Laserfiche WebLink
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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX# Pc RwMIT# <br /> S31 C1 52ND PL. S 'U_ a�. � 3 q 6) 70c3 2O I OOO lV` I ►� 0 i 'D(dn <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER CA-T 14 s fl t N C W I L I4 E Phone/E-mail 4 2 5 -3 55—62 I(o (o <br /> Address 3 3 19 5 2 ND P L S W City/State/Zip c V E 12 ETr IN, q 8 2 63 <br /> APPLICANT: )c 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 A N DERSo N F ICzI:PLACE cd ,SPAS L&I Lic.# A N D ER j j 16ILIcoE Bus. Lic.# <br /> Address l i I o g RfOA p(N A-yi E v E RE iT, (.&J 8 20 1 Phone/Email 4 25- -259 - LI C 17 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $ 1248.o0 <br /> Existing Use of Building R ES t P E PCC HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric X Other_-_ <br /> Building type: X 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 /> /NST'c, -T/0p of GAs L (V F/zo�! M ETrie_ TO 62,45 666 L/G//TE2 <br /> /N F/RFPMC-F. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: .X 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 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 i Other: <br /> I hereby certify that I have read and examined this appication 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 b the owner of this p••:rty 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 /> / 6 <br /> .'""--A • zed Agent Signature D.to (Revised 6/2012) <br />