Laserfiche WebLink
tERMIT APPLICATIA <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 /> A} )// � � / ()/ V1 0 1tt ?i <br /> LEGAL for new construction: Short <br /> lPlat/subdivision �/ Lot No. (attach copy of long legal description) <br /> OWNER E-fl/I �/�� //��(Q�/��//J r,/ ,742�/ / Phone/E-mail y/2/.57G�� 1 /Z. 2 2- <br /> Address “F& 7 [-QC�I 7" /7//6 C City/State/Zip v���77- .//1 <br /> APPLICANT: ✓ Owner _Owner's Agent _/Contracttoor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR (/E/4t J ' � i,/f7/. State Lic.#4(/4Lsj4/(1�99 /City Bus. Lic.#(5.5-1.537/ <br /> Address Phone/Email <br /> TENANT BUSINESS NAME /. / CONTACT FORV237-52)c?. <br /> PERMIT A/ <br /> `+ it/ / <br /> 4 Phone/E-mail 7 Z $Dc?. 6.376 /6Q///I/42e7V/ / - 4e 6 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas ' 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//✓G <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 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 <br /> Unit heaterI Urinal <br /> Boiler j Drinking Fountain <br /> •' - • Floor drain <br /> Refrigeration <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I 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 state or local law regulating construction <br /> That I am-uti.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 /> /.1:1 <br /> Owner/Au d Agent Signature Date (Revised 3/2013) <br />