Laserfiche WebLink
425-252-1666 CM HEATING 10:33:21 a.m. 08-31-2015 3/4 <br />__ ___ ___ ... . .. _ . . __. __ . - ---,... . _._.__... .. . . __..... __ . <br />_ � -- - -_.. _ .. ._- - - _.__ .._...._. _ ._- _ _---- -_...._ ._ . ._. __ . . _.... _. ,.. _--- _ __..._. ._.. . . _. . ._ ._ _. _... <br />PERMIT APPLICATION <br />BUIL.DING/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.eve�rettwa.org <br />TAX q <br />LEGAL for new construction: Short PlaUsubdivislan Lot No. (attach copy of long legal description) <br />OWNER �}��;�y� �Ph�P� Phone/E-mail 7hin-��lrS�7{�' ��i�Li <br />:SS 3yi �- W�.+tYloY� <br />LICANT: _ Owner _ Owner's Agent � ConVactor <br />ITRACTOR ( �iY� 1-�011't'1 M <br />• <br />Contractors Agent _ Tenant tm�sc P��b. a iatter or mnsen� nam ma wn,ar �o ao work i� Ne, <br />5tate Lic. # jZL{ Cit Bus. Lic. # �(DQ� <br />��' Phone/Email (� �e <br />CONTACT' FOR PERMIT <br />�P,�D'bi� Bo�t�.�CS <br />Phone/E-mail 5Q �e . <br />BUILD[NG PERMIT APPLICATION CONTRACT PRICE OF WORK 8'S3�T.2�-I-� <br />Existfng Use oF Bullding ^ v <br />Proposed Use of 8uildln4 �f� <br />6uilding type: _ Single Famlly _ Duplex Townhouse _ <br />Type of project: _ New Addition Remodel Repair <br />DESCRIPTION OF WORK (additional space provided on the 6ack): <br />� �15�.1 � �C��55 �-� .�uru,� <br />MECHANtCAI. PERMIT APPLICATION <br />of ProJect' _New_Addn Alteration ,_Repair <br />Show Num6er # of rxiures <br />A!C - afr handlin units <br />Forced air s stems <br />Gas i in <br />Water heater <br />Gas fire lace <br />Gas ran e <br />Ct�thes drver <br />eat <br />( Other <br />SPRINKLER / SUPPRESSION SYSTE <br />HEAT SOURCE: <br />Electric O <br />Multi-Family _ Commercial <br />T.I. Sian Sprinkler <br />e <br />PLUMBING PERMiT APPLICATION <br />Type of ProjQct _Naw _Addn Afteration _Repair <br />Show Number (#) of Tiutures <br />Lavatory (wash b� <br />Shower <br />Kifchen sink & dis <br />dishwasher <br />Clothes washer <br />Weter heater <br />Sink (service/barL <br />Backflow preventE <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Olher: <br />1 I Number oF Heads � � � othe�: <br />I here6y certify fhal I have reatl and examined this application and know the seme lo be We and cortecf. AA provislons of laws and ardinances goveming this type ol work w111 bo comp <br />wlift wheltier spedfied herein or not. The granling o1 a permll does not prttsume to give suthority to violate or cancel Ihe p�vision oT any other stata ar bcal law ragulaUng construdlon <br />a t am eutharized by t e owner ot lhis property lo pQAortn Uie wark forwhich applicalion is made and I comply with tbe State Contradors Law 1827 RCW and 286.200A WAC. <br />1 <br />th rized gent Ignature �ate (Revised 9/Z014) <br />� �. <br />