.g�Vf�„��mit� <br /> �E3tu�a c�r`E31��t€ tn� Cint�r P�te�xs�+} � ' '.t���J��"f�fT�'I�IFt,�R�1A�tt'�� � <br /> � � ,.< �,, _. � - <br /> i�t�t?�EGT 5(TE ADDRESS: \ ^ � � <br /> �� ,�'` ,� _ <br /> �� <br /> ' �Y PROPERTY TAX#: <br /> LEGAL for new constrvctio�: Short�F�i�t�subdtv,;;��a <br /> ,..—_...._�_TLcrt No.` (attach copy of long legal descriptlon) <br /> Ct3NTACT It�CFO�Ml17`1C3N <br /> t7YVNER NAME: � . <br /> TENANT NAME{If Comrnercia!); <br /> OWNER MAILING ADDRESS. srREer + <br /> i <br /> cnv �� <br /> OWNER PHONE: �'� ST"r� L'P <br /> �WNER EMAIL: <br /> �ONTRAG7fiC�NAME: `I'� �Y1 C <br /> CONTRACTOR ADDRESS: ,j„�, ���� <br /> STREET <br /> C I lY <br /> Cfi)NT€�ACTOR PHONE: STATE � Z1P � <br /> ��� O � CONTRACTOR EPAAIL• <br /> ��a��r�a��ra��►c�r�s����c�u�r���t: �t .�C) <br /> { _.. _ �tTY'Ot�;C'�tR�TTBU�flV��$LIGEfsi8E#(REQGtIR�U); ��y'�� <br /> _ <br /> t'E�iNtARY CONTACT: ❑p�/1/NER <br /> GCINTRACTOR ❑OTHER(Please Specifyj <br /> CONTACT NAME: <br /> ��� CONTACT PHONE: �'"��� 2CJ. � �t�� <br /> CONTACT EMAIL: � [�A� �� <br /> r{.E: <br /> •��LJti�t�it+�C'P.ERMtT APp�;til:;�:"�fQ�I <br /> � _, .�'�s . - - <br /> �xisfiin Use of Bul#tltn � � � � <br /> C�nfract Price of Work:S ,(`'} <br /> �'roposed Use of 6uiidin ; <br /> Buil�ie� Typa� SFR-C3e,ached ❑5FR-Attached Heat Source: ❑Gas I�ctr�c ❑Other <br /> C�Igzaplex ❑N1u�rf�amFl -#of Units: <br /> T �of Project; ❑New ❑Addition [�Ra;�c�d�! ❑���air ❑T.I. ❑Si n (�� rinkl�r ❑Demolitio�nCo Q���ni�r of U eustrial <br /> DESCRIPTION OF WORK: �nS��I �'���`'� �,QQ, ��(� <br /> �1 -� <br /> ASSf:�CIA7ED BUILDING PERMlT#(if a���Ip�����); <br /> MECHANI�CAC. ��RlVfI7'APRLCCATIt�N ' <br /> rv��or P�o�e�c: _Naw , addr, , ' ��.tlM��l�l�;'P�RM1`t.Ai�Pi.lCAT1t�N <br /> Alteratlon RePafr <br /> !�of #of Type of Project: _New _qddn _Alteratlon _Re alr <br /> fTfxtoras- .____�LS(..+,�I.F-I�tu,C�� L1st af�Jx1ur��-_._. . �of p <br /> �r�r�r�es.._. <br /> �Ixiures _�_-�ls&w��'lxFtetes-.—.. -- .- #of <br /> AJG-A€r Handl#r� !Jri�s _ �--�is�uA�fZttsras _.._�.. �._.. <br /> Forced Air Sys#�rr,s Heat�ur�p -������ <br /> Ftxtures - - <br /> ��������� Unit Heater ���t�� �ackflqw Preventer lns�de Btd <br /> �oi�er Lavatary{W�s��asi�t Ur���l <br /> t�Iafer Ha�ter ��frl �ralit+n 1�ri+�kin Fountain <br /> Gas fiirapiac� Shower ��tl,�t'Qr�in <br /> Gas Rane� �c�aci SEa��rs. ' KriChten�#nk&C}i� casat <br /> Du�fin pisf�wast�er �r��s�Tra <br /> GIotY+es C� �r Houku�s Other: � 1��a�f Drains ' <br /> Ran �Haod Gia#I�es Was�er Meciical Gas <br /> �xhaust�an Water Heater O{��r; <br /> Sink(ServtastBaclMoplBfC. C}fh�r: <br /> SP1ttNKLER`I�I.JPPRE��fCtN SYSTEM <br /> Gh�rntca�or Water No.of Heads <br /> ACKNOWLEDGEMENT.•f have reviewed rh;s application and con/Irm rhe Inlormatlon contalned hereln Is lrue and conact.Work done pursuant fo thls permlt must co <br /> currenf/ederal,sfale,and local law. The granting o/a permi(only authorizes a <br /> Bu/Iding O�cfat bafore being aulhorized under any circumsfance.1 am fhe owner,or t am aufhorized by!he owner of Ihls properfy to peAorm the work for whlch app�l a�/nws made, <br /> pproved work and no deviations lherefrom.Devla!lons must Trst be aufhorizedln writing fiom fhe <br /> and(compfy with!he Slafe Controctors Law 18.27 RCW and 296.200A WAC. <br /> Cfly of Eveietf O/flciaf Use t�nty <br /> �(i � PERMfT <br /> pw arJAuthorired A9 5igr��fur� �� � � � `�� ��' --� �! �� <br /> O�fe ` (R�vissd 8��0�6j <br />