Laserfiche WebLink
PERMIT APPUATIt 1V <br /> s. BUILDING I MECHANICAL r PLUMBING r SIGN,/SPRINKLER 1`l} EM L.ITIt?N <br /> . CITY OF EVERETT`PERMIT SERVICES <br /> r :3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425.257-8810;1 FAX 425.257- 7 I(E}:ever Sever ya goo I w.ever tt goyIperm s. <br /> (B1u4or f a, <br /> : <br /> `fix <br /> PROJECT SITE ADDRESS: 2,i ‘o: ; ave r+ N .1 A 0C t PROPERTY TAX# 40 000-.114q-( <br /> LEGALfar new construction: Short Platfsubdiyision LottONgo. ((tt i`c opy of icaf9 Iegaielion)' <br /> • WI�IER.$AME*. <br /> Ell,t Irk. hr11r' TENANT NAME(it sSkrE[I1ercCial}: <br /> OWNER MAILING ADDRESS: silkeeT 2%1C)• co esi NAc W t>Ir.. <br /> ow EN..ere-}k STATE ; ZIP Q ;; <br /> OWNER PHONE: t,oL!to- 3"l 5 22. OWNER EMAIL: <br /> CONTRACTOR NAME: "\V„C'C.Y . _ e * <br /> CONTRACTOR AottitESS: .._...._ `t A Ce"-k4rext ittkv, S. Sut Ve Au <br /> ;. xvt STATE' Pk ZIP g1103 <br /> CONTRACTOR PHONE:,2 C *• 2:171'"t o LA to CONTRACTOR EMAUI:.s 45ree INCA fig hva►C VINO,‘1. C <br /> CONTRACTOILICENSE*INQUIRED) '1REE Z" • CITY OF et,ERET,EtUSiNESS LICENSE 0(REQUIRED)0$5,5 411 <br /> PRIMARY CONTACT: b OWNER.. CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2t to.2,2'7-(,r to I ID <br /> 1 4k; CONTACT.EMAIL: <br /> Existing Use of uildding ( traCt•Price of Work:$ <br /> Proposed Use of Building:, Heat Sotnce: .CEGas COElectric, ©Other <br /> Building,Type: °SFR:t tached ©SFR AttAcbeii„ ,CiDuplex C Mt #-Family- of Units: DGc rnercial ndustrial 5 <br /> Type of project ©NNew: (Addition ORamodel DRepair TI, CCSign EiSprinkler li tmlitkrn UChange of iJse <br /> DESCFIPTION OF WORK: <br /> A do 4`• ","4; AC- C:Ct%'+t(NC!), SNI' ,- <br /> ASSOCIATED.SIJILDING PERMIT#(if'applicable);r_ ! ; <br /> `ME0 R$p.ERMI1t:4APp 9`T10 1 f ;107LuMBir$,G4 . ... _A PL CAtf;' ..., - <br /> Type of Project: Nevi Addnlterat Repair Type of PaectWiier Atteratlo , epair_ l <br /> #of' Listof F.Iitturas Futures List*, FP#x# s last of Natures' List-of Fixtures <br /> Rxtures <br /> 'fixtures <br /> jAi -Alt Handling Units , Heat Pump Toilet 8acielow Preventer Onside Bldg) <br /> Forced Air Systems Unit Heater BathtubUrinal <br /> 'Gas <br /> 'Gas Piping. Boiler LaveONaa Basin) Drinking Fountain <' <br /> Water'Heater Refrigeration Shower' `Poor Drain <br /> • <br /> •Gas nrt� Wool Stove wfchen Sink&E#iepctsai GreaeeTtap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> 'Ciothes.O yarHookups ,. .Other:. . . Cicalas Washer f Medical Gas <br /> Ran Hood,_' , Wer Heater Other:, <br /> Exha st,Fari Sink( ervice/Bar/Mcp(etc:) Other'. <br /> SPRIHK ER I4 '.,.. R OSI S rSTEM <br /> Chemical or Water I jNo,of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application end-confirm the fnfointafion contained hereirrL true and.ra/re�t.Work done pi'iwsnt to this permit must cornpty With <br /> c wrent federal.state,and local law:.The gr ting of a pent*eety;euIftwizes Approved wont and no desratfons ttterefrom..Peviations must hist be authorized in witting from the <br /> Building ONicial belbm�rbyeing authorized tinder any circumstance.I wolf*owner,,orl am authorized by the owner of this properly loper nl the work for'whtch application is made, <br /> an $ <br /> d I comply with the t=1=.moors L101+48-27 Rairv,and•29.6. 1 WAC. <br /> 41) <br /> CVof,Evereft Officlat tine Only <br /> PEI! <br /> Owner •. r:~..AgentSigfature Dale (Revised l42"U1 Si <br />