Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everretWa.org <br />n�.r n c a dY TA d DY i- tl-I `� I I <br />hrru�n, ,v. 11 .......-. <br />SITEADDRESS: EV QC�'�tt PROPERTY TAX PE ITN - <br />4 0010 8oC7 <br />3 Sw E� e r 1Y1c�C c,�. iEao <br />0 <br />LEGAL for new construction: Short Plat/subdivision P4 I A, <br />Lot No. Atli, (attach copy of long legal description) <br />OWNER E p zt \ PhonelE-mail 144L5. A iv <br />ddress ,p.�o City/State2iP t\tec�� kZ 84\3-6aL <br />CONTRACTOR A lk� ' l�C L & I Lic. # <br />7,671, <br />Address ' i,3 Lea - S c�c 9840`i PhonelEmail aS - 39� L1ccS0. <br />ENANT BUSINESS NAME C NTACT FOR PERMIT -MM; Q <br />PhonelE-mail - - 0\L- - <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �- <br />Existing Use of Building N �'r,c� Q4 �' <br />HEAT SOURCE: <br />Proposed Use of Building (LRt s' �� �"—C'* <br />Gas_ Electric_ Other -- <br />Building type: Family _- Duplex —Townhouse _Multi -Family _Commercial <br />_Single <br />Type of project: _ New _ Addition _ Remodel _ Repair _ <br />T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Description of Work (additional space provided on the back): <br />30` f ���e . <br />�3123113 <br />Have you started working without a permit? _YES _Y, NO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _Addn _Alteration _Repair <br />Type of Project: _New _Addn _Alteration _Repair <br />_New <br />Show Number (N) of fixtures <br />Show Number (N) of fixtures <br />A/C — airhandlin units <br />I Toilet <br />Forced airs stems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />Water heater <br />Shower <br />'IGas fireplace <br />Kitchen sink & disposal <br />I Gas range <br />I Dishwasher <br />I Clothes dryer <br />Clothes washer <br />Ran a hood <br />Water heater <br />I Exhaust fan <br />I Sink servicelbar/mopletc.) <br />Heat pump <br />BackRow preventer <br />I Unit healer <br />Urinal <br />I Boiler <br />Drinkino Fountain <br />I Refrigeration <br />Floor drain <br />I Woodstove <br />I Grease trap <br />I Ductinct <br />Roof drains <br />I Other <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />I hereby certify that I have read an examined this application and know the same to be true and correct All provisions of lawn and ordinances governing <br />this type of work will be complied cast whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel <br />the provision ny o er state or I I law regulating construction or the performance of construction. That I am authorized by the owner of this property <br />to pedo�ich FP cation is made and t comply with the State Contractors Law 18.27 RCW and 296.200 WAC <br />(Revised 2)2011) <br />\'/v <br />Es <br />