Laserfiche WebLink
11/21/2d1� TUE 11: G2 FAX Fa�t water HOdt�1 ��Q2/�08 <br /> P�RItT11T A�PPLIGA � � � � �� <br /> T10N <br /> ' BUILD[NG 1 NI�CHqNIC,AI,/ �'�.Uf1I1�INC� I 5lcitl /SPI�INKLER/ DEMOI.f'1'ION <br /> CITY OF�V�RETT P�RM37 SERVECES <br /> 3200 CEDAR STRF_�T,�VEft��f7,WA 962U�1 <br /> (P)47-=i-257-8810 { FA?C 425-257-t1d57 �(C)everatteps(�evaretiWd-Bov� www.everettwa.gov/permlt9 • <br /> I�lu�Aw Q�Ira�lc I�t[c �InI PYe��a 1�120.DLGT�1'r'� iN[�OfltMl9.Y�0R�➢ ',1; <br /> PROJECT 3iTE ADDRE55: � pI�OP�RTY T�UC#:�(,J�7�J �D��,� � <br /> L,�GAL.For new wnstructloh: 5hort Plat/aubtlivlslon Lvt No, „ (attooh copy of long legal doaortpflon} ,� <br /> COA�1Tle►CT IL�1P�3ZQ411ATyON <br /> OWN�R NAM�: 7�NANT NAME(I�Commerclaq: <br /> OWN�R MAII.ING ADDR�Ss: s�nEET �i � <br /> CfTY BTATE 21P <br /> oWN�R PHONe: S owNeR EMAII�: `J <br /> COPlTRACTOR AlAM�: � S� � � <br /> CONTRAGTOR Af�i7�2�SS: 87REET I S � <br /> CYYY � � � 9YATe YAF' ` <br /> COAETRACTOR PMaN�: �-'i�S CONTRACTdR LMAIL: 'E�,I� IT S �1� �, O <br /> CONTRACTOI�LIC�NS�#�(FZ�QUIF2ED): r I �� CITY�F EV�RETT BUSIN�SS L.IC�iJB�{I(R�QLIIRFD) ��',3 <br /> C'121iV1�1RY CONTACT: ❑ OWN�R C�NTRACTOR �OTHER(Please SpeClFy) <br /> CONTACT NAME: CONTACT�HON�: L.�� " <br /> K�� ��i'f �� CONTACT EMAlL: ���;1� ��-�� .4e,�, f�� <br /> �UiLDI�d� iP�RMAT�APC+LY�A'1'ION <br /> � Exlstln Usa of 6ulldln : " C4ntract Arlce ef Work: � <br /> f�ro oaod Us6 oPsulldl c; I-IeatSotirce- Gae DElectrlc pON1er -� <br /> Butldfn T s: �I�-qetached ❑SFR-Altachad ODu !ex ❑Mult!-�aml �o(Units' �Commercl�l C]Industrlal <br /> e of Proecf: ONew ❑Addltfoil ClRemodel Re alr �T.I. C7SI n �5 rinkler IJDemotttfon ❑Chan e of Use <br /> I7�SCRIATfON OF WOI�K: <br /> ��r�n o�� � r�e��10�.�� � A-S ��.�-�r � �a;�� <br /> A950GIA7'�D k�UIL.DINp pERMIT�k lF s Ilceblo; <br /> 1VI�CHANIC,A,L P�RIVII'1'APp�IC�l710N PLUIViBII�� aC1�tIV117 I�1PPL1Cl�►TfO�i <br /> rype of ProJaatc �Jew _ Addn y,`4ltsretlon _Ropalr Type of Project: ,_tdew ,_.,�ddn ��4lteratfon .,_Rspafr <br /> #oP l/st oP F/zturss #of Llst of Flxtures ��¢ �ldt of RXtur�a �°f Llst of f�lxf rss <br /> F/xi�res Wj�turee Flxtures �IxYur�s <br /> A/C�Alr Mandlln UnICa Heat Pum Toilot SackflaW Preven Inelde Bld� <br /> f. Foreed Alr S stsme Unft He�ter Qathtub Urinel <br /> ` GQs PI n Bo11er L o Wesh gasln Drinktn � ntain <br /> Walar He�tsr Refrl erafion hoWeY Flqor r1 <br /> Oas Flre lace Wood Slove Kltch�n Slnk&Dls osal o Tra <br /> oae Ran o Ductln Dlshwasher oo ralns <br /> Cfolh�s D er Hooku e � Other: Clatllee aehet MedIC� s <br /> Ran e Hood Water Heater other: <br /> Exh�ust Fan SEnk Servlce/BarlMo / other: <br /> SP�ZIM R$310 M <br /> omlcal or ,oP Heade <br /> ACKNOWLFDc3EM,�NT.-!have revlewad thla sppllcatJon anB conitrm tha In/vmra!!on confa(Red hereR�Is(rua and crorrecf.Wak donv pwsuant ro fhls permlt must comply wRh <br /> ❑crrrenf federel,sfa�a,end rocal lew.1'ha Br�nl/ng ol'e permlt onfY a�lhorltes approvev wan<�nd no devlaflona rhor�frorn.Davlatlons must lfrsl De au(AoNzed h�v.rlt�ng Irom the <br /> BUllding 011JCls!belbre 6eing oufha//zed undBreNy alnCum�f&I1C6.1 em fhe owner,ar I em euthodzMcl by fhe OWne!'ollhfs plopBRy lo pedarm fhe worlc forwhlOh eppllCeflGn IS made. <br /> end l comply WlRt tRe Sfd�e Conflactols�evv id 27 RCW end 296.200A WAC� <br /> C!ty of EvereN Ofl/cls/L19U O»ly <br /> l -� f �l� �����Y�, ,--� � � <br /> ��� � � --� <br /> � � . <br /> own r uEhorze AB s�9naiure Oats l�evae 6 16) <br />