Laserfiche WebLink
425-252-1666 CM HEATING <br />_ _ _ • . . <br />10: 15:08 a.m. 09-2�-2015 5/7 <br />_ • _ <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/S1GN/SPRINKLER/DEMOLITION <br />CI7Y OF EVERETT PERMIT SERViCES <br />32p0 Cedar St., EveretE, WA 98201 425-257-8810 FAX 425-257-B857 www.everettwa.org <br />SITEAbORE55: ' 10(1 �`S� �� Sr ����� PROPERTYTAX# PE iT j I ,r i <br />�—� �� � G �.F"✓ <br />LEGAL tor new construction: Short PlaVsu6divisfon L�t No. (atlach capy of long legal descrlpUan) � <br />OWNER �3 ARA GA � � G�t � � PhonelE-mall �� � � ��— � �d� <br />Address ��� �Q� Sfi S� s� City/State2ip �� '�e� w� -1 `t) �v� <br />APPUCANT: _ Owner _ Otivner's Agent V Contra�lor _ Conlractors Agant TeI18f71 (mu�t prvvld� a latlar a�canser,t hom tha o�mer l� do work m Iho a� <br />\ .Y� 1 h <br />CONTRAC70R � L State Lio. # �7� 5� Cit Bus. Lic. # �`�v <br />Address I Y'� �.�� W �4 qg�or PhonelEmaA �'� Z5-) �,QIL� <br />TENANT BUSINESS NAME CONTACT FOR PERMIT <br />P�t,1�1b�;e, �t-25 2`� l¢�!c(o . <br />ne/E-mail � . �� <br />BUILDING PERMIT APPLICATION coNTRAcr PR1cE oF Wo�tK ��C1 �' .CX7 <br />Existing Use af Buflding <br />Proposed UsQ of Huilding <br />Bullding type: _ Single Family _ Duplex Tov�mhouse _ Mulli-Family _ Commercial <br />Type of project: New Addition Remodel Repair T.I. Siqn 5prinkler <br />DESCRIPTION O� WORK (addifional space provided on the back) : <br />� (�� { l'� 1-1- (DU� C� L�SS }-�e�� �1���' <br />MECHANICAL PERMIT APPLiCAT10N <br />Typo ot ProJoct: Now _Addn _Altoratlon ____Ropafr <br />Show Numher (NJ of f/xtures <br />� A/C — air handifn units <br />Forced air svstems <br />as range <br />lothes drye <br />ange hood <br />chaustfan <br />a <br />Ga <br />of Use <br />PLUMBING PERMIT APPLICATION <br />Typn of ProJoct: Now,�Addn _Altorapon _RopaTr <br />Show Number (#) af rxtures <br />Kitchen sink & disp <br />Dishwasher <br />Clothes washer <br />Water heater <br />S(nk (service/bar/m <br />Backfilow preventer <br />Urina! <br />I wootlstove Grease tra <br />Ducti� R6of dralns <br />Other Medical Gas <br />SPRINKLER / SUPPRESSiON SYSTEM Other. <br />Number of Heads Other. <br />l here6y certity that I have read end axamined Ihis app6cation and know the same to de trua and cortect. All pmvisiona of laws end ordinancea govurnfng thia rypo ol work wlil be compl <br />with wheiher speafied herain or not. Tha pranting of a permi! daes nol prnaume !o give authnrily to vfolata or cancel lhe provision al any olher atate or lacai !aw tegulating mnstruclion <br />Thet I am authorized by lhe owner af ihls property ta periorm tha work for whlch appGratian fa mado and I comply wlth the Sia1a Canlraclors Lnw 19.27 RCW and 296.Zo0A WAC. <br />� ��aa 1'� <br />Ownor uthortzed qgant gnaturo pate (Revlsed 92014) <br />