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PERMIT APPLICATI N <br /> BUILDING/MECF4ICAL/PLUMBING/SIGN/S W INKLER/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 /> SITE ADDRESS: .--,.- #PROPERTY TAX PERMIT# <br /> 1 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copyoflong legal description) <br /> OWNER �G // FSO/f1/11C7 t/L/T�d�I�� Phone/E-mail 2��5 71../7`i <br /> CJ`, ��Z7-- <br /> Address fD_DX � /c 7 City/State/Zip �/1 fit/ l <br /> APPLICANT:X Owner _Owner's Agent Contractor _Contractors Agent _Tenant(must provide a Feuer of consent from the owner to do work In the space) <br /> CONTRACTOR / !�G„ /e State Lic.# fr/lij >CSt_ VII() I Z City Bus. Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT,a�Z y /77E-Z7,v <br /> gefn!/, ) // /-/ <br /> Phone/E-mail 5-- 2933-"6/J - T�xT <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK /boo, vD <br /> Existing Use of Building 5-i--i E° HEAT SOURCE: <br /> Proposed Use of Building 5 Gast ElectricOther <br /> Building type: _Single Family Duplex_Townhouse _Multi-Family Commercial <br /> Type of project: New Addition X Remodel Repair T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> rOce I/6(t+W L'1aid- <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn X Alteration_Repair Type of Project: _New Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C-air handling units Toilet <br /> Forced air systems Bathtub <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 /> Exhaust fan Sink (service/bar/mop/etc.) <br /> Heat pump Backflow preventer(inside bldg) <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads 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 compl <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 state or local law regulating construction <br /> That I am authpri d by t e owner of this property to perform the work for which application Is made and I comply with the State Contractors Law 18.27 RCW and 298.200A WAC. <br /> Owner/Authorized gent gen <br /> A Signature Date (Revised 4/2015) <br />