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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO A PM � — 1 9 - /7 <br />SITE ADDRESS: <br />IOLI o wo \Rye <br />PROPERTY TAx a <br />PERMIT to <br />-0 <br />LEGAL for new construction . Shon P;aVsubmvmon Lot No _ (attach copy of long leg/al desenphon) <br />OWNER 'SOSh Sn-N;'f'y ` <br />Phone/E-mad Lleis' a1�c�S- 501 <br />Address IL�)"Isi (zOSe-Wc)( rOJ� O- <br />Cdy/Statei T-Qe-(Ce(t Iry F� qU0 4 <br />APPLICANT: —Owner Owners Agerl Contractor Contractors Agent _Tenant tmustwc.c.:vdv ct comenr hem rr awe::o eo wcwn roswcel <br />CON TRACTOR e.ISjrf S OI C�( <br />L & I Lic if W LSC ESA G-3 0/ COE Bus. Lic. it <br />.td6e:5 •. 1�I G C-s" \C4� r C� S�- PncnelEmail -�ri rp' �fS �� <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />��.4E� y�vPa/�knVh'r� I11 <br />PnoreE mac Svc-Q(-� eV% k( C*-Ncnt ii curl <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK It 10, -7,5(0 <br />Existing Use of Bwlaing SF "i _ _ HEAT SOURCE. <br />Proposed Use of Building Gas_ _ Electr,i Other_ <br />Building type: -X Single Family —Duplex ___Townhouse _ Multi -Family -Commercial <br />Type of project New Addition Remodel Repair T.I. Sign Sprinkler Demolition Chan a of Use <br />DESCRIPTION OF WORK (adddlonal space provded on the back)'. <br />. SS Kw ) Slctltor p11o}b'(01 ",1%L (all rn iiA eo.(fct.� <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project. _New _ __Addn __Alteration _ Repair <br />Show Number (A) or fixtures <br />Tyrn of Project: __New _Addn _ Alteration _ Rpppu <br />Show Number (a) or fixtures <br />A/C - air handling units <br />Toilet <br />Forced airs stems <br />Bathtub <br />Gas Piping <br />Lavatory wash basin <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink & disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water healer <br />Exhaust (an <br />I Sink service/bar/mo etc. <br />Heal pump <br />Back80W preventer <br />Unit heater <br />Urinal <br />Boiler <br />DrikrftnFountain <br />Refri eration <br />Floor drain <br />Woodstove <br />Grease trap <br />_ <br />Ducttng <br />Root drams <br />Other <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />1 thereby cedify Mat 1 have read and eiamned Nis applM1atwn and know the same to be eue and collect Aa provisions of laws and erdmancea governing this two of work wd be complied <br />with whether specnaed nemn or net The granting of a perms does nor presume to give authirmy to violdle or cancel the provision oflny other state or local law legulaong construction <br />That I am authomed by the nwner of N6 PlOPerry to perform Me work Jul which appiji IS made and I comply with the State Ccimadors Law 18 271 and 296 200A WAC <br />`(Z <br />I <br />/L <br />Ow 'r/A rlxod gent SIg lure Date (Revised fi2012) <br />