Laserfiche WebLink
� � <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: � �2`� / <br />� , .� C.��1..�., <br />LEGAL for new construction: Short PlaUsubdivision C��', <br />OWNER /°�1GC.�C�%y /`�Q.�!�f'L%<l>,:"1_ � �-�.C_- <br />�+/� <br />Address � �� � �� /��G�;ti ����;`_ % City/State/Zip <br />APPLICANT: _ Owner _ Owner's Agent Contractor _ Contractor's Agent _ <br />PERTY TAX # <br />�b}�%a�"Lo�o. (attach copy of long legal description) <br />Phone/E-mail �v1.,1"-- ��i�" ,�U� <br />ONTRACTOR �� � � � <br />Cl��(.X� .LG � <br />9dress ;�[,�.� L.�c�� (J�1'11�_�� ��e. <br />ENANT BUSINESS NAME <br />' , i.�i ' v�t _ / J ,�! �: �l G(�GLCf�'C._ �- �i"( �=- <br />BUILDING PERMIT P ICATION <br />TBflaflf (must provide a letter of consent trom the owner to do work in ihe space) <br />State Lic. # �'� LL ��i77 � C�/�? �City Bus. Lic. # 6 5��� / <br />(�3� y��� �.'� Phone/Email � () (� J� � - � �%_:J <br />CONTACT FOR PERMIT � <br />' .5� �►vk..�e... c��3 <br />Phone/E-mail � �cyJ ,�U� " J/� <br />CONTRACT PRICE OF WORK r�' ��C'+C'. � <br />Existing Use of Building �C!�C�L� c 5�'-�'�-- .,�CCl.2�`� HEAT SOURCE: <br />Proposed Use of Building CC�%�/CCI:��.�P ��� G <br />Building type: _ Single Family _ Duplex _Townhouse Multi-Family _ Commercial <br />Type of project: New Addition Remodel Repair � T.I. _ Sign _Sprinkler _ <br />DESCRIPTION OF WORK (additional� s,p�a�ce provided on the � ck) : � �� <br />l�-t ��ii�. /1�.yli,�,!'Io} C.ZyI.-QJX'��:J.l..cj���-�j � �.c..���--- `s�'�-llYYC- J'(,IG C..t'2./2.t�2� <br />/f 1 � �� _ n �� <br />/� v`T� ' . <br />MECHANICAL PERMIT APPLICATION <br />pe of Project: � New _Addn ✓ Alteration _Repair <br />Show Number (#) of fixtures <br />A/C - air handling units <br />j Forced air systems <br />�, Gas piping <br />Water heater <br />i Gas fireplace <br />i Gas range <br />� Clothes dryer <br />-� Range hood <br />-� Exhaust fan <br />Heat pump <br />� Unit heater <br />� Boiler <br />� Refrigeration <br />; Woodstove <br />i Ducting <br />SPRINKLER / SUPPRESSI`bN SYS <br />� Number of Heads <br />on Change of Use <br />�riL Co `J ./ <br />o _� <br />b/l iX �� <br />r � <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />� Toilet <br />; Bathtub <br />I Lavatory (wash basin) <br />; Shower <br />� Kitchen sink & disposal <br />Clothes washer <br />Water heater <br />Sink (service/bar/m <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <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 authorized by the owner of this property to perfor the work for which application is made and I comply wilh the State Contractors Law 1827 RCW and 296.2DOA WAC. <br />� � i� ` <br />� �� � ;,�i� / �- i <br />. �-�� <br />Owner/Autho ized Agent Signature Date (Revised 3/2013) <br />