Laserfiche WebLink
Apr, 11. 2016 11 : 26AM EVERGREEN STATE HEAT & AC No, 6751 P. 1 <br /> PERMIT APPLICATI >!J <br /> BUILDING/IVIECHANiCAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar a, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereffwa.org <br /> — <br /> SITE ADDRESS: PROPERTY TAH# PERMIT# <br /> 300:5 - 2/(iQ P/, ,si>. 611Le°Li- NA <br /> LEGAL for new construction: Snort Plal/subdtvlslon Lot No. (attach copy of long legal description) <br /> OWNER \� kteeh Phone/E-mall (925 35- -2;Z552 <br /> Address _r5on C7 -- 52, 6 PA aCity/Stale/Zip �f/J/Z 1424 r 9f ./ <br /> APPLiCANT:_Owner _Owner's Agent Contractor _^ Contractor's Agent _Tenant(must provide;a leiter of cansenlfrom die owner lo do work In toe space) <br /> el <br /> CONTRACTOR Cu zGszi_`-t�) ccA-�t= (-eAri Ad, State Lia#EV5502zaT' City Bus. Lia#.001`155 <br /> c0252-3 Ii'' <br /> Address 2,i"7- k'/}uk-11.(- Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> KE', SALO ('f2S) 2 3/J`t <br /> • <br /> Phone/E-mail kA y1a.a -,tdnk <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK(ff . / 744 — <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas S( 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 beck): , <br /> CIAAY-0G - ow¢ eb To 625 ru L (-v/i�- J 0e) v <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: ,. New Ad du 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 _J Kitchen sink&disposal _ <br /> L Gas range Dishwasher <br /> µ I Clothes dryer Clothes washer <br /> I Range hood Water heater • <br /> Exhaust Fan • • <br /> Sink(service/Oar/mop/etc) <br /> I Heat pump Backflow preventer _ <br /> Unit heater Urinal <br /> Boiler I Drinking Fountain <br /> — <br /> Refrigeration Floor drain -• <br /> Woodslove Grease trap <br /> Ducting _ Roof drains <br /> r Other _ Medical Gas • <br /> - - SPRINKLER/SUPPRESSION SYSTEM Other: <br /> Number of Heads I Other: <br /> I hereby certify thel I have road end examined this appicatlon end know the same lobe true and correct,Al provisions of!awe and ordinances governing this type of work will be complied <br /> wart whether speared heroin ornoL The stenting of a permit does not presume lope authority toviofate or cancel IN;provision of any other ewe or local fawreguletlng construction <br /> Thal I am authorized by the owner of[his pr orty to perform iris work for which application is made and I comply with the slate Contractors Law 16,27 RCW and 260,200A WAC, <br /> 44 <br /> owner/Aut prized Agent Signature Dale (Revised 3/2013) <br />