|
PERMIT APPLICATION
<br /> BUILDING /MECHANICAL/PLUMBING I SIGN/SPRINKLER I DEMOLITION
<br /> al CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET,EVERETT,WA 98201
<br /> '?).4.25-257-8310. 1. FAX 425-257-8857 1 E)overt
<br /> (.Baas I . 4 koim ,pissie ,a k :yryi I www,eve„ettwa.govlpennits
<br /> PROJECT SITE ADDRESS
<br /> v
<br /> ,4,,,,,,,,,..- ;.'PROPERTY,*TAX!€:
<br /> �Iw��1.r for new construcuon. Short"Platlsubdwrets�i� .�"
<br /> =a-•---•.,.-.n.Let No.. (attach copy of fang legal description)
<br /> ___....,,,,„w ,? b .: >: `. .fit`-, .. _. N Q %Ra..
<br /> 7 1 ;ee TENANT NAME Commercial);
<br /> OWNER MAILING ADDRESS;;
<br /> OWNER PHONE, -
<br /> ' OWNER EMAIL:
<br /> CONTRACTOR NAME:
<br /> CONTRACTOR ADDRESS
<br /> CONTRACTOR PHONE • Q
<br /> CONTRACTOREIVIAlI ' .fit• # ,tl
<br /> ' me.. t -.'si' stet ht*pz$d..,¢,44411 f td Z ....„, q.t. q .. a 4 .....el -d f ”' ':-.<,.
<br /> PRIMARY CONTACT: 0 OWNER , CONTRACTOR 0 OTHER(Please Specify),
<br /> ONTACT NAME:.
<br /> !/k'irJX.J L� CONTACT PHONEZ�J Z�J F `' ..
<br /> _� CONTACT EMAIL
<br /> Q '9t 004%*+)14(1'43 a,.<, -x� ''' '..
<br /> Existtr) Use of Buttal �:; <. �, '! a� �,�.• �- :
<br /> Contract .- ,'
<br /> P�ai�d,UseofSuildt.q; C 4'rlm�afWark : . _ ,.
<br /> SttliN£ T Heat Source: �1 �
<br /> a,PR-a `to 1 SFR -Mit tex ��-y
<br /> ,� ❑Electric ❑Other __
<br /> ,a o.. , QNew _. t>3 lM .. -tQ0int$erctal t , et
<br /> QAddition ❑Rsmofisl I1 a sr IST I .. s LL grip ❑Demolition DIC`han=61-of Lisa..
<br /> DESCRIPTION OF WOIC;
<br /> 90.-5 cc 1cte.52- 1 r)Se,C2 r
<br /> lSS,OCIATED BUILDING PERMIT# ,It.::o'�t�f ..
<br /> .w tis .. 4.^
<br /> �"ypam of Project ,New Addn a � � n � �
<br /> . Alteration Repair
<br /> Type of Project `New TAddn
<br /> Oj” #of _ AlferationRe
<br /> pair
<br /> td Fixtures
<br /> Forced Alr :terns Toilet
<br /> r:-R' t ctHatr '' .
<br /> �" � �1attt :Insld
<br /> Soja
<br /> miiii Water Heater lava i, ."; tS0I�'Baoirt
<br /> i tri. mart• Mimi Stogy �t1k Fountain
<br /> ritiiiitisisiste ffi a o€I Stayenun Il q. oe,-,Ct
<br /> Oawn , � Itrlte j C3s.p3 I
<br /> Nam th Roof-Drains
<br /> .i9.-f-9/11.,„"e,,, ad7;:"::-';!''; • - We ftstt YV AAS<*it Gad.
<br /> sink thee- ' 'ialifiviimemlnillMininiaamilialling, lassommessiani:";7:.'-,11tif4:04,.,,,-,,,,i; ot°,. tio„ri ' '-, „ • ,
<br /> r,•9�l° ,1I+FFCt� ilI t
<br /> Cflemfcat or Water T
<br /> No of Heads
<br /> G#t7StC3T 7 xmI 1 j: r
<br /> errt#�+Iter�1 +* .1400 sikt ipp*.ot100,0n+d ovg 4.fe krlarmaiksn ..i,„.,„6111111:11111111111111111.111111,:.,l raa
<br /> st`*4 //rt#o k 1 Lir dire- ro 'avl',o apprted e7e ctr etrrte4i4 per0#rnu�t
<br /> 4444,09.10:4406,44069 suffre/jot'- • 41r e!rtan-g#a ## devfNtkins ev1e� r ,tel;
<br /> t ac ttr sf:�.rlse:�*t to rp?X c,+ Law rent.R 3,rdrrtit i:9Gv2t'Ca 4.tgoot: l"',tT' +i + fi .EPI tit #ar ine
<br /> 'aleWrzlrrFfftAtjl+foJdertaF� QtrifrepdctitsraXa amid ;
<br /> �� P Cd EverettOfficial
<br /> t
<br /> 22 .1 City 9f O lal Use Only
<br /> • /,
<br /> ert tlt y frd.l?t :. ,. . !O t :.� v ! (/) �� i:1
<br />
|