Laserfiche WebLink
� <br />, � z� Y�,S � <br />��� � r <br />� <br />� <br />PE�nni�r AP��ic��ri�n� � � <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: ��O � ���r <br />LEGAL for new construction: Short PlaUsubdivision <br />OWNER f��'f � L e 5�r�.Q <br />4ddress � � � � sd �/I(j' ✓�`; V � <br />APPLICANT: V owner _ Owner's Agent _ Contracior <br />CONTRACTOR <br />ress <br />BUILDING PERfY117' APPLICAiIOIV <br />PROPERTY TAX #t PERMIT # <br />C 13i��5 <br />Lot No. (attach copy of long legal description) <br />Phone/E-mail ��-5 ��r � 7— � j�J� ! �L"�(��� e5 � �j/�9iM✓�I <br />City/State/Zip ��/�e W � �?{ �' <br />� <br />COflffaCfOf�S Ag6fll _ TBflBflt (must provide a letle� of consenl from lhe ownef to do work in Ihe space) <br />Lic. # <br />�Phone/Email <br />ACT FOR PERMIT <br />Phone/E-mail <br />CONTRACT PRICE OF WORK <br />Citv Bus. Lic. # <br />Existing Use of Building �� ^,�' '� �M ��� r�°%' �1�+��� HEAT SOURCE: <br />Proposed Use of Building ���'' � Gas � Electric Other <br />Building type: Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition _�-Zefmodel Repair _ T.I. Sign _Sprinkler _Demolition_Change of Use <br />DESCRIPTION OF WORK (additional space p/rovided on �he Uack): / <br />(_%Pq/uel� a Qn�i��s�y ����is�i�d 6.�ser-��r-. /�dd A�jR%.�foo�� U�,� buf�Gvi�� SBw('� �vNt�. <br />/���� beaM y���l� �� �j�;i�er ��Qpar�� �e�� �ntz�,;.� �,.�a��5. i✓r���� G�X'�'��'o� wo��j � Iny�la'�ia� <br />a�.� �'(r'c�����ud t7�(��� �IUMIJinr �� 7v M�l��rn co(�e, <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />� Forced air systems <br />� Gas piping <br />� Water heater <br />Gas fireplace <br />� Gas range <br />I Clothes dryer <br />; Range hood <br />( � Exhaustfan <br />Unit heater <br />Boiler <br />Woodstove <br />� Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />pe of Project: _New YAddn _Alteration _Repair <br />Show Number (#) of fixfures <br />l � Toilet <br />� � Bathtub <br />( � Lavatory (wash basin) <br />� � Shower <br />� Kitchen sink & disposal <br />Dishwasher <br />� Clothes washer <br />� Water heater <br />� � Sink (service/bar/mop/etc.) <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 />wilh 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 peRorm the work for which applicalion is made and I comply with the State Contracbrs Law 7827 RCW and 296200A WAC. <br />+�-���,/� �" � �,� I � <br />/ � <br />