Laserfiche WebLink
L_J <br />PERMIT' �4PPLICAT'ION <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 DRESS: �t� IPROPERTY TAX #� I PE�IT #�Q � y�� <br />�G�O� V1�C�-iLLo�E �C1/�. �` � <br />LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />OWNER � Phone/E-mail � ' �� ' y % <br />Address �p �yy�,py City/State/Zip 'rjj�/ �ZUU� <br />APPLICANT: _ Owner _ Owner's Agent _ Contractor _ Contractor�5 A92f11 _ TBflBtll (musl provide a letterof consenl from the owner lo do work in Ihe space) <br />CONTRACTOR �.,�sl,M � �_f�nt� � 50/1/S �Tl/�%G— State Lic. #�jYt815'{� Q�,�� City Bus. Lic. # <br />qtlress � <br />ENANT <br />BUILDING PERMIi APPLICAiIOIV <br />Phone/Email <br />ione/E-mail 'T Z�J • d��• �/ Z,3 <br />ONTRACT PRICE OF WORK , <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use uilding Gas� Electric Other <br />Buflding type:�Single Fa ily _ Duplex _To�vnhouse _ ��lulli-Family __ Commercial <br />Type of project New Addition Remodel Repair T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />DES� TIO F WORK (additional space provided on the back) : <br />� �'p �n.�'YT <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New(�Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />� � Forced air systems <br />I Gas pipin4 <br />� Gas fireplace <br />� � Gas range <br />' I Clothes dryer <br />; Range hood <br />� Exhaust fan <br />� Heat pump <br />� Unit heater <br />� Boiler <br />� Refrigeration <br />, Woodstove <br />Ducting <br />� Other <br />PRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />pe of Project: _New _Addn _Alteretion _Repair <br />Show Number (#J of fixtures <br />� Toilet <br />� Bathtub <br />I Lavatorv (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/m <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 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 complied <br />with whether specified herein or not. The granting of a permit does not presume to give aulhority lo violate or cancel the provision of any other state or local law regulating construction <br />That I am authorized by the owner of this property to periorm the work for which application Is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />�� - 71z� f <br />