Laserfiche WebLink
� <br />�J <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 />�U f�/i9C� j . -fi�P <br />LEGAL for new construction: Short PlaUsubdivision <br />OWNER�'-�IIC'L�-�' l� L/ ��iU{�C.%ti,�S L_ (,C. <br />Address (.i�� ��������c� j �a` � �� ��/C��� <br />APPLICANT: _ Owner _ Owner's Agent _ Contractor . <br />CONTRACTOR Ll/�I,.�� �, s� _c. f z"� �� <br />PROPERTY TAX # <br />� <br />Lot No. (attach copy of long Iegal description) <br />Phone/E-mail , Z/ 2 G' �Z ��/ �/ G' G' <br />City/State/Zip �„����G�� /G'G'� ! �7 �C�� l � <br />COf1tf8CtOf�S i1g@Ilt _ T2�aflt (must provide a letter of consent from the owner to do work in the space) <br />State Lic. #�/��� C''K- Ra �2�(�f �lcity Bus. �ic. # ���%Z� <br />Address Phone/Email <br />TENANT BUSINESS NAME CONTACT FOR PERMJ <br />�-�-�' lr( i3-2 �t �'Y�� �l <br />Phone/E-mail <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WO <br />Existing Use of Building � � �- � �G �� ` �" <br />Proposed Use of Building � `� ' � � � � � � ��`� T <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family �! Commercial <br />Type of project: � New Addition Remodel _ Repair _ T.I. Siqn Sprinkier <br />DESCRIPTION OF WORK (additional space provided on the back) :: <br />� j��ii� U � �� �� 5 �(� ,c��, �v�•.�c �c�'� �� ��.—oc�.��`{ <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A!C – 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 dryer <br />Ran e hood <br />� Exhaust fan <br />— Heat pump <br />Boiler <br />Woodstove <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />� <br />�(�'�, 2'-�� �/ � � <br />,�i/I %`� 'i`'7_c,` _:31._ <br />HEAT SOURCE: <br />;_ Electric_ Other <br />Demolition Chanqe of Use <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Aiteration _Repair <br />Show Number (#) of Fxtures <br />Toilet <br />Bathtub <br />Lavato wash basin <br />Shower <br />� Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink service/bar/mo /etc. <br />Backflow reventer <br />Urinal <br />� Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certiTy fhat 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 compl <br />with whether specifed herein or not. The granting of a permil does not presume to give authority to violate or cancel the provision of any olher state or local law regulating constrvction <br />That I am auth �zed by the owner of this property to pertorm the work forwhich application is made and I comply with the State Contractors Law 1827 RCW and 296.200A WAC. <br />=-�i � <br />�� Z-=-�.., � L/.�/ �� `7 �/ <br />Owner/Authorized Age Sign K�e Date (Revised 9/2014J ` 2. <br />