|
PERMIT APPUCATION
<br /> ,011101,1,111:--- BUILDING I MECHANICAL! PLUMBING 1 SIGN I SPRINKLER! DEMOLITION
<br /> 4111111116/.7"47 ..7 .
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> siiiiiW
<br /> 3200 CEDAR STREET,EVERETT,WA 98201
<br /> -el
<br /> (P)4252$7-8810 1 FAX 425-257-8851 1,tE2everetteo_strp:evere tIviiaeov!,,wvovv,,.taLreretiviie,g:v/pores
<br /> ,) , ---,:- -,- - •- • - -: •:,i)-:)..-1,:::,,7!„' ,' '" '''‘,*0 jEciii siiniit-*0 t,,:s„,-,,,:r,-A',,,,:'•:l';',i,',6j'3,Lm. 'If,"''':',' LL.',, i A •, -- ,,,( ,
<br /> PROJECT SITE ADDRESS: t 0 g 5E
<br /> 0.z,45
<br /> txtv,won t Iirtes„, 1>e,
<br /> LEGAL fee new construction Snort Platieu ,
<br /> PROPERTY TAX#:
<br /> „,„.,Lot No fee:A(11 dot.-,-, ,.--e iong:ea i des-mot:10n'
<br /> votiTA41-- INFORmAviON,
<br /> , .
<br /> OWNER NAME: (A- i • Yr 1- au.Ak TENANT NAME(If Commercial):
<br /> ti.
<br /> OWNER MAILING ADDRESS: smash: 0 * 0 (c.,) ±-1,--) R SE
<br /> ehers LA/ri-- q itC47-2te
<br /> or
<br /> OWNER EMAIL: A/ /
<br /> NVVBATHWORKS,LLC
<br /> cosy:. :,,:,,,;,;. AittoptEssi, 18823TR14t1H AVE NE
<br /> „ --
<br /> CM' ARLINGTON WA
<br /> :ATE z,p 98223
<br /> CON
<br /> TRA •/ 2 ,, ''', • .:,i,. 425-418-9545 et4014e NWBATHWORKS@GIVIAIL,COM tONTRACIOR.
<br /> , , - ,
<br /> CONTRADTOR'LfCEN, SE,t4REQU IREC1)1 NVVBATBL855PA ,,,,, ,, CITY OF EVE_RET T BUSINESS L „ICENSE#(REOUtRED)i 57184
<br /> „,... „ --
<br /> PRIMARY CONTACT: ,,RE)1A/NER 0 CONTRACTOR 0 OTHER(Please Specify)
<br /> CnNTACT NAME: - I 4--foc
<br /> CONTACT PHONE: '-(z j - Z. 1 0 ,
<br /> ------- ,
<br /> ' j kvi-e,s ifNIA. CONTACT EMAIL:
<br /> .
<br /> litliLDItittPalttiMIITMLICA« ..:..0
<br /> 1 .
<br /> tstin. U64,--ce t ,'..g.!,v: Contract Price of Work $ 10000
<br /> :$ ,
<br /> -,. •-- ii- -iflt.))•• :,pir,-:::::::,..,':,, (1,*) :,: ,:(:iliirilr' sW -,'','.i'l".?"0!'Zi:' L:4;...-.;.•, ,.....4-- 7 ' ”
<br /> PrO*osed Use of Solidi qV
<br /> k:...-,.."...,-;,,i,..„AA .,,,...'.0',7:-.., ::,1:1:5E',`:4,*!:,'7.77. i''',.•,;,;:-..:-4--, ,,,,,,,,t.-.,-,:1.1*:41.4.,.' • ' ' • — r..., nLi
<br /> r-t .
<br /> ; -'44c:f Rri;ct- aNevv C3Adclition C3Remodel EIRe•att DT G OSi.rt OS.stnkter t.4Demo
<br /> on Cha - of Use
<br /> DESCRIPTION OF WORK:
<br /> ,i---s-1.- (.."),(i-4-„, "')•-- kl-e),-(-)-.1"'
<br /> ,
<br /> ASSOCIATED BUILDING PERMIT#(if.,!elicable,
<br /> MECHANICAL PERIVIITAPIMICA. .,
<br /> Type of Project: New Addn Alteration Repair ,
<br /> Tria,#:1.::';';':' '7 ;,-;: .•' -.41.04in ,...#4,4!04,*4* ;44MMit*r.
<br /> #0! *of ilt00 #of
<br /> xe
<br /> Lest of Fixtures Fixtures List of Fixtures List or Rrurs
<br /> Fixtures sis* Fixtures
<br /> 44,..Aft;441 ,. ',.'“tirtlitla 1-leat Porno VIZ Backflow Preventer(Inside Bldg
<br /> ... ° . , -
<br /> Forced Air Systems Unit Heater Bathtub Unnal
<br /> -Ges-Pifit-ri$ Boiler Lavatory(tNasti Basin) Drinking Fountain
<br /> Water,Høai Refrivration Shower ,Floor Drain
<br /> ey:-.)Firdtpla80. Wood Stove Kitchen Sink 5 DIsposal Grease Trap,
<br /> \ ---- _
<br /> Ducting Dishwasher Roof Drains OtherClothes Washer Medical Gas
<br /> . „
<br /> Range HoodO
<br /> Exhaust Fan I -)1"kirSin-k iSiferv-ice)SariMopietc.) Otherther
<br /> , -
<br /> ,,
<br /> I 1No of Heads
<br /> ....,..... . . ..., .
<br /> Ae•'',oSif`,;::I;,I.,•';(1:''''''fAi ,„,,.,,,,;-,„,.,:,,;„:I-.''. ,-,,,,,,,,•,'-'-'`„,I-,.',,,'„,.,',„' ,'..,-,::...'„i",,i!:••:-,'i4,...?;4-41.0,„:-*,,44,1,iit,III,:*4::,*„
<br /> , I**
<br /> i ;, ftoV4 .v.i!0:,1e.I'I.I1”:,-II;--,••r„•I. 4iim-t4•i-t:4i.:*00'*4X14--„•,.-,..::1.t.t.o...:'.,,---,,",.,,,..:'*:.,:sq-.41'1,,0-,-,--<„4,.„,...,_,,,,.,,,,.,„w#°7,....477.!',.7'..,w,.m.,,,t,,,.',,,,,,,‘,,,tI,-1.1.-1,..7.-,---„.1-..7.t.,7-1,1,.,-,--,,,----,,I--?--"--",-,,t..-?I-,--„,,„/:-,,,•,,”.,.•,g,.
<br /> de
<br /> -- /G -1 g PSt ERMITIM- 1 Sii()b. .()?1
<br /> ,.......,..4,90,,ille,k
<br />
|