Laserfiche WebLink
s � <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 />ITEADDRESS: I�(tlZ S�. {✓�✓I�l 'n�/C ,_/�/ IPROPF�2�O���voyol8v0 I PS CI'✓�lU~ <br />�� e �„ w L <br />EGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />�WNER ���C%%, /�� i�i� Phone/E-mail <br />LICANT: _ Owner _ Owner's Agent <br />RACTOR N�}710 <br />5 /ZS� �,/'f3 <br />i�FF�rLa �✓i�D G�✓�G�f <br />BUILDING PERMIT APPLICATION <br />C011t(BCtOf S f\9@Ilt _ T@flB�t (must provide a letter of consent from the owner to do work in the space) <br />State Lic. # N%/df �f1 311� City Bus. Lic. # <br />, /C�/%� �g��� Phone/Email �0�1�2p6��TU� Sr�'�I�ZU'/) �y � <br />CONTACT FOR PERMIT / �� <br />�(�✓� Z�i�r�L�� r, <br />Phone/E-mail <br />CONTRACT PRICE OF WORK ��% � <br />Existing Use of Building I HEAT SOURCE: <br />Proposed Use of Building � 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 Chanqe of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />�n/5f� �� Q>y 5,���� ��� «� ��,��o �,�r��6�. �� s��s. <br />�� Q sr ��f <br />MECHANI L PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteretion _Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />Forced air s stems <br />Gas i in <br />Water heater <br />Gas fire lace <br />Gas ran e <br />Clothes dr er <br />Ran e hood <br />Exhaustfan <br />Heat um <br />Unit heater <br />Boiler <br />Refriaeration <br />Ductin <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />�i Numb�r of Heads <br />I hereby certify that I have re and <br />with whether specified here' or no <br />That I am authorized by lh wner J <br />re <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />; Toilet <br />� Bathtub <br />Lavator wash basin <br />Shower <br />Kitchen sink & dis osal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mo /etc. <br />Backflow reventer inside bld <br />Urinal <br />Drinkin Fountain <br />Floor drain <br />Grease tra <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />is applicalion and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be comp <br />g of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating consWction <br />y to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296200A WAC. <br />� � �� <br />��o��i� <br />Date (Revised 4/2015) <br />