Laserfiche WebLink
( <br /> 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- F�J:425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Y— I �"I� <br /> SITEADDRESS: PROPERTYTAXN ER ITM - <br /> 225 L+ �JFJ�-��`� �20� <br /> LEGAL for new cons�ruclion: Short PlaUsubdivision Lol No._ (allach copy of long legai descriplion) <br /> OWNER #pv-�r-.1 ►�pN�— PhonelE-mail 2o(p - 35(0- 6�-�o r, erx.�-- <br /> Address ��jo2o � g� E CilylSla�elZip U I 11� uJ/�.�I'����� <br /> CONTRACTOR � RS P'1�� L&I Lic.# � I�� DO S N �'� b°Z-'�23 3�'Z <br /> Address�p7j� �-/�� � �� Phone/Email 2s-418--fe3$on �1�� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �`e <br /> - ��' PhonelE-mail �1� ���� �1�����11�d+GS��+"" <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 8 � <br /> Existing Use of Building � �� ��--�E HEAT SOURCE: _ <br /> Proposed Use o(Building �7 F � Gas ' Electric_ Olher_ <br /> Building lype:�Single Family _�uplex_Townhouse _Multi-Family _Commercial <br /> Type of project: _New _Addilion _Remodel �Repair_T.I._Sign_Sprinkler_Demolilion_Change of Use <br /> Desc�ipliun of Work(addifional spaca rovp ided on Ihe ba i : a ���a� M=��ft��K�.-7�-VV7'JJGF10`�� �` -� <br /> µ�'agn�C_�-r��(t���/�T�-�� 4t:s�A u-�� <br /> Have you slaRed working wilhout a permit7 �YES _NO �p�.l-�� �Wu�- �2 '�31 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMlT APPLICATION <br /> Type ot ProJecl: }�Nuw_Addn _Alloration Ropair Type ot Project: ,�Now_Addn _Alteratlon�Repair <br /> Show Number(N)o/lixturos Show Number(M)ol Axlures <br /> A/C-air handling units Toilet <br /> Forced air systems ELJ Bathtub <br /> Gas pipin Lav2tory(wash basin) <br /> / Waterheater d1C� Shower <br /> Gas fireplace Kilchen sink 8 disposal <br /> Gas range Dishwasher <br />'�~ Clothesd er Clotheswasher <br /> Range hood / Water heater <br /> Exhauslfan � Sink(service/bar/mop/etc.) '6�Ic'�J7 <br /> Heat pump BackOow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof dreins <br /> Other Medical Gas <br /> SF�RIkKLER / SUPPRESSION SYSTEM Other: <br /> I Number of Heads Other: <br /> I hereby cehify that I have read and examined lhls applica�ion and know�he same lo bo Irue and covec�.All provisions of Iaxs and ardinances goveming <br /> Ihis�ype of work will be camplied with whether specified herein or not.The granling of a permii does nol presume to giva aulhonty lo viola�e or cancel <br /> ihe provision of any olher stale or local law regula�ing conslruction or lhe perlormance of conslruction.Tha�1 am aulhorized by the owner of�his propeAy <br /> to pertorm 1 work for hich application is made and I comply vnth the Slate Conlrectors Law 1827 RCW and 296.200 WAC . <br /> O�rIA t or�o�go SI aWro � 'O ,' va`8 (Revise97/2011J <br />