Laserfiche WebLink
� <br />� <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: <br />249 E4. �Si�vo � <br />LEGAL for new construction: Short PlaUsubdivision <br />7 <br />�SS $3$O Se, y 3'° s-r <br />LICANT: _ Owner _ Owner's Agent <br />/��H :S'7: <br />PROPERTY TAX # PF�R IT # _ <br />�059$700000101 �C ��l ���' B' <br />Lot No. (attach copy of long legal description) <br />Phone/E-mail <br />�City/State/Zip m�(����ZSL�aD ��f'�[�Q <br />� <br />ContraCtor _ ContrBCtor'S Agent _ Tenant (must provide a letter of consent fron the owner to do vrork in the space) <br />1 .��✓� � <br />pn/7��04 State Lic. #/j��jf Z T City Bus. Lic. # ,) �j - <br />zS3 -926-9�77 /� <br />S' Z Phone/Email �OELSr�(�itOU.PMLS.�4;M <br />CONTACT FOR PERMIT <br />2�-926-41Ti EXT. l06 <br />Lr7 ���//L Phone/E-mail �DEL$ GQO[.t(� S, �pM <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK q 8'9.S�a � <br />Existing Use of Building ��ff� �'1?ALL C�ikr►+Q2U AL HEAT SOURCE: <br />Proposed Use of Building Gas iectric Other <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition �model Repair T.I. Siqn Sprinkler Demolition Chan e of Use <br />DESCRIPTION OF WORK �additional space provided on tne back): '�%-P��� �� �J�O��P �06�t/JT"1�S'Q <br />2,,� i o nl H�SR�r Pu-►M. P c� iTK L i Kc.� Fo2 Lr Kc�L , <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number # of fixtures <br />A/C — air handlin units <br />Forced air s stems <br />Gas i in <br />Water heater <br />Gas fire lace <br />Gas ran e <br />Clothes dr er <br />Ran ehood <br />Exhaust fan <br />/ Heat um <br />Unit heater <br />Boiler <br />Woodstove <br />Ductin <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />Lavato wash basin <br />Shower <br />Kitchen sink & dis osal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink service/bar/mo /etc. <br />Backflow preventer (inside bldq) <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />certify that I have read and examined this application and know the same to be lrue and correct. All provisions of laws and ordinances governing this type of work will be compl <br />�the sr p ifed 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 />� onzed by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296200A WAC. <br />� <br />nt Signature <br />Date <br />(Revised 4/2015) ��� <br />