Laserfiche WebLink
rGr1�v�� � r-�r r ��v� ��v�. <br />BUILDING/MEC�NICAL/PLUMBINGISIGNI� iNKLER/DEMOL1TlON <br />CITY OF EVERETT PERMiT SER:VTCES . <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-2�7-8857 www.everettwa.org <br />ITE ADDRESS: <br />���I 1�,N�. <br />EGAL for new construction: Short PlaVsubdlvision_ <br />>WNER ������ f701%T/%1/�j A� <br />,ddress�O �l%X �,�}l % <br />PROPERTY TAX 3t PERMIT <br />� . l � aos�5'9Z o���o v � v ��11 ���, � <br />• Lot No.• (attach copy of long legal description) <br />� PhonelE-mail �% J , ��O , � � � <br />City/State/ZiP c' !/�"�� �/ > /�/� _ %0 ��� <br />APPLICANT:,� Owner _ Ovmer's Agent _ Contractor _ Contractors Agent _ Tenant �m�:� �wbs ■ ian� or con:�,t �►n. o�,er co ao wo�c �, m. sPa�� <br />CONTRACTOR �I�!DG,9� State Lic. #/-�d�1i�C�la-�. �5 �b ti Z ciry eus. u�. # <br />�ddress Phone/Email <br />fENANT BUSINESS NAME CONTACT FOR PERMIT ,9ND�y <br />��1"7/ v.!/ v ���"'� Phone/E-mail � � � �: <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK�� <br />Existing Use of Building J�iC� <br />Proposed Use of Bui{ding ��� � <br />Building typa: _ Singla Family _ Duplex Townhouse _ Multi-Famity _ Commercial <br />T e of ro'ect: New Additlon Remodel Re air T.I. Si t� S rinkle <br />DESCRIPTION OF WORK (additlonal space provided on the back) : <br />MECHANICAL PERMIT APPLICATION <br />Type of ProJect: _New_Addn Alteration_Repair <br />Show Number # of fixtures <br />AIC — air handlin units <br />Forced air s stems <br />Gas i in <br />Water heater <br />Gas fire lace <br />Gas ran e <br />Clothes d er <br />Ran s hood <br />Exhaustfan <br />Heat um <br />� Unit heater <br />Boiler � <br />Refri eration � <br />Woodstove <br />Ductin � <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />HEAT <br />�E�"� T/�E- <br />�6 /3 - ?��",�T� <br />O d, � <br />SOURCE: <br />:ctric Other <br />�n Chanae of Use <br />� PLUMBiNG PERMIT APPLiCAT1oN <br />Type of Project: _New _Addn AlteraUon _Repalr <br />Show Number (#) of fixtures <br />� Toilet <br />Bathtub � <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8� disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/barlmop/etc.) <br />Backflow preventer (inside bi< <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other. <br />Other. <br />I hereby ceNfy that 1 have read and examined thls applkatbn end know the same to ba true and correct. All provfsions of laws and ordinanees goveming this type oiworkwiN be <br />with whether specHled hereln or not The granUng o( a partnit does not presume to gNa authorily to vblate or cancel the provfslon ot any other state or bcal law regulatlng consN <br />That I am authortzed e owner of Ihia property to petfortn the wo�ic forwhkh appHcatlon Is made and I compy wlth the State Contradors Law 78.27 RCW and 298.200A WAC <br />� , �- ��. �;%� �z / �_ <br />Owner/Author ed Agent Signature Date (Revlsed 4/20' <br />