Laserfiche WebLink
IT <br /> BUILDING / MECHANICAL!PILUMBING (SIGN I <br /> SIGN 1 SPRINKLER/ DEMOLITION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 93201 <br /> (P)425-257.5310 f FAX 425-257-8357 ((E)everetteasgewerettlara.gov I www.everettwa gevi_aermits <br /> (Blue or'Black Irtitr:Qniy Please) p <br /> aO,rT sIgtNil<caliriaTcNt;r <br /> 'ROJECT SITE ADDRESS: <br /> LEGAL fc ew xis;lucslo� Short pia subdivision �� PROPERTY TAX# <br /> � (attach copy - �—__ <br /> at No, of long legal description) <br /> CONTACT I0ORMAtIoN; " <br /> OWNER NAME <br /> TENANT NAME(If Commercial); � _J <br /> OWNER MAILING ADDRESS; aliek C <br /> �Ir <br /> j,�� sra7_ 320 <br /> OWNER PHONE: 1p +{} \` +wA IT, <br /> OWNER EMAIL: <br /> CONTRACTOR NAME: r . _____ <br /> , Es c <br /> CONTRACTOR ADDRESS_ `C <br /> srt4=- CC4a <br /> CITY low. AC <br /> CONTRACTOR PHONE: �L, STATE A A-- Zit, f v 20 1 <br /> Z q O 60 CONTRACTOR EMAIL''. ! # It 10 ! Co saTa { - iE - r its . <br /> *7 -at* �. ettt� vEt rsutrss t r >xtRturftEt: jr <br /> PRIMARY CONTACT: 0 OWNER -C-' <br /> I�CONTRAOTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: <br /> 1_ r_ <br /> TO in <br /> PHONE: 142.5 25C1 <br /> 05SO <br /> J CONTACT EMAIL: �, a j a - ilea, <br /> _ea`.J <br /> Existin Use of Buildln <br /> Contract Price of Work: <br /> a;oposed Use of 3ultdi ,. S <br /> 51. <br /> 8�ildin Type: ❑S R-Dekaat,ad r <br /> heat Source: 'as ❑Electric ❑Other <br /> ❑.AFI _er sati ElD�.rai CTMuIti-Faril 4 o Units: �:_ l <br /> Tyaa of R'?)ec`- O New ❑Ad jitian C1Commercial [Industrial <br /> Remodel <br /> DESCRIPTION OF WORK: L�113a„ OT.i. �3i L7.3prinkler 0Deieli€i l�Cha, a of Use <br /> t h 5-166X. SD onVLE:i- IAD s <br /> ASSOCIATED BUILDING PERMIT#(Ir'a;sclt a Ole); <br /> MECHANICAL;PERMIT APPLICATION ri <br /> Type or Project: New Addn -; 113)irt{i; II�ItI� 1 �.r��`i � <br /> hof Alteration _Repair <br /> Type of Project: New gddn Alteration Repair <br /> �s rT[7nis GGs(ttFExlW[ss _ tt of #of <br /> minFp 3a, r t st of a�Jair re; tf of <br /> AtC—Air Handling Units Fixtures Ulf a<Fixturer g <br /> IIIIIIIIIIII <br /> Fixtures <br /> Forced Air Systems Toilet <br /> Backflow Preventer Inside Bide <br /> Gas Pipinc+ IIMIIIIIIM Bathtub Urinal <br /> Boiler <br /> Lavatory{Wash Basin'' <br /> Gas FireplaceIIIEIII IIMMINSTEEMIIIIII Reftlgeratlen ) Floor Fountain <br /> Wood Stove Shower <br /> Floor Drain -'..___- <br /> MN • Kitchen Sink&Disposal Grease Trac Dryer Hoekucs MuDl <br /> Ran e Hood Clothes Washer Roof Grains <br /> menne ausiall111111111111.11111111111 MIN Water Heater <br /> Medical Gay <br /> minaillimmusammine�_ ,Sink(Service/Bar/Moo/etc.) Other <br /> SPRINKLER-1-SUPPRESSION, <br /> PRtNKT ER L.SUPPRESSIO +1 SYSTEM <br /> Chemical or Water <br /> fv'c.cf Heads 1111111 <br /> A f:KN+.,�4t�t;rG1^acRtFit1;;I have reviewed the a <br /> LGA Nt fW LEC state,and kcal T-.orc�attc,r and ccatihm the hl/ <br /> +pprove we k e tester is tree and correct.Wevie ccr;rr ammo!1c this:riTe lfIdust ec9rz*pty 7 <br /> >Ruit�+tttcf G,�a1a�t hercrt£hetn kW.The Nr�+rtrrg of aroma'cr;#y authorizes al±Fr�v�ct work aril rc davlatfcdts tt;erefrcm.Ges�laticrs trust firs;be earn;cy�ed in tvrittr; <br /> 9 authorized uC,�ar, o prrums Id 2g I a t1En.cv a r,or tam <br /> arc?1 uemTlg with the,=tote Cautho cm u,acv ta,ny c r`u enol2SC 2CCA rYcG. <br /> atatt:orized by the comerf this rztrcm t1 B. <br /> F R�+7Y to pgrtorrn The won'(Gs which arFllcstt.-r 1N made. <br /> Cit}of Everett Gfflciat Use Crly <br /> `et d Age PERM <br /> Ow•erl4ufl7 art ad t� t <br /> Signature <br /> Cate <br /> ti� (Rev/sad 9/23/20 16) <br />