Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBIN G/SIGN/SPRINKLER/DEIMiOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 4 25-25 -8810 FAX 425-25i-8857 wvnv everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE D <br />RESS: /3'7- <br />PROPERTY TAX X <br />P R <br />�# ,,Cs.'00 <br />LEGAL for new construction ShortPlatisubdimsion IV Iti Lol No._ (attach copy of long legal description) <br />OWNER c I„ - �f IILtC, <br />Phone/E-mad <br />I; 1{{P(L <br />Address I C - <br />City/Stale/zip ,I. '"lOOLU <br />APPLICANT: Owner Ovmer's Agent Contractor Contractor's Agent V""Teranln'.n: gprata kctt 0l <pn]Mlrgmine G.vnN l ioOwo7- s:?.- ' <br />CONTRACTOR r• n pl(1 L 8 I Lic p 1 COE Bus. Llc N <br />{II <br />Address 4-14qk C)olikwli 1 _ PhonetEmad /-C U I_I <br />T NANT BUSINESS NAME <br />'('C`' CkIx,t CAn1�ys Im. 1Q131a1 �1n11uWtu�C`ti`j <br />" <br />CONTACT FOR PERMIT <br />/�y�1a'1" / C t[�llr5 IL2CI <br />Phone/Email C •C <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Existing Use of Building - _ T HEAT SOURCE. <br />Proposed Use of Building Gas_ Electric_ Other___ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi -Family —Vtommercial <br />Type of project: _ New Addition Remodel _ Repair _ T.I._L,6ign Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back) <br />JTarfLI 126CLt1 skv-c 5C.i1►m) f1Ct-I%0%.kXc0 C0-!jVLk%'%V5 CuYI Cie(a. <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project _New _Adds _Alteration _Repair <br />Show Number (D) of fixtures <br />Type of Project. _New _Addn _Alteration _Repair <br />Show Number (0) of fixtures <br />_ <br />A/C - air handling units <br />_ <br />Toilet <br />t Forced airs stems <br />I Bathtub <br />! Gas piping <br />I Lavatory (wash basin) <br />I Water heater <br />I Shower <br />I Gas fireplace <br />I Kitchen sink 8 disposal <br />I Gasran e <br />I Dishwasher <br />I Clothes dryer <br />I Clothes washer <br />Range hood <br />, Water heater <br />Exhaust fan <br />Sink (servicetbarlmo /etc ) <br />I Heat pump <br />I Backllow preventer <br />I Unit heater <br />I Urinal <br />I Boiler <br />Drinking Fountain <br />I Refrigeration <br />I Floor drain <br />I Woodslove <br />I Grease trap <br />I Ducting <br />Root drains <br />I Other <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />J Other: <br />J Number of Heads <br />Other: <br />I hereby cenily that I have road and examined this appGoalbn and know the same to be true and caffect An prew5,ons oT laws and ordinances governing this type of wort w a 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 slate w local law regulating construction <br />Than t am authorized by The owner of this property to perform the work for which apphcalion is made and 1 compty w1h the State Conlractors Law 18.27 RCW and 296 200A WAC <br />Owner/Author zed Ag nt Signature Date (Revised 612012) <br />.o-n <br />