Laserfiche WebLink
To: E Page 1 of 3 2015-05-08 20:39:42 (GMT) 18884000383 Frorn: Deborah Shields <br /> 0 0 <br /> PERMIT APPLICATIONr <br /> UI . ING/I ECHANICAL/PLU IN /SIGN/ INKLE / EIEC I-ITI N <br /> CITY CE EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, VVA 98201 425-257-8810 FAX 425-257-8857 viww.ever ettwa.org <br /> SITE ADDRESS:4532 EVERGREEN WAY ]PROPERTY TAX#00605502200900 P RMIT# <br /> Im -d <br /> LEGAL for nev✓cohstruction: short Plat./subdivision i.ol No. (attaI;h(;or.y o`long l,nal desorption) <br /> OVVINFRKANE'S TOO INC Phone/E-rnail425-355-9650 <br /> Add.ress4532 EVERGREEN WAY _/ city/state/zipEVERETT, WA 98203 <br /> APPLICANT:,Owner _Oddl-,er'sAgent Contractor 1 COI1traCtOS/�geni _Tenant(must provide atettercfcorwentfromttwovmertodoworkhithespacei <br /> CONTRACTOR WFSCO sate Lic.#WASHIES971 GB City Bus. Lic.#41349 <br /> Addre<_s 3909 196th St SW hone/Emall800-398-4663 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> JENNIFER COVELLO 206-774-9493 JCNNIFER64MVPERtd IT.00h1 <br /> Phnne/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 1500 <br /> Existing Use of Building Res HEAT SOURCE: <br /> Proposed Use ildin vas Electric C)ther�-� <br /> Building type: Dingle Fatuity Duple ownhouse Family Y ommerc"I <br /> Type of project: New Addition Remodel _Repair V( .I. Sin S rinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> REPLACE GAS WATER HEATER <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: „New AddnZ 7.ratia _Repair Type af Prgject: New _Adcit iteration _R.epair <br /> Show Number # of fixtures Show Number(#j of fixtures <br /> i A/C—air handling units Toilet <br /> Forced airs stems Bathtub <br /> Gas pipingLavatory wash basin <br /> Water heater i Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> -��— Clothes dryer I Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink (service/bar/mop/etc.) <br /> i Heat pumpBackflow prieventer <br /> Unit heater Urinal <br /> Bailer ( Drinking Fountain <br /> RefriEjeration Floor drain <br /> Woodstove Grease tra <br /> Ducting Roof drains <br /> Othe- Medical Gas _ <br /> SPRINKLER / SUPPRESSION SYSTEM <br /> Other: <br /> Nurnher of Heads Other: <br /> 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 camp <br /> with whether specified herein or not.The granting of a permit does not presume to glue 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 wank for wNtch application is made arnd I comply with the State Contractors Law 18.27 RCW and 296,2100A WAC, <br /> Jennifer Covello1 •- .. .. a•r ...,. <br /> �.a,=,�,n.^' 4/28/15 <br /> Owner/Authorized Agent Signature Date (Revised 9/2014) <br />