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 /> SITEADDRESS: OD Z I PROPERTYTAX# 98602DOZ00ap P RMIT# <br /> Zao 02oCZop 80� i b5ol — o <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNE ,0 Q Phone/E-mail Aq r o>nor�As Ao rc c-fi r/ ',Rn,or <br /> Address 5700 25AP pRdVE w jm r City/State/Zip <br /> APPLICANT: Owner X Owner's Agent Contractor Contractor's Agent _Tenant(must provide a leter of <br /> consent from the owner to do work In the space) <br /> CONTRACTOR V V 1� "l State Lic.# V i �I ity Bus. Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR P RMIT 4r�i C O W i t <br /> 2811 d ro-A. ��/w.,:r.✓/tIf28�2wroh;�+t <br /> Phone/E-mail yZs 252 • 2//5 3 <br /> BUILDING PERMIT `APPLICATION CONTRACT PRICE OF WORK 7,�J'iOOa <br /> Existing Use of Building ex e^ X '� O �S HEAT SOURCE: <br /> Proposed Use of Building 4w0 O Gt B' Gas-/— Electric_ Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family X Commercial <br /> Type ofproject: New Addition Remodel Repair XT.1. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Ilew o fi9e e, 47 .40 ' <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C-air handling units Toilet <br /> Forced airs stems Bathtub <br /> Gas piping Lavatory wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink (service/bar/mop/etc.) <br /> Heat pump Backflow preventer inside bldg) <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads 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 specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other slate or local law regulating construction <br /> That <br /> JI'aammauauthorized by the owner of this pro erty to perform thheel work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> Owner/Authorized Agent Signa re tl Kate (Revised 4/2015) <br />