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 />SITE ADDRESS: <br />� tol 1 FZvclCE2�V� �V�2t�GiS2ot <br />LEGAL for new construction: Short PlaUsubdivision <br />OWNER �j(�� (�E �IL1� �� <br />Address � �,p�, � �V C�C��� /��/ �i <br />APPLICANT: _ Owner _ Owner's Agent �Contractor <br />TAX # <br /># <br />� <br />No. (attach copy of long legal description) <br />Phone/E-mail (d'{ 2S � 'L�j2 — �p 1 �S <br />City/State/Zip �iv-E R�T�-, �! �4 �1 � 2—� 1 <br />Contf2Ctof�S A98flt _ T2f18f1t (must provide a letter of consenl from lhe ovmer to do vrork in the space) <br />CONTRACTOR �/�(�rjTtR� �'j � State Lic. # W ES�ES� ��-���ty Bus. Lic. #(� �� � 55 <br />Address � OLI 1 OM.rc R--l� 5��� �j��-`-1 NC i-i � �$ �� <br />}-� '1 rn Phone/Email 3(00� � y�-- O g�J� <br />TENANT BUSINESS NAME CONTACT FOR PERMIT <br />� f�-I-1 � I d� E t--t f�-R/-� <br />� � �` Phone/E-mail ��+i�� �re�+e,rnso�rtirrne,.�orn <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK � Z��CS <br />Existing Use of Building cJ� 1� HEAT SOURCE: <br />Proposed Use of Building_��4�, t c6Dl.f�2 �12(le�� Gas Electric Other <br />Building type: � Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition Remodel Repair T.I. Siqn Sprinkler Demolition Chan e of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />� NSTf�L� Roo��J� SO�.f�l� f���E°� O O oN CLU'�y� '. <br />Ci $) IT�K.. �NERC��' 2go 'NE Mo���� <br />�G � 1—f� lL �f� ERC�� �V 4 5200'�L S�'1QI (�� � N`�f C+2� (1-.� <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C - air handling units <br />' Forced air systems <br />r Gas i in <br />Water heater <br />Gas fire lace <br />Gas range <br />i Clothes d er <br />Range hood <br />j Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refri eration <br />Woodstove <br />Ductin <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />' Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer (inside bl <br />Urinal <br />Drinking Fountain <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 governing this type of work will be comp <br />with whether specifed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisio� of any other state or local law regulating construction <br />That I a authorized by th of this 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 />�-+i�5��� <br />Ow r/Aut o ized Agent Signature Date (Revised 4/2015) <br />