Laserfiche WebLink
02/2�/zplg TUE 11: 12 FAx Fa�t water Heater �j009/005 <br /> �b���I <br /> PERMIT APPLICATION <br /> �UfI�D[N� /M�CWANlGAL I �[.UNfBMNG I SIGN I SPRI1vKLER 1 DEMOLlTION <br /> CITY OF EVERETT PERM]T S6RVECES <br /> 3200 CEDAf�STRLET,EVERETT,W�9B201 <br /> (P)<<25-257-B810 � �AX a25-257-8857 �(�)evargtEepOC�gverailwe.gov� v�vvw.evereftwa.gov/pormlts � <br /> �Iea�oY�lac�C lm6C �nl �ie�s� IP�$��R��V`SN7� 9N�'ORM�l4lO1�7 <br /> PROJECT SIT�ADDRESS; � PROPERTY TAX#: � � <br /> �EGAL For new canatructlon: 6nort PiaUaubcllvl�ion Lof No, (attach copy aF fanB��9g1 deacripflon) <br /> CONTACY INFQS2MATI�N <br /> OWN�R NAME: � `S�" TENANT NANlE(Jf Comm rclal): �`� <br /> OWN�R NiAfLING ADDRE59: s�z6Er � <br /> GfT�' g7A7E Z1P <br /> OWN�R PMONE: OWNER EMAtL: �� <br /> CONTRACTOR NAM�; '� S T <br /> CON71Z4GTORADDRE3S: srae�r � � <br /> CRY D � + 6TATE YIP I <br /> CONTRACTOR PHON�; �� CON'fRACTOR�MAII.; ��,V4'1 ITS �'UJ f.. }�, D <br /> COfJ'fRACTOR LICE[�l3��(i2EQUIR�D): S � L CI7Y O��VERET'F BUSINE3S I.IC�NSE�i(R�QUIf�D}• ��3 <br /> PRIh+IARY CUN7ACT� ❑ OWNER �CON"fRL�CTOR �OTHER(Pleasa Spec(fy) <br /> GONTACT NAME: C01+lTACT PHONE: <br /> 1�� �`��v� CONTACT EIVIAIL: .Q�WI�I� l�l, � �'�, �� <br /> BU1L.p1�1� ��RM�T,APPLICAT[ON <br /> � �xiatin Usa of Buildtn : " Contra�t prjce dY Work:$ � <br /> Pro osed Llse of 6ui�d)n : 1-�eat Source� as L�Clectrlc ❑Other � <br /> eulldin T e: SFR-Lletached ❑SFR Attachad �17u lex C7Mult!-Farntf -iF of Units: L7Corrimerclal ❑Industrl�l <br /> T e of Pro ect: ONew D/addition ORemodel Re a!r �7T.1. G7S1 n C�5 rinkle� �Re111011C1Ot1 E�Chanqe oP Use <br /> D�SCRIPTION OF WORK: <br /> ��nn D��� � r��\�C� C-�}"S �o�,�-� �l � a.-�� <br /> ASSOCIAT�D HUILDfNG pERM1T# If ap Ilceble' <br /> M�CHANIGAL P�RMIT APPL.IaAT10N AX,Iy��IN� P��iM�'1'APP�ICI#'T'ION <br /> Type op PraJoct: _New Addn _Alteratlon _f7epair 7ypa o}profoot: �New _�lddn ,�Iteratfan _R�pair <br /> Flxtc es Clef'ot F/xtures �/�u� L�at of Flxturas Flxtur�s L�s Flxturss Llst of� uras <br /> A/G—Alr HandlEn Units Heat Pum 7ollet $flckfiow Pre ter Inside Bld <br /> ; Forced A!r 9 stema Urtit Heater �at ub Urinal <br /> ` C�as A1 fn 6oileC Lav to W�sh Be�sln Drinkln ountaln <br /> Wafer Heaker Refrl eratlon Sh w�r F[oor ratn <br /> Gaa Flra lace Wood Stovo Klt hen Slnk&DEs osal � ase 7ra <br /> Gas Ran e Ducting 1�18 Wa9heY oof Drafne <br /> Clo�hee D er Haolcu a oth�r: Clot es Waehor . edlcol Gas <br /> Ran e Fiood Wsfe Heater her; <br /> Cxhaust F�n Sink S ice/6arJM c. Oi r: <br /> SPBIM I�SS�O 1�'3'�`�IVi <br /> emiCal or W .af Heeds <br /> ACIUlOWLEDG�M�'N7`1 heve revlewod thls appl/o�flvn and con/Am fhe fnto.met�on confalned hvreln!s frue entl correof.Work done puisuent fo Ih�s pennit must comply wl�ir <br /> o�rrenf federel,sta[a,anC looe!lew, TAe�gronf7ng ate permll only atrtno�l�es epAroved wo�k and no dav/arlvns thereh-om.DBvleUons musi Arst ba avthwlxed M wr�tlnB R�m the <br /> Bu/ld�ng ONIC!&!bBlate being eUfho�zed under aqy PIICURIs(e�ce.1 em the aWA8/;or!6m a�fhodzed hy tlle owfle�of lhls pl'OpBlYy 10 pelf0l'/i1 tAe wollf fOr WA/CH 9ppl/Ce!!OA fB m&do, <br /> ena I oompry wrrfr rne S1a�e cor,rsacrors Law 99.a7 RCW ar1U a9e,zaop WAo_ <br /> �( Cl1y vl�verett oHlnlel us�or�ry <br /> � ��O f I�,( PERMIT# � ^ •� py � <br /> � U � 1 �v v�6 <br /> Own uthorze Ag �81gn91w'e DeEe Revfae 923/2096 <br /> _�_..��-- ---- - - .._ � <br />