Laserfiche WebLink
• <br /> PERMIT APPLICATION <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:7 4 to „,,,_4 ^✓G ���/�� K/� PROPERTY TAX#1 �4 (tel FF II j�-Q) <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNERAme,/ c t� /cs5 Phone/E-mail <br /> Address z.5 Z.V //��,,r�JG,c/I City/State/Zip % /�/� t-j" 1 .74 <br /> APPLICANT:_Owner _Owner's Agent Contractor _Contractor's Agent (_Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR/Q;(4 V S / -0/c,(;''v,-1 State Lic.#1),,(N )/ C21-27City Bus. Lic.# <br /> Address q/e. 1��/�htS�JI'i i��i�JJ /'lc`I(AceA/4Ahone/Email 7.712 <br /> TENANT BUSINESS NAME / CONTACT FOR PERMIT -GS <br /> CC 4_ICI((70 SS Phone/E-mail Lf Z.yj Z y 77�SD <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK C /r,CC).o� <br /> Existing Use of Building Caitc/ o r6 HEAT SOURCE: <br /> Proposed Use of Building Sc 0- G Gas Electric Other <br /> Building type: _Single Family Duplex Townhouse _Multi-Family ,x 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 /> 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 Z Toilet <br /> I Forced air systems Bathtub <br /> j Gas piping Z 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 1 Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater j Urinal <br /> Boiler I j Drinking Fountain <br /> j Refrigeration j Floor drain • <br /> Woodstove j Grease trap <br /> Ducting j 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 authorized. r•-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 />