Laserfiche WebLink
CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> > <br /> SITE ADDRESS: PROPERTY TAX# PE MIT# <br /> / <br /> _ )-60)- 13✓Paarlr✓ol ' ( (O - DZ( <br /> • <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of Ibng legal description) <br /> OWNER 4.44/04 2 J Phone/E-mail (4 <br /> j2,� ,41757-�1�b.3 �y�,�jyl�S ZC-/`Cr7C5 Pg31//d/ c 11 <br /> Address / - /74./41 ,„ City/State/Zip ( /�aii, G. ifef U• . <br /> TAPPLICAN Owner _Owner's Agent _-Contractor _Contractor's Agent Tenant(must provide a letter of consent from the owner to dp work In the space) <br /> - '� <br /> CONTRACTOR ,1 I r - �' tate Lie.# a '4, City Bus. Lic.# <br /> Q yy�, <br /> Address I �� ���. Phone/Em- 0sw-p�pO C/ I°1� <br /> TENANT BUSIN S 'ME CONTACT FOR PERMIT 6- i5 at' <br /> Phone/E-mail <br /> 6w 11 ^'I <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 /> \I/l iM)2tVl ' `"cs()V Vi•G I I,4 / t,5- ,014 614-4 <br /> • <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 fixturesShow Number(#)of fixtures <br /> NC-air handling units 2Toilet <br /> . Forced air systems Bathtub <br /> • <br /> - Gas piping 2 Lavatory(wash basin). <br /> Water heater I Shower <br /> Gas fireplace �" Kitchen sink&disposal • <br /> Gas rangeDishwasher <br /> Clothes dryer Clothes washer <br /> • J Range hood / Water heater <br /> J Exhaust fan / ' J Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer(inside bldg) <br /> Unit heater / Urinal, .. . <br /> J BoilerDrinking Fountain <br /> J Refrigeration 4 Floor drain . <br /> I Woodstove / I Grease trap <br /> I Ducting I 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 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 /> -� de-? 3/ /I- <br /> Owner •-'horized Agent Signature Date (Rev' ,- 015) <br />