Laserfiche WebLink
�ERMIT APPLICATI <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 />SITE QDDRESS� <br />l/�/�/-IS' ��'�!�'f• ��— � r�'�-i'.�' � <br />LEGAL for new construction: Short PlaUsubdivision <br />OWNER E' //���� yD�/.��/'�� il�Ty-i�, <br />Address 3/!� � [�QLJfi � �iv� � <br />PROPERTY TAX # I P <br />!'c� 7�1 i'� l -'�t � � � %ri,i !` C7 <br />Lot No. (attach copy of long legal description) <br />Phone/E-mail y�,� ` G �f, �L L � <br />City/State/Zip �v���T% /�/� <br />ICANT: l� Owner _ Owner's Agent _ Contractor _ Contractor's Agent _ Tenant �must provida a ieuer oi consent from �na owner �o do work in cne space� <br />ONTRACTOR <br />s <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building <br />Proposed Use of Building _ <br />Building type: _ Single Fami y�✓Dug,le�� Townhouse <br />�> _.. . �— ' <br />Type of project: New Addition Remodel �"'�Re air � <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />���z� , Fi'��s �`,�� � ��r��,� ��='E�.- <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />� Forced air systems <br />j Gas piping <br />� Water heater <br />� Gas fireplace <br />I Gas ranae <br />SPRIN <br />c:iotnes aryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Ducting <br />Other <br />I SUPPRESSION SYSTEM <br />Number of Heads <br />Lic. # <br />Phone/Email <br />Bus. Lic. # <br />VNIAGI rVKF'tKMll ' r �" <br />��.� /(/� . �- " <br />ione/E-mail / �..�r, J 1�C3 . 6J �(� /�D�/1�l/ �i��il%� C�/��'7 <br />ONTRACT PRICE OF WORK ��Sr ��i `'�� <br />�6amily _ Commercial <br />T.I. Sign _ Sprinkier <br />HEAT SOURCE: <br />Gas Electric �/Other <br />Demolition Chanqe of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#J of fixfures <br />! Toilet <br />Shower <br />Kitchen sink & d <br />Dishwasher <br />Clothes washer <br />Water heater <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certify that 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 complied <br />with whether specified herein or not. The granting of a permit does not presume ta give authority to violate or cancel the provision of any other state or local law �egulating construction <br />That I am ut rized by the owner of this property to pertorm the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />/ <br />�/ <br />� �� _�� z <br />Owner/Au ri d Agent Signature Date (Revised 3/2013) <br />