|
&..•&_:' ,'_ -5-q, _ .
<br /> •,,_,„. 3.7_212,:lsr CITY OF EVEK4 t i mrkluil i V t••.1 1,•,,•-••-•
<br /> 1 i.Wort. f.L•0 .'••; 1,e•-77F 3200 CEDAR STREET,EVERETT,WA I
<br /> ., .
<br /> (P)425-267-881 FAX 425-257-8857 1(E)everetteps@everettw 1 www.everottwa.govtperrnits
<br /> - . ••• .• ,..• ••.
<br /> itra6:134,61aiatliiik bii*.016- 50 • pgeJgcr giag gmr,pgaiwrio.:*. -.. ... .: ••.. .•. -., ... .• •,•:., ,. ,...•s.
<br /> .....-,_. - -.•.1--_,----,--7-•.--_, ----- - ___•_,
<br /> . .
<br /> PROJECT SITE ADDRESS: -
<br /> Ci______—S , PROPERTY TAX#:
<br /> LEGAL for new construction: Shod PIalloubdiviston___ _ Lot No. _. (attach copy along legal descrip—
<br /> tion)
<br /> ,. .----, --- r-•----• ;;'-t---•-..--------:.- -. .. -t-.------.----::---3---•-•-•:-.•••:-.-.-----,-,,,-----,-.--- --:----
<br /> ';,;•'- • '''' • * ' : • •-•• • • - • ' •- •• tatiKtICT'UilrOfliMATIlt*l -
<br /> • 2:::: ' •••' ' ....--I...... -___, '' .• .:--!'.:-.:-..:''' ',,= •2•••••--'':•••-'''=..•,:-=-,•,----'- ••• •-' '••• •_;_"_:* ..,„-:_-•-•-•-..:--::-.—•-:- . •• • ' •
<br /> ° Lit_ • :'.. It:-.•2--1.•••••-•••---•—.-.-----:* -:••---•-•-•I'-••=,
<br /> . --- /
<br /> '''l w • ' • •
<br /> INNER NAME , #: , ,d, , ••- ..- , 7 La ' k,„i._ - TENAN' .riuicim. iv / t A vill ___
<br /> .., _,.
<br /> OWNER MAILING ADDRESS: STREET
<br /> E--- j.i CrrY e=v4.....1ze • .
<br /> sr.- Zp CIVIC
<br /> OWNER PHONE:( Y2.11 ' :4011,- OWNER EMAIL:
<br /> CONTRACTOR NAME:
<br /> CONTRACTOR ADDRESS: STREET 2.-1,Z0
<br /> art ---- sTATE Lt* zip ei V2t) C
<br /> —_----_
<br /> CONTRACTOR PHONE: 1-i25 752-- ,,, 114-1-- CONTRACTOR EMAIL. t.2-&-vt-Ci....g.-•••%'WI(4.,)‘,L.,..--ejliti
<br /> CONTRACTOR LICENSE AREQuIRED): -C-.01-zoseiw-- er---- - CITY'OF EVERETT'BUSINESS LICENSE fi(RECIUIRED): 0 -7 ,;-*/-:;'
<br /> IP RITAARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify)
<br /> ;CONTACT NAME: . CONTACT PHONC-2: it„ts.- 5-61.g.-er7"' Z-
<br /> I —
<br /> 1,2-t---;---(,-) CV--*C3 CONTACT EMAIL: VALA_.4 a 6,5/rit,A,..61„,-/4
<br /> . . - • • 1:31,abiga ittimit.:Appiitovti—ON- • • ,
<br /> , ev.
<br /> Existing Use of Building: Contract Price of Work:$ til? .514-14 . I
<br /> Proposed Use of Building: Heat Source: OGas EI Electric nOther
<br /> Building Ty se: LISFR-Detached 0SFR-Attached EIDuplex I:Multi-Family-It of Units:_____ 06ommercial Dindtistrial
<br /> Type of Project 0 New 0Addition DRemodel ORepair DTI El Sign EISprinkfer ElDemation EiChange of Use
<br /> DESCRIPTION OF WORK: tetik.$40 „.jet- , 0) ,, Cie• 1_4.4 fziviitAg - .-1,/ ,clicooLv.‘,„6 ce4„..1.5
<br /> k'.7.,/
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> SKS.,ss,=3,..32:DGTS:'[.,* ------•'-......."—.. .......• ...,==.,......1 -.--.. ....,-. ."..•"...,--..-'.- ..... --......--... ......"------..,...........-„.,,. ..,,,,,,-........_,...,.....,..-...,.....—,......,= =.",..rn,...-
<br /> • t-r..7.:* 1. I,....'='''-':''' '.7.'?': • ''''' '... -''.--*'. . ---''''.7.-'''..=''':.:.'-"--"-. '--'7.:7' •. . .. .:-.-.'•'..,77.-7,-.•
<br /> MAC AL PERMIT,APPUCATION. • • - . - '-. PLUMBINS FeM AT AP,12111,-..4 A:MO .. I
<br /> rype of Project: NEM Adcin Alteration ,Repatr 1 _ Type of Project: __New ___Acicin _Alteration __Repair
<br /> ------
<br /> #of of . Of ifst of Fixtures List of FixtUros 1 . , List of Fixtures List of Fbctures
<br /> Fixtures Fixtures 1 Fixtures Fixtures
<br /> - 11111 NC-Air Handling Units
<br /> --Ii_ Heat Pump -1 , _ Toiret----__
<br /> _ ,
<br /> Backflow Preventer(Inelde Bldg)
<br /> Forced Air Systems Unit Heater ______ r Bathtub Urinal
<br /> __—„--r-- —
<br /> Gas Piping ____, Baiter Lavatory(Wash Basin) ' Drinking Fountain
<br /> ____ -
<br /> Water Heater ; Refrigeration Shower Floor Drain -- 1
<br /> -----.—
<br /> Gas Fireplace ---- Wood Stove I Kitchen Sink It<Disposal Grease Trap 1
<br /> --- _____
<br /> Gas Range Ducting I Dishwasher — — Roof Drains
<br /> ; .
<br /> 1
<br /> Clothes Dryer Hookups Other: . Clothes Washer ,; Marna!Gas
<br /> ; ---Other:
<br /> ---
<br /> Range Hood ' Water Heater
<br /> _
<br /> Exhaust Fan Fan Sink Service/BE/M2pletc.) Other: ______________j
<br /> . — —_\ .=
<br /> ,..„.„--7.7.--- ---7-:.--, -----. ---- -2,... ,----- - -- •
<br /> „,....... . • . — __________--- 1
<br /> SPHINKLgR/ SYSTEM . . . ,
<br /> CKATOWLEDGFIVIEAlr:1 have reviewed this application and contim7 the info/Ind/on contained herein is true and correct.Work Cf0170 pursuant to this permit must comply with
<br /> irrent federal,state,and focal law.The granting cf a peimit only authorizes approved work and IV deviaffons therefrom.Deviatfons must first be authorized In witting from the
<br /> uildkg Official before being authorized under any circumstance,lam the owner;or f am authorized by the owner of this propel*to peifonn the work for which application Is made,
<br /> Cfty of Everett Mb!Use Only
<br /> 1 compAr with the State Contractors Law 1; RCW and 296.200A WAC.
<br /> 444„
<br /> --
<br /> 7d ,---,...=^•-.....=tors. ,54 ,-........al....- -....-"-.....-,.....--.. .....== s1
<br /> PERMIT# I
<br /> f . AL[ i .......• CS
<br /> .11 _ —._b 3
<br /> ______------
<br /> Date Pe-vised 1 0 2010
<br />
|