Laserfiche WebLink
PERMIT APPLICATION ��-- � � <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SpRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 -425-257-8'.10— FAX 425-257-8857—www.everetriva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM a—S � <br /> SITE ADDRESS: _, �� I ' PAOP PERMITi <br /> LEGAL lor new conslrutUon: Short PlaVsubCivision Lot No._ (attaU copy of long legal desaiDlion) <br /> OVYNER � w M 1 f y Pnone�E-mail <br /> adress � p1f2,Z(�C,�££� � Cityl51a1rJZip �1���QI: R �!- 5'�.°?_GZ� <br /> CONTRACTOR I( ' C 'l l 8 I Lic.# L �D� <br /> AAdress[ � ,� tG.� . � '��D �;lt �� P�onelEmail 2��� C'— <br /> TE�1N �SINESS N E C���CIT F���T yL� 3Yg � �y/,/' <br /> _ � )�� 7 <br /> G(�- � � �Gf P�onPJE+nail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WOR 00°" <br /> ��.: <br /> Exisling Use of Building HEAT SOURCE: . � <br /> r . � <br /> Proposed Use of Building Gas E�earic Ofner <br /> Building type: _Single Family _Duplex_Tawnhouse _Multi-Family _Commerdal <br /> Type ol projed: _New _Addition _Remodel _Repair_T.I. Sign_Sprinkler_Oemolition_Change of Use <br /> Descnption ot Work(aade�oner space p�ovidod on rne bacx)� <br /> �(/rc� tJ9r-�- �lc,J (.t 5� �S S� I—� <br /> Have you atarted working without a pertnit7 _YES _/ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type o1 ProJxL _Now,�dEn J1lterotlon_Repalr Type of ProJoct: _Hew_Addn _ANeratlon_Ropalr <br /> Show NumDer ryy of lirturea Show Number(�)ol Rxi�res <br /> I A/C-air handlin units I Toilet <br /> � Forced air s stems I Bathtub <br /> I Gas i in I Lavala wash basin <br /> � Water heater I SAower <br /> � Gas fire lace I Kitchen sink 8 dis sal <br /> � Gas ren e I Dishwasher <br /> I Glothes d er I Clolhes washer <br /> � Ran e hood I Water heater <br /> � Exhaust tan I Sink(servicelbar/mo /etc. <br /> � Heat um I BadcBow revenler <br /> I Unit heater I Unnel <br /> � Boiler I Drinkin Fountain <br /> � Refn eretion I Fioordrain <br /> � Woodstove I Grease tre <br /> I Ductin I Roof tlrains <br /> � Other � Medicai Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I Olher: <br /> � NumberolHeads � Olher. <br /> I heie�y m_rtNy Ihal I havo reaA ana,�zamirted this appliration and knaw Ihe same lo be true and corteG.All provisions ol laws and ordinances goveming <br /> Ihis type ol work will bo complieA with whelher specifiea hemin or noL TTe gmnling of o pertnit does not DRsuma lo give ouel�onry lo violate or cancel <br /> Ihe provision an oMer state or loual law regulating consWUion or Ihe perlormance of tonshuction.Thet I am aulhonxed by Ihe owner o(this property <br /> ta pertortn e 1 which apDliotion is made aM t comO�Y�1h Ihe Slate CoMractors Law�18.27 RGW arM 286.200 WAC <br /> ���/3 <br /> Own IAutAoNiedAgantSlgneture Date (Rewsed7!?07f) <br /> �Z <br /> � �� : <br />