Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING I MECHANICAL I P .0 IING I SIGN SPRINKLER I DEMOLITION <br /> N <br /> !mitig �, t i`OFPERMITSERVICES <br /> S <br /> 3200 CEDAR STREET EVERETT,WA 98201 <br /> 425-267-8610 I FAX 4254674657 f(E)everelteps@everettwa.gov I immeverettm.govipermits <br /> (MuOr B *ay ) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:73/ 93 S T £c 8.1 - '. '` ?t $ PROPERTY TAX At 008(oCOactoci 4,00 <br /> LEGAL for new construction: Short Ptatisubdi ion Lot No. (attach copy of torw taga€description) <br /> CONTACT INPORtAT1ON <br /> OWNER NAME: /t4 ' , -er /0464 TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS. STREET 1'3 Sr S <br /> e. <br /> cn 647-7- STATE l II- zoz, 2$2-0 <br /> OWNER PHONE: 2.6 02IC -/6215 OWNER EMAIL: <br /> CONTRACTOR E 4IP Id.il#e .ami £.r ?) s eS r , "rt ,., <br /> CONTRACTOR ADDRESS: STREET ,290/,„1 ,,sy PL. <br /> Om' a de t STATE <br /> CONTRACTOR PHONE: 7',t$ 4O$ - 1C(0 l CONTRACTOR EEMAit.` t3iy+` 7,,�,f e <br /> CONTRACTORJJENSE*REQUIRED=4J Z,�' 7IPry. ,Cri'YDP 1TT BUSINESS LI l aOSVCo 7 <br /> m <br /> PRIMARYT C}i TI ACT OTHER(Please S y) <br /> �� CONA � : <br /> CONTACT EMAIL.:Ske .4,400C <br /> BUILDING PERMIT APPIJCATION <br /> Existing Use of Butldl Contract Price of Work:$ / <br /> Proposed Use of Building: <br /> Heat Source: ©Gas dElettric ©:Diner <br /> Building Type: C3SFR-Detached CISFR-Attacrted In Duplex CIMuiti-Femily-t of Units: ClOornmercial CIIndustrial <br /> Type of Project DNew ©Addition CJRemodel CTRepair DT,l. °Sign CISprrinkler DDemolition CJChange of Use <br /> DESCSCRIPTIOM OF WORK <br /> R:ckArc.,6- -S L.c)A r - to `` ft._. <br /> ASSOCIATED BUILDING PERMIT S(if applicable). <br /> NIEONAN1CAL PERMIT APPLICATION s PLUMBING PERMIT APPLICATION <br /> -Type of Project ,...New....._. Atkin Aon _Repair.lfir Type of Project: New Mdn Alteration ...,Jtepair <br /> FixturesList f c s List of s earl' Lista res hof List of :auras <br /> Fixtures F. <br /> NC--Air Handling bras Heat Pump Pump , 1111111111111 Toilet w ow wetter(inside Bldg) <br /> Forced Air Systems Unit Heater allifill Bathtub <br /> Gas Mein Laws bra. Rash . ` Fountain <br /> / Water Heatr Refrigeration <br /> Gas Fireplace W Stove Mil:Kitchen Sink&Disposal ` Grease Trap <br /> Gee Range Ducting <br /> EMI Clahvrasl'er Roof Drains <br /> Clothes Dryer Hookups Other ammi Clothes Washer Medical Gas <br /> Range Hood N Water Heater <br /> 'Car; <br /> Exhaust Fen z { .111.1111 Sink Senric a/BartMopletc.} =Other <br /> SPRINKLER.t SUPPRESSION TRI <br /> t (Chemical or Water No.of Heads. an <br /> ACKNOWLEDGEMENT:I have reviewed this eppitothion and conform the infornnetbn contained d herein is true and correct,Work done pursuant is this permit must oomph,with <br /> mama federal,state,and local law.The graining of a pernit only SUthorizes approved work end no Bevis bona therefrom.Deviations must first be authorized in aging from the <br /> Bultddhtg Offiobsi before being authorized under any circumstance f ern the owner,ori em authorized by the owner of this property to perfoRn the work for which eppiication is made, <br /> and I comply with the Sista Co rectorsdraw 18,27 ROW and 286.2004 WAC. <br /> City,of Everett Use Only <br /> ,/ t PERMIT a`# <br /> ,pc,,„.ja.4...0...„._ s85/47 <br /> 9 Date (Revised 9/23/2018) <br />