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 <br /> T E ADDRESS: <br /> D RE S. p `QO � ,„7m 4„ A of D3 PROPERTY TAX it0_,,14 <br /> l PERMIT,/it t 11 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER DEV/At iir 5A-12A A fi-A-R5TA-O Phone/E-mail (WS) 2,-9 - 2 (333 7 <br /> Address ?(O. 3353 City/State/Zip � E �/� X/ G <br /> g /9 <br /> APPLICANT: )C Owner _,�/Owner's Agent _Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR 660/t{EW State Lic.# City Bus. Lic.# <br /> Address Phone/Email <br /> — <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mail �� I <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK -1/ i 3((? <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric K Other <br /> Building type: Single Family h Duplex Townhouse Multi-Family Commercial <br /> Type of project: New X Addition Remodel Repair T.I. Sign Sprinkler Demolition Change of Use 7� <br /> DESCRIPTION OF WORK(additional space provided on the back): O0`rjD� 70 viva.- 6 z `� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New X 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 I I Bathtub <br /> Gas piping 2 I Lavatory(wash basin) <br /> 1 Water heater 1 j Shower <br /> Gas fireplace j Kitchen sink&disposal <br /> Gas range j Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood <br /> Ir Exhaust fan Sink(service/bar/mop/etc.) <br /> 1 Heat pump I Backflow preventer <br /> Unit heater j Urinal <br /> Boiler I Drinking Fountain <br /> Refrigeration j Floor drain <br /> Woodstove i Grease trap <br /> Ducting I Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> 1 Number of Heads i 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.Th-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 authoriz by the ownef of is property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC, <br /> liti <br /> ,/ jai g/i 1 /i l <br /> ner/Au onzed ent ignature Date (Revised 3/2013) <br />