Laserfiche WebLink
0 <br />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 />SITE ADDRESS: <br />PROPERTY fAx n <br />PE A11T d <br />LEGAL for new construcilon Short PlaVsubdwision Lot M10 _ (attach copy of long legal description) <br />OWNER JqJ4q1ji4- Ik v Ufa <br />Phone/E-mad*a5-:4 a-1'4s6 R -A4k <br />1� 1i <br />City/Slate/ ip ?A\% wx R-e6 1,31), <br />Aii v <br />APPLICANT:YOvrn,:( Owner's Agent Contractor _Conlractors <br />Agent _Tenant(me,Iwo..eoa Kundmmemnem me o»rim toeswanmma spxnl <br />CONTRACTOR t) V>/\ e-V- <br />Stale Lic # City Bus. Lip. # <br />Address Phone/Email <br />TENANT BUSINESS NAME CO,^AC`T-F 0_R PERMITT L.1 ZS' oZ 3dI ' L+n -:�--7 <br />• PnonelEmail <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />HEAT SOURCE <br />Existing Use of Building <br />Proposed Use of Building �(L �� Gas_ Eledr�c_ Otner_ <br />Building type. _ Single Family _ Duplex _Townhouse — Mulli-Family _ Commercial <br />Type of pro)ect: New Addition Remodel -__ Repair T.I Sign _Sprinkler -Demo.-:., _Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back): <br />N g6y 3 <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Type of Projdct. __New _Adds _Alteration ___Repair <br />Show Number (0) of fixtures <br />Show Number M of fixtures <br />NC - air handling units <br />Toilet <br />I <br />Forced air systems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />Water healer <br />I Shower <br />Gas fireplace <br />Kitchen sink & dis osal <br />Gas range <br />Dishwasher <br />I <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water healer <br />Exhaust fan <br />Sink (servicefbarrmopyeic.) <br />Heat pump <br />Backnow prevenler <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodslove <br />Grease Trap <br />Ducting <br />I Roof drains <br />Other <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other. <br />Number of Beads <br />Other: <br />I hereby celtey that I have read and examined this apptrtotion and Arrow The same to be true and correct All provisions of laws and ordinances governing I" type of work w0 W enmpbed <br />with whether specified herein or not. The granting of a perms does not presume To give authority to violate or cancel the pmvnwn of any other stale or fatal low regulating construction <br />That I am alllhonred by the owner or this property to perform the work for which application is made and I comply with me Stale Contradon Law iB 27 RC W and 296 200A WAC. <br />note � (Revised 912073) <br />CtiM <br />