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 />ITE ADDRESS: PROPERTY TAX q.,� MIT # <br />'�% n i Z , n .i ..._, n � .- _ .. �.�-� ... � i-e — <br />LEGAL for new construction: Short Plat/subdivision <br />OWNER ��,. f �' <br />`� �'���`-.Aiff'fixY:l�a', <br />�.. � �cv . c1;� �i.v - �x-} � <br />_Lot No. (attach copy of long legal description) <br />Phone/E-mail I �/,->hJ "7�L1 "' <br />City/State/Zip �;;.3.�. ;�,i <br />Owner _ Owner's Agent Contractor _ Contractor�S A92flf _ TBf12lli (must provide a letter of consent from ihe ovmer to do work in the space) <br />� � C� r ; '� " . .�T ' � • ,;kn L & I Lic. # i;,.;' x � C C "L. �''r`;�K i�` COE Bus. Lic. # <br />��'`5%_ � ��i;'��i,��;�^,;�!�, j���t�rj Phone/Email�G'��i.��ti�7+'f'�-L—C��•//I,�f-iL Cci:✓1 <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building <br />Proposed Use of Building <br />Building type: � Single Family _ Duplex _Townhouse _ <br />Type of project: New Addition Remodel Repair <br />DESCRIPTION O�WORK (additional space provided on the back) : <br />� <br />�;- _ K ��1� <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of tixtures <br />A/C — air handling units <br />Forced air svstems <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Heat pump <br />Unit heater <br />Refrigeration <br />Woodstove <br />Ductinq <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />.i <br />ne/E-mail J ���y, �u� <br />NTRACT PRICE OF WORK <br />Multi-Family _ Commercial <br />T.I. _ Sign _ Sprinkler <br />��� L <br />HEAT SOURCE: <br />Electric i <br />Chanae of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />Lavatory (wash basinl <br />5nower <br />Kitchen sink & disp <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/m <br />Backflow preventer <br />unnai <br />Drinking Fou <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I 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 goveming ihis type of work will be complied <br />with whether specifed Fj�rein or not. The granting of a permit does not presume to give authority to violate or cancel lhe provision of any other state or local law regulating construction <br />That I am authori��y the oWner of lhis propeRy to perform the work forwhich application is made and I comply wAh the Slate Contractors Law 18.27 RCW and 296.200A WAC. <br />✓' / <br />`, ,/'%/ t" iG%'��!' ( 2..__ <br />wner/Au rized Agent Signature Date (Revised 6/2012) <br />