Laserfiche WebLink
� � <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 />: ADDRESS: PROPERTY TAX #i PEq� IT # <br />—�j el.�.t:�� 1�r...�,, 7.��^. ,._� r.,,��:.�.. _._ _,.�, _,. I1/I Il1i'�'Z � <br />. for new construction: Short F <br />R vJ �Z� �i (Ph'�a �I <br />� /nrial i �v�l,r.�(t �i-�� �i'r< <br />Owner <br />Y <br />Owner's Agent <br />L I �,D-�-1 iPt <br />No. (attach copy of long legal description) <br />Phone/E-mail <br />— —. Ic�cyiscaceiz�P ��,�s�i-I,� fR; N- �� 7SI U I <br />Contractor � Contractor�S A9@fl� _ TBflBflt (must provitle a letter of consentfrom the owner to do work in the space) <br />L & I Lic. # <br />COE Bus. Lic. #r�� ��(�� <br />Address �(�pL � � ` � a ' ,f � n�, � Phone/Email • <br />TENANT BUSINESS NAME � ONTACT FOR PERMIT b,��GIn� �_„ pV l« <br />t% U,Lt <br />�, �`i `Pi�`" l � � � Phone/E-mail ' ,�' `�, �j( - ' " G � ,� i <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK i�C��� .f� <br />Existing Use of Building in1Zt��'(.�1�(;ti�� <br />Proposed Use of Building �L'�'��1(�f�jL <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family DC Commercial <br />Type of project: _ New Addition Remodel Repair _ T.I. _ Sign _Sprinkler <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />v �� �- z�/< i `� �11'Lt'} � V -t', ✓1 �i'i �1 j�.'I f GI �— �i, ( { = <br />/ <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn � Alteration _Repair <br />Show Number (#) of F�rtures <br />A/C: — air hanrllinn iinitc <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Woodstove <br />� Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />HEAT SOURCE: <br />Gas Electric Other <br />Demolition Change of Use <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />Lavato wash basin <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />tsacKtiow preventE <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />t <br />I hereby certify that I have read and examined this application and know the same to be true and conect. 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 permd does not presume to give authoriry to violate or cancel the provision of any other state or loca� law regulating constructbn <br />That I am authorized by the owner of ' property 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 />`G L <br />` � � � (� <br />Owner/Authorized Agent Si ure Date (Revised 6/2012) <br />