Laserfiche WebLink
Aug 17 2016 11:52AM Washington Water Heaters 8663757454 pane 1 <br /> PERMIT AP ' ICATION <br /> BUILDING/MECHANICAL PLUMBING/- IGN/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: PROPERTY TAX p PERMIT 4 <br /> tum\ SycacNC\cse \, �_00‘1,7;36 0 b60 5700 0 Z — <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) - , CO <br /> OWNER tJUcIP. (k)'(\€-_, Phone/E-mail A-2-6'-1`1Q2)--1ggQl <br /> Address U:2auk ;fit i C�mci t Vi‘ CitylState2ip •e-Nexe , \K(\ Cj9()2 <br /> APPLICANT: Owner _Owner's Agent —Contractor� _Contractor's Agent _Tenant(must provide a letter of ceasenr from tho owner to do work in in.specie) <br /> CONTRACTOR ii(JC Ming WOO/ I-pC°Zu/ S State Lic.# W/,�N, 970 t'f City Bus. Lic. #f 0 55.3 <br /> Address fv ! O lC(m ttI'17 ,4 qt?U ( ?PhonelErnail �Q0-�7i 45r'�/ �a "✓�1lYticT(�7 <br /> TENAN BUSINESS NAME CONTACT <br /> FOR PERMIT �`j ✓✓ <br /> Phone/E-mail 00- d E <br /> BUILDING PERMIT APPPLICAn+TION ,�yy CONTRACT PRICE OF WORK 9 U() <br /> Existing Use of Building_____a_StC.___ hr__ HEAT a . <br /> Proposed Use oftluilding G. lectnc Other <br /> Building type:\"-V Single Family —Duplex Townhouse _Multi-Family Commercial C V 1 , J <br /> Type of project ,New Addition Remodel —Repair T.I. Sign_Sprinkler_Demolitie+ Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the hack): <br /> &MC il e Q41'iel-6191(La I -e 1-e CI-11 L-- c)(1,-/-e}7Afai-ei7 (5'j <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo or Prolact: _New. Addn _Altorauan Repair Type or Project: New_Addn _Alteration_Repair <br /> Show Number(a)of fixtures Show Number(14)of fixtures <br /> NC-air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) - <br /> - Waver heater Shower <br /> j Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer , - ! Clothes washer <br /> �e � <br /> Range hood .1, i 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 1 Floor drain <br /> Wcodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM • <br /> Other: <br /> Number of HeadsOther: <br /> I het eby certify that I have read and examined this application and it ow the same to be true and correct,All provisions of laws and ordinances governing this type of work will be compl <br /> wltt whetter spedried herein or not.The granting of a permit dee rot prowms to give 7uthodty to vtulnta or cancel the nmvision of any other state or local low regulating construction <br /> • I a authorized by the owner of this p erty to perform the ore far which apptcation is made and I comply with the State Contractors Law 18.27 ROW and 296.200A WAC. <br /> � <br /> 0 yrlAuthorized Agent Signature Date (Revised 9/2014) <br />