Laserfiche WebLink
PERMIT APPLICATION <br /> 04:crrBUILDING / MECHANICAL I PLUMBING I SIGN (SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257.8310 i FAX 425-257-8357 I(E)everett€ps@avw Dawe gnv I www.everettwa.govipermits <br /> (Blue or Black ink Only Please) FAROJ CT:SIfE7iNF t14I[A`' I N 1 4, <br /> PROJECT SITE ADDRESS r�2�t + F^ � PROPERTY TAX f#. <br /> LEGAL ter nnewcons'.ruaior: 5 l,»PL <br /> alls,,:rims.,aa _ __.] <br /> __ !il`tJo.L (attach copy of long legal description) <br /> CONTACT INFORMATION ' • <br /> OWNER NAME: ILA 12a _ _ <br /> Y x i TENANT NAME(If Comtaerciai): 1 <br /> OWNER MAILING ADDRESS sres r c),- e..., <br /> :IN srr <br /> ;A - <br /> OWNER PHONE: „ Irk <br /> `�,,4r" OWNER EMAIL: <br /> :ONTRACTOR NAME: r"` 1 tYl C <br /> CONTRACTOR ADDRESS: 14" forOC <br /> 7==rC-tLit,( — <br /> ITY i * <br /> CONTRACTOR PHONE: 1.-esrnrE 1. zia ♦ � I <br /> Z. '3 R 0 60 +..CONTRACTOR EMAILso , <br /> C N RACTQR LICENSE#aEGU:REOI. ._ . ltd V1• .CC ( <br /> 81 LS, -rte R -wt1Y-r t vERr BUSINES LICENSE#fREQUIREnr:-- 106:7 9 <br /> PRIMARY CONTACT: 0 OWNER L CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: q <br /> T^'^C^ CONTACT PHONE: 4-2.6 2_5J C] 0550 <br /> L�.>;�-iJ CONTACT EMAIL: a 1 1_„ - <br /> . .4- rty <br /> Existing Use of?uitdin <br /> Contract Price of Work: <br /> Proposed Use of Buildin , ` ! <br /> 3uiidin yoe: ❑SrR_yeta�Ehad Heat Source: wfes ❑Electric DOther <br /> ❑SFR-A",techad _ _serial <br /> ClOuote>e ©IMultt-Famil 4,4'Units: `- <br /> Type of o)Ja;=t: ❑Nsw QAddition DREmodel R epair ❑T.i. ❑Sid ion OChan Cllrtdt�stri3! <br /> DESCRIPTION OF WORK: 9 DirinklWr ®Demolition ©Glyn e of Use <br /> _, <br /> V)'C.}1(31PTA-e-fa-' G 5 "U`\r(1a C--S4— <br /> ASSOCIATED BUILDING PERMIT#(i;appfiroeble}; <br /> flrtEGH 4NJCAL:PEl MJ7 APPLICATION y_ <br /> Type of Project: New AddnL�JI �( ?f�"EEt41i7"I AFt!P'I.ICt"!JC?JY <br /> _Alteration Repair <br /> New 4 o — Type of Project: NAddn Alteration Repair <br /> "iz#rrraa t�f-F �las,_ _. <br /> t�#0 of f.. _,.List.ofFixXu es.— - 1of - f-Of trotes- #of <br /> �Lr`s <br /> NC Air Handling Units extufe �"� — List-of rr'xtEr s <br /> Fixtures <br /> MUM Forced Air Systems Toilet Urinal Pre,,. <br /> BatntO enter 'lrsirioBidip? <br /> Gas PipingIn <br /> Urinaf <br /> Water Heater 11111111111 Lavatory(Wash Basin Drinking Fountain I <br /> Er Gas Fireplace �Refrlgeraticnum=Shower <br /> NIMINWoad Stove Floor Drain <br /> � '• € itc`�en Sink&Disposal Grease Trac <br /> Clothes Dryer Hookups Dishwasher <br /> Roof Drains <br /> 1.111.Ran a Hood Clothes Washer <br /> ExhaustMin F1111111 MN Water Heater Other: Gas <br /> Sink Se Other: <br /> rvt <br /> ( CCl�at'7M+3�CdtC., Other, <br /> MIIIIIIIIIIIMIIIIIIIIMMIIIIIINIIIIIIIMIIIIIIIIIIIIIIIIIMII Milli <br /> SPRINKLER./SUPPRESSION SYSTEM <br /> I <br /> Chemical or Water <br /> Na of Heads <br /> :S CkNQWl-EtGEMER1T.I More reviewed tf :apphcatr r.and aci i rr the kKrrmattort ccrNatned l erein Is tma 8no tctrect.Worn dcce pursuant tc ihis <br /> permit <br /> curr rt federal stare,and local law. The granting of a f.ern;ri or/y eutf:crtaes approved work and no devteocrts tti drone.Ceviatlr�rr <br /> 6vutdk*g C ciat 5ekre being authorizedd wrier-arty CffOtitr.$IBt:ee,f atr Ute dueler,cr 1 art;autU,erfzedty he cwtterct this property i‘r.perforate tial work f rhichtlsFc!apers east compiy rr. .t <br /> ar.e I comply with the Stare Conrracrcrs Law,a,57 RCG•t and 256,260,e Ws C. <br /> S must first be at.tfcrt ed in miring kcal 7t <br /> City of Everett official Use Chly <br /> +4/ U 2 PERMIT <br /> # <br /> Ow ertAuthorized Age Signature u ' ' t <br /> Cate <br /> t <br /> (Revised 91a-. x'201. <br />