Laserfiche WebLink
12/Q1/2d17 FRI 9: 26 FAX Fa�t WdtOY Heater �Od���07 <br /> P�I�M1T APp�.ICA�IQ�I �I ��� <br /> �U1l.D�Nt� I M�CHANIC,e►L!P�UMF�[NG !5�GIV 1 SP{�iNKLER�D�NJO�.IT'10N <br /> , GITY OF�VERE77 P�RMI"f SERVICES <br /> 320�CEOAR STREkT,EVERET'I',WA 98201 <br /> (P)a25-257-8A1a � FAX 426-257-8857 �(E)everetteps r�evare(lwq.qov� v�nu�v.�veraltwa,govlpermlts <br /> �31ue or 81ack 1nk Onl Pfee�s� Pl�O.DBC'II'$IT�dNP�RNf�4�`I�t�Y ''.� <br /> PROJ�GT SITG AD17R�55: PROP�RTY TAX#: �'� � <br /> L�GAL for naw construotlon: 3no�t PleVaubdlvlalan Zot lvo, � (atteoh copy of lane legal desarlptlan) �� <br /> co�Xr�c-r irv�o��p'rrc�w <br /> OWN�R NAN��; � 7�NAN7"NAIVIE lP Commorclal): �- <br /> OWN�R MAlL1NG AD�R�S9: em��r <br /> GfTY 3TATE 7Jf� <br /> OWN�Ft PHON�: S � OWNER�N1All., —�— <br /> CONT{�4CT01�NANf�: '� S `� T <br /> GONi"F2ACTORADDRE33: arrteEr I S �"" <br /> CfTY � � � STA'TH 21p 1 <br /> CONTRAGTOR PHOfV�: �o�J GONTRAG7013�IUTAII.: �I�,U�l I�S �"11J -1�1 , D <br /> CON7R/aCTOR LICEN3E#(a�QUIR�D): S� �'�I� �j� C�T/OF EV�RETT 6USIN�S8 L,IC�N���1(REQUIRED) ��3 <br /> PR[MARY CONTACT: [� OWN�R CONTRACTOR ❑O7H�R(PleasA SpeCify) <br /> CONTACT NAtVI�: CONTAC7 pWOt��: � <br /> K/'T� 1'�v� CONTACT EMAIL.: ����-� ..�, �'j(�� <br /> BUlL.QIN� P�1�1V��T qpPLI�AT'IOP+f <br /> � �xletfn U9e o(�ulldfn : S " ConCract l�rtca oT Work;�1 � <br /> pF0 o9ed Use of Bulidinc�: Heat 5ource� aa DElectrlc �70iher �- <br /> [3ul[din T e: FR-Detachsd OSFF'.Attached ❑Du fQx C7Mult!-�amil -�#oP Units' �Comrnerclal ❑Induslrlel <br /> a of Proect: ❑New C�AddlYfon C1FFemade) Re e!r �T.I. Q51 n C�S I'Inkler ClDemolftlon �Clian e of Use <br /> D�SCI�IPTION OF WO}2K: <br /> '�v�n oU� � �2.���.�� ��}-S �r��-� � e a,�� <br /> A9SOGIA7�b F�UILDINa PERMIT Y� If a 11caGle: <br /> MI�CHAN�CA�.��RMIM'1'Ai�P1�NCA'�MON PL.UM�31N(d p�RIVIIT A�PLICL►TION <br /> Type ol ProJacf; _New Addn _�Ituretlon _Ropalr lypB of Project: �New �ctcln _/llteratlon �►Zepni <br /> �°� Llsf vP Flxfures #�f LIa!of Flxturea #�� �laf of FlXturas #°� LIs!of F! uYoa <br /> Flxtures Flsrturaa F(xtures Flxturas <br /> A/C-Afr Nendfin UnleB Heal Pum Tolfef B�CfCfloW Pfqv ter Ihs[d6 8td <br /> � Forced A!r 9 atems Unit Hoaler get ub Urfnel <br /> ` Oae Pl in Boller La to Wash Baslli Drinkltt ounteln <br /> ate�Woatel' Refrl eratlon Sh W�I' Flo �aln <br /> c3He Flre faoa Wood Stove Klt hen Slnlc&Dls osa! eaae 7r� <br /> Oaa Ran e bucHn Dls washer Roof Dr�fne <br /> Clothes D er Haoku s Other; Cla ea Washer MedlCal Gas <br /> I�en e Hood Wat H�ater Other: <br /> Exheu�t�an Sink ice/ leto, ofhar; <br /> S��tIM �S�yO M <br /> emlcal arw .af Heade <br /> ,4cKNOWl.EDG�Mk�NT!nave rovlawetl thls appncarlon end aanllrm thelnfomre!!an confaMad hereln!s frue sutl correoE Worlc tlone purauen�lo lhls perm/t must comply wlth <br /> ourrenf lede�e%s�a�e,errd focal law.7he Brantfn9 01 e perm/t vnly autnorizes epproved work end no devlellons�frore�'om-oevl$lJon,s nivat nral Bs surnorizad In wrlf/ng hom the <br /> 8ulfdkry ORldal hePore belnQ aufhorl2ed under any c/roumsfence,I am thv owner, orl�m ea�hodzed by�tNd owner oI�Irls prapsr(y(o perform fhe work Por wh��h eppllcaflon la made, <br /> 9nd/cor»plyWlfh(h9 S191e Conllecfors Lew�B_2T RCW erld 2fld�00A WAG <br /> c�ty or�ver�rt omc%r use oniy <br /> / I � �� PFRMIT i � � ,� <br /> ! <br /> Own f uth0�ze Ag 31gi�eture Date (Rovf6Ad D/23/2016 <br />