Laserfiche WebLink
46/08/2016 WED 12: 41 FAX Fast Water Heater i�442/003 <br /> 1PERM T APPLICATFQ C� <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425.257-8840 FAX 425257-8857 wvvw.everettwa.org <br /> SITE ADDRE , 1PmTyTqt 3D0� P RM #p i <br /> LEGAL.for new construction: Short Plat/subdivislon Lot No, (attach copy of long legal description) <br /> OWN <br /> AER i,. Phone/r;-Mall <br /> ddress QC D city/Sista/Zip g 3 <br /> APPLICANT:_Owner —Ownerle Agent Contractor —contractors Agent _Tenant(mustprovlde a letter orconsant from the owner to do work fn the space) <br /> CONTRACTOR fLa 'P_ State Lie.# <br /> Address I N a I4' —sb< <br /> x1N rl ( �J' Phone/Ercall p�1 (�3 �p�/- <br /> ENT BUSINESS NAMrz CONTACT FOR PERMIT Lt14@r'. <br /> �-- KAT�q <br /> Phone/E-mail I, <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK..t <br /> Existing Use of Building T SOURCE: <br /> Proposed Use of - Gee ®ctdc Other <br /> Building type: Ingle Farm _Duplex Townho Multi-Family _Commercial <br /> T pe of project. New Addition Remodel OCRs air T.I. 812n Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(addltfonsl space provlded on the beck): <br /> �P <br /> MECHANICAL PERMIT APPLICATION MBING PERMIT APPLICATION <br /> Type of Project: _New A►ddn _)Iteration Repair Type of roJect: New_/Addn _JUteratlon_Repair <br /> Show Number of fixturesSh Number of _Alter <br /> A/C—air handlingunits Toilett <br /> Forced airsystems Bathtub <br /> Water heater Gas t Lavato wash basin <br /> hewer <br /> Gas fireplace Chen sink&dl osal <br /> Gas ran a Dls washer <br /> Clothes dryer Cloth wa er <br /> Ran a hood Water Wer <br /> Exhaust fanglnk r ce/bar/ma /etc. <br /> Heat urn Qe ow venter Inslde bid <br /> Unit heater nal <br /> Reini rinkin Founnt <br /> Refrl oration Floor drain <br /> W cling ve Greaseitra <br /> OtherORoof drains <br /> Other Medical Gas <br /> SP SUPPRESSION TEM Other: <br /> Numbs Other; <br /> I hereby certify that I have read and examined this applloallon and know the same to be true and correct Ali provisions of laws and ordlnances governing this type of work will be comp <br /> with whether speoffted herein or not,The granting or a penult does not presume to give suthority to violate or cancel the provision of any other ettdte or local few regulating Construction <br /> That I em authofted by the owner Of this property to perform t'he^work for which appiloatbn is made sna I comply witn the Slate Contractors Law 99,27 RCW and 2f 6.200A WAC. <br /> J04�/l 1611A --- <br /> Ow r/AuthorlZad Agent Signature Dat® <br /> (Rfw/s®d 4/2075) <br />