Laserfiche WebLink
FORMIT APPLICATION16 <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvwv.everettwa.org <br /> PROPERMIT# <br /> SITE ADDRESS: r <br /> I I DI ��, �� l PERTY TAX## OD0� <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER (ss `� MG d Phone/E-mail <br /> 17 T)1��, City/State/Zip � <br /> Address D <br /> APPLICANT:—Owner —Ovrner's Agent Contractor _Contractors Agent _Tenant(must provide a fearer of consent from me owner m do work m rhe space) <br /> / State Lic.# D� vv� �� C' ity Bus. Lic.# <br /> CONTRACTOR �� US - <br /> /lr_ ��" 1�'�� Phone/Email <br /> Address I V b <br /> TENANT BUSINESS NAME 1 CONTACT FOR PERMIT <br /> `I Phone/E-mail zoo-'�L] 0!5 �� <br /> BUILDING PERMIT APPLICATION 1CONTRACT PRICE OF WORK <br /> Existing Use of Building_!��jmA EHEAT SOURCE:��' <br /> Proposed Use of Building S;-M C Gas Electric Other <br /> Building type: `/' Single Family _Duplex_Townhouse —Multi-Family _Commercial <br /> T e of ro ect: New Addition Remodel Repair T . Sin Sprinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(additional space provided on the back`) <br /> II ` <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 /> i <br /> Bathtub <br /> Forced airs terns <br /> ! Lavatory wash basin <br /> Gas piping <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal. <br /> Gas range Dishwasher <br /> Clothes er Clothes washer <br /> Rancie hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refri eration Floor drain <br /> Waodstove Grease trap <br /> Ductinq 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 AH provisions of taws and onlmnoes governing this type of work will be comp <br /> with whether specified herein or rte.The granting of a permit does not presu to give a,Ateority to violate or cance-i the provision of any other state or bcaI law regutatng construction <br /> That I pm authb d ,the owner of this property to perform the work for whi h app cation is made and I comply with the State Contractors Law 18 27 RCW and 296.200A WAC. I <br /> n oar ,�t►,..�: �e..o.,r c[,. fi�.o r�+n /Aauicdf CtlNlfdl <br />