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 — vvww.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO.- PM <br />SITE ADDRESS; <br />BOC' LArI <br />pROPERTV TAX <br />GOOU G <br />F <br />:ITC <br />LEGAL for new construction: ShortRat/subdivislon --- Lot No._ (attach copy of long legal description) <br />OWNER MPJ FOX 'Ph, ne/E-mail <br />Address _ 2 LAry Cityl5tat=tip �{� L,�/ < .-��•'� <br />CONTRACTOR i-f - .IL & I Lic. R �P L <br />Address 1& / �IL� f{�V-(° - (L). Phone/Email t17, rj--775; , i e _ <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />Phone/E-mail <br />_ <br />BNUILDING PERMIT APPLICATIO <br />CONTRACT PRICE OF WORK 3, 3`I/;•, «J <br />Existing Use of Building <br />Proposed Use of Building <br />HHEAT SOURCE: <br />L v( Electric_ Other <br />L Gas <br />Building type: y9SingleFamily _Duplex Townhouse ,_Multi-Famlly _Commercial <br />Typeofproject _New _Addition _Remodel Repair— T.I.—Sign _ Spdnkier_Demolition_Change ofusiolvi <br />Description of Workfedditlonatapacoprovlded on the back): ��pCR-� �j()e,n,VCj-,ey-S ru/?&/4 CC Wrllf <br />A- N 6rz(2n i4oC T,.1 Tom. S,gm La cii t�o,.l nl o New <br />&A-s PI d I Nl!�� `, <br />Have you started wor0ng without a permit? _YES ,�rJO <br />MECHANICAL PERMIT APPLICATI01,1 <br />PERMIT APPLICATION <br />Typeof Project: _New_Addn-&Iteration_Repair <br />Show Number(4) offixtures <br />_-PLULISING <br />Type of Project: _New_Addn _Alteration _Repair <br />Show Number k)of fixtures <br />NC — air handling units <br />I <br />Tollet <br />—�— <br />Forced air systems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin <br />Water healer <br />Shower <br />Gas fireplace <br />Kitchen sink & disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Ciotheswasher <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink (service/barimo /etc) <br />Heallournia <br />Backfbw, preventer <br />Unit healer <br />Urinal <br />Boiler <br />Drinking Fountain <br />�— <br />Reirigeratlon <br />Floor drain <br />( <br />Woodstove <br />Grease trap <br />Ducting <br />Rouf drains <br />Other_ _ <br />Medical Gas <br />SF RINKLER I SUPPRESSION SYSTEM <br />Other. <br />Number of Heads <br />Other. <br />I hereby certify that I have read and examined this application and know the same to be true and correct All provisions of laws and ordinances governing <br />this type of work will be complied with whether specified herein or not The granting of a permit does not Presume to g;ve authority to violate or cancel <br />the provision of any other state or local law regulating constnrctior or the performance of construction. That I am authorized by the owner of this property <br />to peoc" the work for whlch epplication Is pw4e and I comply with the Syste Contactors Lew 16.27 RCW and 296.200 WAC <br />3 (Revised MI f) <br />