Laserfiche WebLink
� <br />PEi�iVllT APPLICATIOM <br />BUILDING/MECHA6VICAL/PLUM BING/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 />- �i'�� �'/r�� .� i. <br />LEGAL for new construction: Short PIaUs <br />OWNER�%��",��// �//%i/.�// <br />Address <br />�� <br />APPLICANT: �Owner _ Owner's Agent _ Contractor <br />CONTRACTOR ��% <br />TENANT BUSINESS NAME <br />�,���� l�i�� �/ <br />BUILDfNG PERMIT APPLfCAT10N <br />Existing Use of Building �/�� <br />PROPERTYTAX# I P RMIT#. � <br />UC��S /��o(�/��UU l�� 1�, l u i� -U <br />_ Lot No. (attach copy of long legal description) <br />_ ��5 �'��� �/�Z 71 <br />Phone/E-mail � <br />City/State/Zip ��-����� �j�� ��� �� <br />Contractor's Agent <br />State Lic. # <br />T@f12nt (must provide z letter of consznt from the owner ,o 0o work in the space) <br />City Bus. Lic. # <br />Phone/Email <br />CONTACT FOR PERMIT ��� ,. /�-��� <br />� �-� <br />,v� <br />Phone/E-mail G 5. 7C�� �j ����� �p/!//1���""�//"/'�.f <br />CONTRACT PRICE OF WORK ,d �% �� �� <br />T SOURCE: <br />Proposed Use of Buiiding � Gas V Electric Other <br />Building type: _ Single Family _ Duplex _Townhouse ✓ Multi-Family _ Commercial <br />Type of project: _ New Addition Remodel �Repair T I Sign Sprinkler Demolition Chan e of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />��/����G� �'%T �/���� ���1%�/1. ;' <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtu�es <br />A/C — air handlin units <br />Forced air systems <br />Gas piping <br />� Water heater <br />� Gas fireplace <br />_ � Gas range <br />� Clothes dryer <br />� Ran e hood <br />� Exhaustfan <br />� Heat pump <br />Unit heater <br />Boiler <br />Refri eration <br />Woodstove <br />Ductinq <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />Type of Project: _New _Addn _Alteration V Repair <br />Show Number (#) of fixfures <br />Toilet <br />Bathtub <br />Shower <br />Kitchen sink & di: <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/ <br />Backflow prevent� <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 lhe same to be lrue and corred. AII provisions of laws and ordinances goveming this type of work will be compl <br />with whether specified herein or not. The granting of a permit dues not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br />That I a th ed by the owner of this property to perform the work for which appiication is made and I comply with the State Contrac[ors Law 1827 RCW and 296.200A WAC. <br />� /i= /_/, <br />Owner/ o zed Agent Signature Date (Revised 9/2014J <br />