Laserfiche WebLink
ERMIT APPLICATIO <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/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 /> //t/Gf�/ s f x2.f't'%� ���r� ��Vii' ,�o/ zieo o �,)D Y 014( -63q <br /> LEGAL for new construction: ShortlPllat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER /vE�1� yQS//J A/7/4<,-7777A/7/4<,-7777Phone/E-mail yZ,7Z�, �1/ 2 Z <br /> Address 3/o 7 (7 z_.�ps/ ,it/z City/State/Zip f.//f <br /> APPLICANT: Owner _Owner's Agent _Contractor/ Contractors Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> 47 <br /> CONTRACTOR/ (J y (2/./STC , State Lic. #/446,W(' INAWCity Bus. Lic.# n.53-57/ <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT --.77' <br /> Phone/E-mailZ.7J DcR 6-VO i Q�/1/4 rV/9. 4e <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK T-t) <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas e Electric Other <br /> Building type: Single Family _Duplex Townhouse Multi-Family _Commercial <br /> Type of project: New _Addition Remodel Repair_T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> /.D//v 6 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _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 I Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer j Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <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 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 state or local law regulating construction <br /> That I am-ut..rized.by the 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 296.200A WAC. <br /> t (� <br /> . <br /> Owner/Au d Agent Signature Date (Revised 3/2013) <br />