Laserfiche WebLink
PEaMIT APPLICATION <br /> BUILDINGI CHANICALIPLUMBINGISIGN/SPRINKLERlDEMOLIT'I�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> Cedar St., Evereti, WA 98201 -425-257-8810—FAX 425-257-8857—wwv+.eve�ttwa�.o/lg � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM O <br /> SITEADDRESS: ,� PROPERTYTAICN P MITiI � _ 3 <br /> �7n ;� <br /> r7 <br /> LC-GAL for newconsWction: Short PI subaivision Lol No._ (altach copy of long Iegal description) <br /> i <br /> OWNER � � Fhone/E-maii � � 5 � S <br /> Address Q �� CirylStaic/Zip <br /> CONTRACTOR /: � � �' - � L&I Lic.# <br /> Add;ess Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT/� _ /_ ��SOi� <br /> � �Jp.�.z.F. <br /> � ��,�� �� Phone/E�mail aS' .� ' /U � <br /> BUILDING PERMIT APPL CATION CONrRAcr P!tICE oF WOkn 3 z � <br /> Er.isting Use of Bwiding C�L HEAT SOURCE. <br /> Proposed Use of Building Gas Eiecmc Other <br /> Building type: _Sin�le Family _Duplex_Townhousa _Multi- amily �Ccmmercial <br /> Typeo(projecC _New _Addition _Remodel ,_Repair_T.I._Sign_Sprinkler_Demolilion_Change ofUse <br /> Descriplion of Work(edditional space provided on Ihe back): / � <br /> SLt30P n.�� C'Q i/� � (' f' �l�Bn <br /> / ,) <br /> Have you started working without a permilP _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPI..ICATION <br /> TypoofProJetl: _Naw_Addn _Alleralion_Repalr TypcolPreject: _New_Addn _Alteratlon_Repair <br /> Show Numbrr(a/ol Iixfures Show Numbcr(q)o!lixfures <br /> � A/C—air handling unils Toilel <br /> Forced air s stems Bathtub <br /> Gas piping Lavatory pvash ba�in) <br /> Watcr hea�er Shower <br /> Gas fireplace Kitchen�ink&disposal <br /> Gas range Dishwasher <br /> Clothe�drycr Clolhes washer <br /> ftange hood Water heater i <br /> Exhaust fan � Sink(sevice/badmop/elcJ <br /> Heat pump �ackflo���preventer <br /> Unit heater Urinal <br /> Boiler Drink�ng Fountain <br /> Reirigeration Floor drain <br /> Woudstove Grease trap <br /> Ouaing Roof drains <br /> Other Medical Gas <br /> SPNINKLER I SIJPPRESSION SYSTEM Other: <br /> Nurrber of Heads Other. <br /> 1 hercby cetlify tha�I have read an]eaamined Ihis applicatlon and know the same lo be We and corred.All pmvisions of Iaws and ordinances goveming <br /> Ihis lype ol work will be complled with whether specifed hereln ot nol.The granling�I a pertni�does nol presume lo givo aulhority to violale or canc=l <br /> Ihe pwvision of any other slate or local law regulafing conslmclion or lho pedormance ot conslmc0on.That I am aulhorized 6y Ihe oa+ner of lhls property <br /> to pcdorm the work lor which applie:allon In matle anA I comply with the State Conlractors Law 18.27 RCW and 298200 WFlC <br /> Uv.�nedAuthodzodAgent5lgnature Date (Revised?/20fi) l/ <br /> � <br />