Laserfiche WebLink
r A � � <br />PERMIT APPLICATION <br />BUILDfNGIMECHANICAL/PLUMBING/SlGNISPR[NKLER/DEMOLITION <br />CITY OF EVER�T7 PERMIT SERVICES <br />3200 Cedar St., �verett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />ITE ADDRESS: 8920 Evergreen Way <br />RdPERTY TAX tl PERMIT # <br />� <br />See attached � � c.�(( , o'yj� <br />LEGAL for nevi construction: Short PlaVsubdivisEon Lot No. (atiach copy of long legal description) <br />OWNER CVS Communities Phone/E-mail 949--7Z5-7�9R/csantoro6@gmail.com <br />4ddress 105 Crescent Bay Drive, Suite D City/Sta►elZip Laguna Beach, CA 97_65� <br />APPLICANT: _ Owner _ ovmers Agent _ Contracior _ Contractors F�gent X TeflBrlt (must proride a lener otconscnt trom the anner to do vwrtc in u�e <br />CONTRACTOR Exxel Pacific, Inc State l.ic. # EXXELP1073KN City Bus. Lic. # <br />Address 323 Telegraph Rd. Bellingham, SQA 98226 Phone/Email 360-734-2872. <br />iENANT BUSINESS NAME CONTACT FOR PERMIT <br />Charl.es Morgan, Archa.tect <br />PhonelE-mail 425-353-2888/barbC�cmaarch. corn <br />BUII,DING PERMIT APPLICATION CONTRACT PRICE OF WORK $l, �30 <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Buiiding Carport Gas_ E�ectric Other <br />Building type: _Single Fami�y _ Duplex _Townhouse � Mul#i-Family _ Commercial <br />Type of projecl: X New Addition Remodel Repair T.I. Siqn Sprinkler Demoliiion Change of Use <br />DESCRIP710N OF WORK (additional space provided on the back): <br />Construct carport #8 for 2 vehic�es <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT �PPLICATION <br />o( Projoct: _New Addn _AlteraHon _Repalr 7ype of Project: ,_,New_Addn _Alteration _Repair <br />Si�ow Number (t�) of fixtures Show Number # oJ tixtures <br />AIC — air handlin units Toilet <br />Forced air s stems Bathiub <br />Gas i in tavato �vash basin <br />Water heater Showar <br />Gas range <br />Clothes dr <br />rxnausttan <br />Neat pum� <br />Unit heater <br />Boiler <br />Dishwasher <br />Clothes washer <br />Water heater <br />Urinaf <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Other Medical Gas <br />Si'RINKL.ER / SUPPRESSION SYSTEM other: <br />Number of Heads Other: <br />I hereby certi(y thai I have read d e mined this appt' and know lhe same to be irue and correcf. All provislons oi lar�s and ordinances governing this lype of work rrll be comp' <br />vrith +•r er specified herein nol. e granting of a p t does not presume to give aulhoriiy to vioiale or cancel the provision of any other stale or bcal lavr regulatlng conslruclion <br />T l am uthorized by the o� ner o( is properiy (o pe o lhe work (or which appEcaiion is made and I comply ��rith the Slate Conlractors Law 1827 RCW and 29G200A WAC. <br />� <br />� � %� � � � � �� [ � ��3 <br />O rlAuthorfzed Agen ignature Date (Revised 9C10i4) <br />