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 />eooi MATIMJR ARE ACCEPTED FROM 8 AM TO 4 PM <br />............ <br />SITE ADDRESS: PROPERTY TA,X/If l PERMIT# 7 <br />V (� -x `+- ••CY17 - C.✓ Z: ' / "O <br />LEGAL for new construction: Short Plat/subt ivision Lot No._ (attach copy of long legal description) <br />-C :'S2 Pi2, �L C� Phone/E-mail ZCC:Q 6LnL <br />OWNER y � <br />-, <br />Address CilylSlalelZip L 6/-Af <br />CONTRACTOR•�za.r� rer0 vL&ILic.# 3c..✓c.2•C22 !^ <br />Addresses —' PhonelEmail,c/,K�Nr3L✓«,bAr Co,✓ST•LO <br />TENANT BUSINESS NAME CONTACT FOR PERMIT <br />fl <br />Phone/E-mail �-�G.•�i/�•��/� <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />HEAT SOURCE: <br />Existing Use of Building <br />Proposed Use of Building Sr-'e- Gas_ Electnc X other_ <br />Buildingtype: -KSingleFamily _Duplex —Townhouse _Multi -Family _Commercial <br />Type of project: _New _Addition —Remodel _Repair_ T.I. _Sign _Sprinkler _Demolition_Change of Use <br />Description of Work (additional space provided on the back): <br />Have you started working without a permit? _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: ?New_Addn <br />_Alteration _Repair <br />Type of Project: _Now_Addn <br />_Alteration _Repair <br />Show <br />Number (N) of fixtures <br />Show <br />Number (#) of fixtures <br />A!C — air handling units <br />I <br />Toilet <br />f <br />Forced air systems <br />- <br />Bathtub <br />i <br />/ <br />Lavatory (wash basin) <br />Shower <br />Gas piping <br />Water heater <br />y <br />Kitchen sink & disposal <br />Gas fireplace <br />/ <br />Dishwasher <br />Gas range <br />/ <br />Clothes washer <br />( <br />Clothes dryer <br />Water heater <br />Range hood <br />I Sink (servicelbarlmop/etc.) <br />Exhaust fan <br />BaCKNOW preventer <br />Heat pump <br />I Urinal <br />Unit heater <br />I Drinking Fountain <br />Boiler <br />Floor drain <br />Refrigeration <br />I Grease trap <br />Woodstove <br />Roof drains <br />Ducting <br />Other <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />I 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 give authority to violate or cancel <br />the provision of a other stale or local law regulating construction or the performance of construction. That I am authorized by the owner of this property <br />to perform the wor which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC <br />(Revised 2201 f) <br />OwnortAuthorizod Agent Signature Date <br />