Laserfiche WebLink
Sep 12 2016 10:52AM Washington Water Heaters 8663757454 page 2 <br /> PERMIT APP (CATION <br /> BUILDING/MECHANICALIPLUMBINGI IGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St, Everett, WA 98201 425-257-8810 FAX 425-257-8857 vMw.everettwa.org <br /> SIT��Q��S,1� , ! i ^�� PROPERTY TAX tt <br /> PERMIT# <br /> sol ‘OC� ^1 ! )` (� L, <br /> LEGAL for new construction: Short Pletlsubdivision <br /> Lot No. (attach copy of long legal description) <br /> OWNER t,.D �,-LQz,S Phone/E-mail 4`23'4Aoy ' \ t a1 <br /> Address]-1271 rOtri Q-\ ),„ w1^ ]t - 1 t� City/State/Zip , A)1/\ c- 7_0 I ` <br /> � t v�'L T� p �,'��'r��}-� V of'T _" , `� <br /> APPLICANT: Owner Owner's Agent Contractor _Contractor's Agent Tenant must J <br /> provide a latter of Canecnt from the owner to do Mork in its apace) <br /> CONTRACTOR tosninq/ n wa ,Y I-t-f'akState Lic.# ���51/21-keV��h City�`^ �-'1 ci Bus. Lic.# 0 ✓3yn I! <br /> Address UQJ()_nVV Q &,01--0-r) / 4 �1i� - <br /> Phone/Email --C/7?— wa it t ;r�ia�'t/ <br /> TENANT BUSINESS NAME <br /> CONTACT FOR PERMIT <br /> Jacc� IF . <br /> Phone/E-mail �Da— ' <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK C{ 00 <br /> Existing Use of Building ck (ff,(,�,�(..t....(...../"/ 1/ { <br /> `��J HEAT SOURCE: <br /> Proposed Use of Building <br /> Gas Electric Other_ <br /> Building type: Single Family Duplex Townhouse \'Multi-Family Commercial <br /> Type of project: New Addition Remodel Repair T.l. Sign_SprnklerDemolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> 6 MC a Q4f/Pla-a —e ir-e tM 1/(-)al?-r- Alalek-7,51. i <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _NewAddn `Alteration Repair Type of Project: New__Addn `Alteration Ropair <br /> Show Number f#)of fixtures Show Number(#)of fixtures <br /> I NC-air handling units t i <br /> Forced air systems Toilet <br /> GasI 'n. Bathtub <br /> p g Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Ranke hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Unna€ <br /> i Boiler <br /> • <br /> Refrigeration Drinking Fountain <br /> Woodstove Floor drain <br /> • <br /> Dustin Grease trap <br /> 5 Roof drains <br /> Other Medical Gas <br /> SPRINKLER 1 SUPPRESSION SYSTEM <br /> Other: <br /> Number of Heads Other: <br /> 1 hereby certify that I have read end oxomined this application and know the same to be We and correct.All provisions of taws and ordinances governing this typo of work will be comp] <br /> with . . specified heroin 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 constrjdion <br /> Th: 1 am au or¢ed by the owner.f this prmpe•.to perform the,irk for which ap licatan is made and I comply with the State Contractors Law 18.27 ROW and 208.200A WAC. <br /> --/.270 <br /> 0 'i /Au horized Agent Signature Date <br /> (Revised 9/2014) <br />