Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDINGINlECHANICALIPLUMBINGISIGNlSPRINKLERIDEMOLITION <br /> CITY OF FVERETT PERMIT SERVICES <br /> 3200 Cedar St., EvereH, WA 98201 425-257-8810 FAX 425-257-8857 wvuw.everettwa.org <br /> �6 i <br /> SITEADDRE55: PROPERTYTA%k PERMITMOI�O� v <br /> �oo �cs��a AYe.. �nd looV� <br /> LEGAL lor new consiruction� Snort PlaVsubU�vrsion lot No__ (atlacn copy ol long Iegal aesrnption) <br /> OWNER Pi�d�tCStJCE t�+��-�'0.- l�16� ��-""� F�oneiE•ma�l <br /> ACd�ess 132( ClSI_Y�Y Av�. Ciry/s�ateiz�o�(E�pSC`1' Wl�4• �8?�3�a <br /> APPLICANT: Owncl X OwneYSAgen1 CoNr�[lof CONrddOrSApeni TCndN�monpowoeaieaerotwnsemhomL�oc.ne�uroronmmaspam� <br /> CONTRACTOR }'i2(y.( 6{�T���- F��• tate Lic.# Cit ous. Lic.# <br /> nea�ess I'3'1� �LBY AY� . Phone/Emai� <br /> TENANT BUSINESS NAME CQNTACT FOR PERMIT <br /> tt�NC�R�.I�k�lA(�MEOI'AL.GE4tTE.'fZ t6vtN1 SAYCIS�Z <br /> SLP�P LP.Y� 4 (.�t"A'f1Gt-1 PhonclE-mail 4Z�•Z�J�'DB�OSI�KI�harC.�'1 <br /> BUILDING PERMIT APPUCATION CONTRACT PRICE OF WORK � 149r GL'�. A'� <br /> Existirg Use of[3wldmg NO��Pf'CA(. _ HEAT SOURCE- <br /> Proposed Use of Bmlding___�{__o�'�_L Gas__ Electnc_ _ O�her__ <br /> �wld�ng type: _Single Famdy _Duplex_Townhouse _Multi•Fam�ly ,�Commercial <br /> Tyoe o(pro ec1. New Adddion Remodel _Repair T I _Sign_Sprmkler_DemohUon_Change ol Use <br /> DESCRIPTIONOFWORK(adml�onalspa[op�oaCetlonf�eback) NO,Cj}��fA,(„ �Gj '�(.d1�'(t5�1C�w Cr�7 O�SZT'p+'fJi'�'1 <br /> (.�Q 1�+0 Al1t7 L��+'�b�-1 ���V�C�S 1'6 A1� UF-IGYLLI�'l�� ���'�'f1 hCt' <br /> Uh1(1 . �K�L�Gtlohd tf-lGLU�s �2� 4-lEVv tt-t<L�SZcc�yz V�lALLS AFtocE�Pn-1G.tr1G, <br /> �'LG��t� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Pro�ecl: _New_AdOn _A�loralion_Ropalr TyDo ol Projoct: _Now_Addn _Altoratlon_Repalr <br /> Show Numbei(Nl ol/iwfures S�ow Numbcr Ip1 0���+�ures <br /> A/C -air handling umts Toilet <br /> � Fo�cet av s stems Balhtub <br /> Gas pipmg I.avato (wash basin) <br /> � Water heater Shower <br /> Gas fireplace Kitchen sink 8 disposal <br /> Gasran c Dishwasher <br /> Clotlres dryer Clothes washer <br /> Ranqe hood Walcr healcr <br /> Exhaust lan Sink(servicelbarlmoplelc) <br /> Heat pump l3ackllow prevenler <br /> Und heatcr Unnal <br /> � [3mlcr � Dnnkmg Fountam <br /> Relrigciauon Roor drein <br /> Woodstove Grease trao <br /> Ducimg Rool drams <br /> Q����� Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM O�her <br /> Number ol Heads � Olher. <br /> I�ereUy cenih��at I�ave reaC an0 e>amineE Ihis aDO��wlion and know t�e same to�e Irue and correq.All prw:s�ons cl laws e�d ordlnantes govemmg Ihu lype ol woA m7 be wnplmE <br /> wM1h wneNer specrt�cU�ercin a�not 1Ae graNing of a pertnn dces not pmsvme to gne autnonty to vrolate or tancel ihe previslon ol any oNer stale o�local law regutat�ng conitrunwn <br /> TTat I am amnonxeE OY��e awner ol lnis propeny m petlwm Ine woA lor wT�c�appi¢atron is maGe ana I compry wiln Ne SIa1e Convanoo Law 1B 27 RCW an0�9G 200A WAC <br /> � ��v <br /> � � -�- �3 <br /> � <br /> OwncrlAuthoriz Agent 51 Nu Date (RevisedY'O77) <br />