Laserfiche WebLink
u <br />♦ <br />� <br />u <br />• <br />PERMIT APPLICATION <br />BUILDlNGIMECHANICALIPLUMBtNG/SIGN/SPRINKLERIDEMOLITIUN <br />CiTY OF EVERETT PERMIT SERVICES <br />320� Cedar St,, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evere#twa.org <br />SiTE ADDRESS: 8920 Evergreen Way <br />LEGAL for nevr oonstruction: Short PlaUsubdivisi <br />PROPERTYTAXq J PE�MI �, � <br />See attached � <br />__ Lot No. (attach copy of long Iegai description) <br />OWNER CVS Communi�ies phone/E-mail 949-77.5-7099/csantoro6Qgmail . cont <br />Address 105 Crescent Bay Drive, Suite D City/StateiZip Laguna Beach, CA 92651 <br />APPLICANT: _ Owner _ Ovmer's Agent _ Contractor � Contractor's Agent x T8f12f11 jmust proride a letier of wnsenl from the anner lo cb work in fhe <br />CON7RAC70f2 Exxel Pacific, Tnc State Lic. #�XXELP1073KN City Bus. Lic. # <br />Address 323 Telegzaph Rd. Bellingham, U7A 98226 PhonelEmait 360-734-2872 <br />TENANT B ESS NAME CONTACT FOR PERMIT <br />Charles Mox�gan, Architect <br />PhonelE-mail 425-353-2888/barbC�cmaarch. corn <br />BUILDiNG PERMtT APPLICATION CouT�cT �Ric� o�woRK__$3, 460 <br />Existing Use af Building <br />Proposed Use of Building �arport <br />Building type; _ Single Family _ Duplex _Townhouse _ Multi-Family <br />Type of projecl: � New Addition _ Remodel � Repair _ T.I. _ <br />DESCRlPTIOIV OF W�RK (additlonal space provided on the back): <br />Construct carport #3 for 4 vehicJ.es <br />MECHANICAL PERMIT APPLICATION <br />of Project: _,New.___,Addn _Alteration _Repafr <br />SJTovi Number (i1) of )ixtures <br />A!C - air handlin units <br />Forced air s stems <br />Gas i in <br />Water healer <br />�as range <br />Clolhes d� <br />Exhaust (an <br />Heat pump <br />Unit heater <br />Boiler <br />Ductin <br />Other <br />SPRINKLER / SUPPRESSI�N SYSTEM <br />Number of Heads <br />Commercial <br />HEAT SOURCE: <br />Electric Qther <br />of Use <br />PLUMBING PERMIT APPLICATION <br />oi Project: _New_Addn _Aiteratlon _Repalr <br />Slfow Number (#) of lixtures <br />Toilet <br />Bathtub <br />Lavato wash basin <br />Shower <br />Kitchen sink 8� dis osal <br />Dishwasher <br />Cloihes washer <br />Waler healer <br />Sink servicelbar/ma letc. <br />Backflow reventer <br />Urina! <br />Drinkin Fountain <br />Floor drain <br />Grease tra <br />Roof drains <br />Medical Gas <br />Other: <br />Oiher: <br />I heteby cerlify thal I ha 'r�iad and examined�this ppl+calbn and know the same to be we and comecl. A!1 provisions of laws and ordinances goveming tliis type of vrortc vr�l be comp <br />vrilh vihether specif�e ere or not. The grantin of a permil does not presume to give aulhoriry lo violate or cancel lhe provision o( any other slaie or local lavi rec�ulating conslrudion <br />71i m authorized y 1he rrner of Ihis prope to periorm Ihe vroric fonvhich eppScaUon is made and I comply vrith Ihe State ConlraGors Lavr 18.27 RCW and 2�J6.2if0A WAC. <br />�� � � <br />O erlAuthorize ent Signature D te (Revised 9l2014) �� <br />� <br />