Laserfiche WebLink
• • <br /> } b <br /> 410 <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS:OW- L5'E ej/#C64161. PROPERTY TAX# P RMI # <br /> tvt) P. 7' rico-oat <br /> LEGAL for new construction: Short Plat/subdivision �{/� Lot No. (attach copy of long legal description) <br /> OWNER 7'04/44.44-4/14.v 4 LUicC Mg 0"2 ��L Phone/E-mail <br /> Address a010 it SL Kms- ,j VE Alts, sur\ -too City/State/Zip 5,? <br /> 74 l e(4,47 <br /> / 9W <br /> 2G! <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 6.44 (c__ /- 'A- qL&I Lic.#6,��L„t-e�}�Z COE Bus.Lic.# <br /> Address 31i(b 5. s4- *2k7 ( c,i /0O/ Phone/Email 0/04 <br /> TENANT BUSINESS NAME / CONTACT FOR PERMIT 491-4 <br /> f <br /> / 1(GSi tFt Phone/E-mail 4/44( K)4 4'x..4/6 Ce..t Wt <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 5 3ie&C) <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 t e back): 7:41•540/� 1" t lB mac' - — g�i, �uq 'eo t- '- <br /> a.'ti't (06t"..;u 'yO ACCMG t-s 7 m.TG4e.1 "`� 04-toot u-fog. Sic , <br /> D49 yrk <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 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 Other: <br /> I hereby certify that I have r-a. :examined this a..-<ion 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 specifii--.•— or not.The gran• •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 auth• .r: . he owne • this.,erty 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 /> t <br /> v; <br /> -lam <br /> r n •uthorized Agent Signature Date (Revised 6/2012) <br />