Laserfiche WebLink
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 25 ADDRESS: <br /> gl) A\i E- 13009X enERMIT <br /> ltcO -D2a <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER (li"r"e' F Phone/E-mail 4LS—ZS?' — <br /> Address , i z— W ETAICKF AyrCity/State/Zip E.v r7- WA qS. O� <br /> APPLICANT: Owner X Owners�Agg�ent _Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR C I\f S+ A' &t' t I YG • i mpir State Lic.#f �l� I(/0(9(D L ) City Bus. Lic.#NJ"f 452— <br /> Address (.6Y1Y` Phone/Email <br /> TENANT BUSINESS NAME. vEgr s_� CONTACT FOR PERMIT M 1 G WA KED <br /> G E!1�rF V Phone/E-mail 125—2.51-OeC S <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 402-450 1060.°- <br /> Existing Use of Building A-3fi S- - HEAT SOURCE: <br /> Proposed Use of Building NO Cr4ANt e Gas Electric Other <br /> Building type: _Single Family Duplex_Townhouse _Multi-Family ,(' Commercial <br /> Type of project: _New _Addition _Remodel _Repair X T.I._Sign_Sprinkler Demolition Change of Use <br /> ANDRIgrrLqF ACUN pRK K \Al(additional <br /> C 1 space <br /> h1�-1 ALonthe KGbc�I)14 P kstE/�I Eth- c r�C7 C71-AC-5'X1S?r11� cAANIOnFS <br /> gon v <br /> • <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New_Addn Alteration Repair Type of Project: _New_Addn Alteration Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads 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 comp <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 o perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC.sp <br /> .)//z-1. <br /> O ner/Authorized Agent Signature Date (Revised <br /> 9 9 9/2014) <br />