Laserfiche WebLink
03/16/2016 WED 8: 55 FAX Feet water Heater IZI003/003 <br /> PERMIT APPLICATI 1,1 <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.everettwe.org <br /> SITE ADirESS:I� .. I . , pROPE TY TAx D � UIr�RM1TD#t <br /> col. ���� - � IVvi9 i .( 13 J <br /> LEGAL for new construction: Short Plat/subdivinion Lot No. (attach copy of long legal description) <br /> OWNER AA yltti-f'e-k) CIDx Phone/E-mall L/oR5 •�-Lei!) o f <br /> Address , I I I I 1 1 S7 City/State/Zip e v-�-e 4, w/ 41 gg I <br /> APPLICANT: Owner Ownor'a Agent X.Contractor Contractor's Agent _Tenant(must provide a lettere(cement Dow roe owner to do work In me ape^cof <br /> CONTRACTOR w nJ E M _ER State Lie.# "51—WW H City Bus. LIG. -"Ty .. <br /> Addr®ssC._ olP �i L'-,l I _ /1 <br /> l I �.. K- t t��V 1 �: V r ( W` Phone/Email a� 3 , '�I e �'l�l 1�'S . �i�i�tt, l_-� <br /> TENANT BUSINESS NAME (. /1 <br /> CONTACT FOR PERMIT Iii CA—{• i'-• yyt <br /> — Phorro/E-mail ."?, .. [li 1, • . - i.'A.AL, I air Ae/ % <br /> [BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK I /614b 51 <br /> Existing Use of Building sfe. [.. HEAT SOURCE: <br /> Proposed Use of: . • se _,r Gas,._ Electric Other__._ <br /> Building type. `itigie Femil ,)uplex Townhouse._ Multi-Family Commercial <br /> Type of project: 'Jew Addition Remade . . Re+air T.I. SI n Sat-inkier Demolition Chan.e of Use <br /> DESCRIPTION OF WORK(additional space provided on ihe-beck): <br /> V-eilitA•6\re--/re,p ex _ _____ ___a_S uuur-- A/c ^ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New_Addn Alteration,a,,,Repair Type Project: _,New_Addn Alteration Repair <br /> Show Number # of fixtures Show Number(19 of ftrcures <br /> A/C—air handling units Toilet <br /> Forced air systems Bathtub <br /> Lavatory(wash basl. <br /> A. Water heater <br /> _ Shower <br /> Gas fire lace Kitchen sink = :is•osal <br /> 12 I•ishwashe <br /> Clothes dr er <br /> .)hes usher <br /> Ran■e hood <br /> • Wen •eater <br /> Exhaust fan Sona ervloe/bar/mop/etc.) <br /> Heat .uma cckflo reventer(inside bidg) <br /> Unit heater final <br /> Boller Drinking Fou• sin <br /> Refrigeration Floor drain <br /> Woodetove <br /> Grease trap <br /> Ductlna <br /> Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> _. Number of Heads Other: <br /> I hereby certify that I have road and examined this application end know the same to be true and correct.All provfelone of laws and ordinances governing this type of work will be comp <br /> with whether specific()herein or not.The 9rentmg of a permit does not presume to(jive authority to violate or cancel the provision of any other(stale or local law regulating construction <br /> That I am authorized by the owner or this property to perform the work for whlcn epplloatfon le made and I comply with the Stale Contractors Law 16.27 RCW and 298-200A WAC, <br /> �. .�/�. 3- 1 LI- I ' _ <br /> Ow riAuthorize Agent Signature Date <br /> (Revised 4/2095) <br />