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 4 PM <br /> SITE ADDRESS: <br /> PROPERTYTAX PERMIT# <br /> U )--2 3 6C)Vl <br /> D <br /> LEGAL for new construction: Short Plat/subd ision Lot No. (attach copy of long legal description) <br /> b :� 7 <br /> OWNERArv HvGt�J' Phone/E-mail CIC1-•tra . !n c <br /> Address 'rj i S 0lv`.y'/{-t \ `S-t,--(-‘2141- )i City/State/Zip h(}� � f�S ct)/ `"l 1•'-EJC,` <br /> APPLICANT: Owner X Owner's Agent Contractor Contractor's Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR � CJ LJ'J ( J v'\ L&I Lic.# �1U(-1-13 O L: COE Bus. Lic.# <br /> X3 NJ_(L. \AJ. 10L-i <br /> Address L..411 Y\u,3'6)8 t,vi -c1 -7 Phone/Email <br /> TENANT BUSJNESS NAME CONTACT FOR PERMIT <41-V\ Ort�' •1-�i('0 <br /> `' _1� \�14 e :_a/ty L.cx tt f>Cy Go7-1'7 3 <br /> _ek <br /> Phone/E-mail K • c) * ( ) an`• \I.1—•��=y-�t <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK C,O <br /> Existing Use of Building {i) Ak •$ `� o �l99hti HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Other <br /> Building type: Single Family Duplex Townhouse _Multi-Family X 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 /> 42,1ri-ND 66\\<= ,.r` L751)PC 0 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> NC-air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads 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 this type of work will be complied <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> , <br /> Owner/Authorized Agent Signature Date (Revised 6/2012) <br /> 1(2_ <br />