Laserfiche WebLink
425-252-1666 c.m.heating . •12:02:49 11-06-2015 2'4 <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 /> SITE ADDRESS: 6 311 Corlbq PROPERTY TAX tt p � IT O <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. attach copy py of lung legal description) <br /> OWNER Z_Ltr h ` IQa\fr• ) Phone/E-mall 42_5 2( `7Q7 ci <br /> Address 5- 1--1 Co [ b9 1 1u7 -City/Slate/Zip -P9 g a t)t)...3 <br /> APPLICANT: Owner Owner's AgentContractor Contractor's Agent <br /> Tenant(must provide❑letter of consent from thEI owner to doworkn he space) <br /> CONTRACTOR (_IM4-CC i�n )vi� �/ -- ^ ,/� State Lic. # eft' I-1-P j."* etty Bus. Lic.# �,+J(00gg <br /> Address) �j r�tS--LK. &eV' �-1 NA 9S2-OI Phone/Email dewtt,E. entt td- na,Lo L4 <br /> TENANT BUSINESS <br /> 4NAME CONTACT^FOR PERMIT J 12-5 2-5Ct &&� S <br /> f JC <br /> Phone/E-mall ,t i t) t cav kg(`-'1 Fl ,co fl1 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK r9 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building <br /> C <br /> Electric Other <br /> Building type: V Single Family _Duplex Townhouse Multi-Family Commercial <br /> Type of prc ect: New Addition Remodel Repair T.I. Sign__Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> 46LCIL Cr-1J) 't}A---1/ , <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Project: Now_Adds Altoration—Repair Typo of Project: —Now Addn —Alteration_Repair <br /> Show Number(4)of fixtures Show Number(4)of fixtures <br /> A/C-air handling units I Toilet <br /> I Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace I Kitchen sink&disposal <br /> Gas range <br /> I Dishwasher <br /> Clothes dryer I Clothes washer <br /> Range 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 /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting 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.All provisions of laws and ordinances governing this type of work will be comp) <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the prat/felon of any other state or local law regulating construction <br /> That I em authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Low 18.27 RCW and 256 2COA WAC. <br /> atot <br /> c <br /> Owner/Authorize Agent Signature Date (Revised 92014) <br />