Laserfiche WebLink
°PE!.NT ,I,PPLICATIllk <br /> IBLIL®ING/,,.1ECHA 9ICALIPLUTABING/SIGN/SPRINKIL /DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE3 r' SS: �� , t <br /> 'PROPERTY PERMIT# o 1 <br /> LEGAL for new construction: Short Pl1a1t/subdivision Lot No. (attach copy of long legal description) ' <br /> OWNER AO UA��/C�IJ v0t 4s Phone/E-mail L/25_7 a 7 884 <br /> Address 34 1 9_ KAleis City/State/Zip afG►'svf - L ,4'' :`Is -2.), <br /> APPLICANT: Owner _Owner's Agent IL,Contractor Contractor's Agent _Tenant(must provide a letter of consent from the owner to dp work In the space) <br /> CONTRACTOR EV - 6 �b p-c 4 6°P C- State Lic.# E...VE12 SSOL2-D'c " City Bus. Lic.# 00 14255- • <br /> 11 Address 2 m PC,trit Au G, -U to A ct 02D( Phone/Email 4 2 252 31 a- <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Ii_@ 1i9,'Sm.wA ,t:41 <br /> AOUP9UUNO ©e, -lg1,-)S Phone/E-mail y25-2`sl2- 3i/V . <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 7. ($C <br /> Existing Use of Building NC eltseolia. OffiC; HEAT SOURCE: <br /> Proposed Use of Building ( 0 C Gas_ Electric K Other_ <br /> Building type: Single Family Duplex_Townhouse Multi-Family I( Commercial <br /> Type of project: New _Addition _Remodel X. Repair—T.I._Sign Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided onAhe back): l/��r`p f 7u(n�U3z S <br /> • <br /> A Do 3 2Dtre DU z iLt--55 friutr ane N i t4 or - ti ''`-'6 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: x New Repair Type of Project: _New_Addn Alteration_Repair <br /> _ _ _Addn Alteration Re <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> Forced air systemsBathtub <br /> Gas piping Lavatory(wash basin). <br /> Water heater _ Shower ' <br /> • Gas fireplace Kitchen sink&disposal -_ <br /> Gas range Dishwasher ' <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> 1 Exhaust fan • i Sink(service/bar/mop/etc.) <br /> ( Heat pump Backflow preventer(inside bldg) <br /> Unit heater Urinal. <br /> BoilerDrinking Fountain <br /> Refrigeration ) Floor drain • <br /> Woodstove Grease trap <br /> I Ducting I Roof drains ' ' ' <br /> Other - Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM l Other: <br /> Number of Heads I Other: <br /> • I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be complied <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other slate or local law regulating construction <br /> That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 8.27 RCW and 296.200A WAC. <br /> © � ( -27- 1(0 <br /> Ow,,,,/Authoalz�Agent Signature Date 151l59(Revised 4/2015) <br />