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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM // - i "/ -Z-- <br />SITEt4DDRESS: v �I aC <br />O_S -J <br />PROPERTYTA%N <br />PERMITS I�rU6pl <br />O <br />LEGAL for new construction: Short Plat/subdivision Lot No._ (attach copy of long legal description) <br />OWNER <br />Phonee-mall <br />Address <br />City/Statel2ip <br />APPLICANT:_Owner _Ouster's Agent Contractor Contrac!or's Agent _Tenant (must pmv o a istural consent from the wmerto doroA In Ne spas) <br />.-- Y <br />CONTRACTOR Cyl <br />L & I Lic. #rJ.3 • lc--1 COE Bus. Llc. # <br />Address P C Phone/Email <br />TENANT B9INBF5C5 NAME <br />V��Q. •FJGQV�y <br />CcOJ\NNTACT FOR PEERMIT r� <br />Ph e/E�all <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />Existing Use of Building <br />HEAT SOURCE: <br />Proposed Use of Building_-f L2mme/'c/a.,l Gas_ Electric_ Other_ <br />Buildingtype: _Single Family _Duplex _Townhouse _ Multi-Familylg_ Commercial <br />Type of project: _New _Addition —Remodel _Repair_ T.I. _-Sign Sprinkler_Demolition_Change of Use <br />DESCRIPTION OF WORK (additional space provrded on the back) <br />d CIOZ� fire �prinKler hz°a <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typoof Project: _Now_Addn _Alteration —Repair <br />Show Number (U) of fixtures <br />Typeof Project: _New_Addn _Alteration __Repair <br />Show Number (#) of fixtures <br />A/C - air handling units <br />Toilet <br />Forced air systems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink & disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink (service/bar/mop/etc.) <br />Heat pump <br />Backflow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />I hereby cortdythat I have read and examined this application and knew the same to be Wo and caned. An provisions of laws and ordinances governing this type of work will be complied <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 combsuction <br />That ^I am authorized by <br />the owner of this property to perform the work for which aappkatlon is made and I comply win the Stale Contractors Law 18.27 RC W and 296.2DDA WAC. <br />l l0 \ I D Idol In - <br />wrNr Autl orized Agent tilgrature Date (Revised 6(2012) <br />Yp.COm <br />:OTf'1 <br />jjz <br />