Laserfiche WebLink
• <br />�� <br />PERIVIIT APPLICAiION <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 />ADDRESS: <br /><—„ / />� .J_ % . _ _ <br />AL for new construction: Short PlaUsubdivision <br />ER <br />ress <br />,�� <br />APPLICANT: _ Owner _ Owner's Agent <br />CONTRACTOR ( �� <br />.- <br />RTY TAX i► <br />PERMIT # <br />No. (atiach copy of long legal description) <br />aii <br />II�C`s ,IVL ICity/State/Zip J� f� �� ���� ��.;�.���' 1,r�1, ��2-�S <br />a <br />Contractor _ Contractor's Agent �fe118111 (mus� provide a letter o( consenl from the owne� lo do work in the space) <br />/���� I a���-� <br />BUILDIIVG PERMIi APPLICAiIOIN <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 OF WORK (additional space provided on the back) : <br />� � �N�-�l �i � <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C - air handling units <br />I Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Woodstove <br />Ducting <br />� Other <br />RINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />State Lic. # <br />Phone/Emaii <br />CONTACT FOR PERMIT <br />Phone/E-mail �/� S - � �� <br />CONTRACT PRICE OF WORK _ <br />Gas <br />Multi-Family �ommercial <br />T.I. Sian Sprinkler Den <br />City Bus. Lic. # <br />Q�.� `�„ 4� � l7 �r% (n,n OU (. Uw <br />�1��� R� - <br />1 .. �,/'.�. /' <br />HEAT SOURCE: <br />Other <br />on_Change of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fiztures <br />� Toilet <br />� Bathtub <br />I Lavatorv (wash basinl <br />Snower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/e <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby cerlify 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 complied <br />with whether specified herein or not. The grenting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction i <br />rhat I am authorized by the owner,of this property perfor the work (orwhich application is made and I comply with the State Contractors Law 1827 RCW and 296.200A WAC. <br />� — � <br />Owner/Authorized gent gnature � De � (Revised 3/2013) <br />