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 9 <br />SITE ADDRESS: <br />PROPERTY TAX# <br />PERMI O <br />LEGAL for new consWdion Short Plat/subdrvis,on_ lot No _ (attach copy of long legal description) <br />OWNER <br />PhonelE-mail M?. <br />Address <br />City/Slate/tip <br />CONTRACTOR <br />L 8 1 Lic. a <br />Address L 4- en. Phone/Email <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT.MrA <br />PhonelE-mad 4Z7 • <br />ICONTRACT PRICE OF WORK <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building <br />Proposed Use of Building *AWVAIL <br />HEAT SOURCE: <br />I Gas Electric Other <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi -Family X Commercial <br />Type of project: _ New _ Addition _ Remodel _ Repair 4 T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Description of Work (additional space provided on the back): ?*w4Tift or- 'PG rl F1% Fuv& dvin. <br />'WNriY W1%A$ JW coLt.eA4e- evl4.0it4cA W,:44"v A;T- <br />2t..l h*TmoA /d a. )NC"04L A6 zi3�osr G�«!�e-t <br />Have you started working without a permit? _YES ENO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (e) of fixtures <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number(e) of 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 8 disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Ran a hood <br />Water healer <br />Exhaust fan <br />I Sink (servicetharlmc letc.I <br />Heal pump <br />BackRow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease trap <br />Ducting <br />Roof drains <br />Other___ <br />Medical Gas <br />SPRINKLER I SUPPRESSICN SYSTEM <br />Other: <br />Number of Heads <br />I Other <br />.env <br />I he-eby certify Pat I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing <br />iIn a of wo wdl be complied with wnelher specified herein cr not The granting of a pemid d�,es not presume to give authority to violate or cancel <br />( pr vision o y Other tare or local law regulating construction or t e performance of consW.hon. That I am authorized by the owner of tins properly <br />t rm the k for h apDl¢alion is made antl I comply ih th State Contractors Law 18.27 RCW and 296.200 WAC <br />N 1 11 <br />r/A lhor ze i atDate (Revised 212017) <br />I/ <br />