Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/NIECHANICAL/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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS: 411 74th St SW, Everett, WA 98203 <br />PROPERTY TAX# 00708000008600 <br />PERMIT# <br />LEGAL for new construction: Short Plat/subdivision Veralene Estate Lot No. 86 (attach copy of long legal description) <br />OWNER Scott BUfflin Tton <br />Phone/E-mail 801-557-0491 scotte.buffin ton mail.com <br />Address 9900 12th Ave W, APT K304 <br />City/State/zip Everett, WA 98204 <br />APPLICANT: X owner _ Owner's Agent _Contractor _Contractor's Agent _Tenant (must provide a letter of consent from the owner to do mrk in the space) <br />CONTRACTOR , i n <br />L & I Lic. # COE Bus. Lic. # <br />Address <br />Phone/Email <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />Phone/E-mail <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK $3,000.00 <br />Existing Use of Building Residential HEAT SOURCE: <br />Proposed Use of Building Residential Gas X Electric_ Other X <br />Building type: X Single Family _ Duplex _Townhouse _ Multi -Family _ Commercial <br />Type of project: New Addition _�L Remodel Repair _ T.I. _ Sign _Sprinkler _Demolition _Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />Add uJ r1 OwJ1. I�'�Q faC <f }�✓ 1>/t�,,i5� �� P CA S1 i�i+r� <br />MECHANICAL <br />PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New <br />Show <br />XAddn _Alteration _Repair <br />Number (#) of fixtures <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />Toilet <br />Forced air systems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink & disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaus': fan <br />Sink (service/bar/mop/etc.) <br />Heat pump <br />Backflow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease trap <br />Ducting <br />Roof drains <br />Other_ <br />Medical Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <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 to give authority to violate or cancel the provision of any other state or local law regulating construction <br />That I am author d by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />7 <br />Owner/Authorize Agen Signatur Date (Revised 612012)) <br />�I� <br />