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.o�nrg <br />APPLICATIONS ARE ACCFPTFn FROM a AM TO PM // -a/`// <br />SITE ADDRESS: <br />2aoL IWetoweeAve <br />PROPERTY TAX a <br />oo 1 �, 70l.100 <br />PERMIT a <br />1 y III ( <br />LEGAL for new construction: Plallsubdivision Lol No._ (attach cupy of long legal description) Emil <br />`Short <br />OWNER 1JTTReMe� a <br />Phone/E-mail <br />�11aIe�11• <br />Address YW I" WhLe__ wwwe �1A111�1 <br />e <br />City/S1ate2iP I'rs 1 t /•0 I � <br />CONTRACTOR O/�14 ET roge(A ett. • <br />L & I/Liic. R Wo&-r-e <br />� ( <br />Address I r.7 �I l e � ✓e s* ('hone/Email J 0-111T -77u <br />TENANT BUSINESS N E <br />CONTACT FCR PERMIT T-% MeeA <br />-rv4s1 LM10if'iv, GI kic <br />0P <br />Phone/E-mail 'te%me wtalk NrepefEn% <br />BUILDING PERMIT APPLICATION 1CONTRACT <br />PRICE OF WORK 11Gra ti <br />Existing Use of Building <br />HEAT SOURCE: <br />Proposed Use of Building Gas Eleclnc Other <br />Building type: Single Family _ Duplex _Townhouse _ Multi -Family /*—% Commercial Milo <br />_ <br />Type of project: _ New _ Addition g Remodel _ Repair _ T.I. _ Sign Sprinkler —Demolition—Change of Use <br />Description of Work (odddtonal space provided on the back): <br />Mode, a-A►1- Vl %fon uwA 13. AAA oe v"we 0 he.l <br />�fev, <br />No <br />Have you started working without a permit? _—YES <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repalr <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (a) of fixtures <br />Slow Number of fixtures <br />A/C — air handling units <br />Toilet <br />Forced airs stems <br />Gas in <br />vato washbasinit <br />Water heater <br />hower <br />Gas fire lace <br />tchen sink & dis sal <br />Gas ran a <br />NEthluba <br />shwasher <br />Clothesd er <br />othes washer <br />Ran a hood <br />ater heater <br />Exhaust tan <br />nk servicelbar/mo lelc. <br />Heat um <br />Back1low preventer <br />Unit healer <br />Urinal <br />Boiler <br />Drinkin Fountain <br />Refri eralion <br />Floor drain <br />Woodstove <br />Grease tra <br />Ducting <br />Roof drains <br />Other. <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other: <br />4 ,1 I Number of Heads <br />Other: <br />I hereby certify that I have read and examined this application and know the same to be true and correct. AN provisions of law: and ordinances governing <br />this type of work will be complied wth whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel <br />the provision of any other state or local law regulating construction or the performance of construction. Thal I am authorized by the owner of this property <br />to perform the work for which application is made and 1 comply with the Stale Contractors Law 18.27 RCW and 296.200 WAC <br />rixed Agent Signature Dale (Revised 2/20f 1) <br />kI� <br />