Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everei�, W A 98201 - 425-257-8810—FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: ! i � ' � � � , PROPENTY TqX p PERMIT 11 <br /> � � � �iLI�. �C a � l' ''i !,°i � i �; �� ._L4 �Lf '��C �� '� � �> 'L (' � <br /> . r <br /> LEGAL for new construction�. ShoA PlaUsubAivision . __ _.. ..._ ..___Lol No __ .__ (attach copy of long legal descriphon) <br /> OWNER_� - , ( �p ' �:5 1�-_ � �� � � Phone/E-mad <br /> r <br /> Addre55 �It.�` ° i ,�( � ��Ix.l � ��-i Ci�ylS�d�e�Zip '"J\�� � P.� �. l �•� � [�( ' <br /> CONTRACTOR '�J :. ' �'�.;"�; 1 � " 1 L 6 I Lic. il L� . ��l. `! ` ���5 <br /> Add sss J! I��P� . .��� � L . c. �� ) � ( -.�l�y' i f� ��i ` � / C �__ PhoneiEmail ��i j � ' ..)J •` <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT -->—��r � , ��'�\�� f,,� <br /> . : I. ! �..(.� � _, <br /> � ` <br /> � � 1 ���.� Y i '. PhonelEm3il � ��r ���1 '–�� -1) <br /> , ' , ; — <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK_='j`:_��L______________ <br /> Exisling Use of Buildmp HEAT SOURCE: <br /> __ _..----- _._-- <br /> ProposedUseolBuilding__ ___ ___ . Gas Eiectnc Other <br /> � ---- -------_ ____.__.. <br /> Building type: ___Single Family ___ Duplex___Townhouse ___ h7ul�i-F,e:nily ._% Commercial <br /> Type of projecC ___ New ___Addition ___ Remodel ___Repair__ T.I _�_Sign _.. Sprmkie� ___Demolition___Change of Use <br /> Descnplion of W ork(atld�fional space pm��ided on fhe bacA): <br /> i <br /> � ', � , � ,�. :i . . . . � . <br /> � i <br /> Have you started working withoul a prrmit4 ___YES L _NO <br /> MECHANICAL PERMIT APPLICATION F'LUMBING PERMIT APPLICATION <br /> Type of ProJect: New _Addn . Alteration .Repa�! Type ol Pro�ecl: New _ Addn . .Alleretion .Repalr <br /> Shaw Number(p)n/(ixlures Shaw Number(pf ol/irfures <br /> A/C-au handhn units Toilet <br /> � Forced air s stems Bathtub <br /> Gas pip�n Lavalo (wash basin) <br /> W aler heater Shower <br /> Gas(ueplace Kilchen sink 8 disposal <br /> Gas ran e Dishwasher <br /> � Clothes A er � Clothes washer <br /> Ran e hood N'aler heater <br /> � Ezhai.st fan Slnk(service�badmopletc.) <br /> Heat um Backllow preventer <br /> Umt heater Urinal <br /> BOiler Drinkin Founlain <br /> Reln eration Floor drain <br /> W oods�ove Grease irap <br /> Duclin Roof drains <br /> Other Nedical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> NumUer ol Heads Olher <br /> I hereby ceridy that I have read an0 e�aminetl this apph[ation and Anow the same to be'. ue and correcl FII pwvismns ot laws and ordmances goveming <br /> mis lype ol vroh�HII be comphed with vfiether speMied hemin or noL The granling ol a permil tloes not presume to give authonty to violale or wncel <br /> Ihe provision oi any other slaie or local law regulahng conslruclion or Ihe pedormance ol consWction.Tl�a�I am authorized by the owner of IhiS p�epetly <br /> lo pedArm the wnik br wludi appli:a6on is matle antl I comply�ht��he State Contraclois Law 1827 RCW and 296 200 WAC <br /> ' �, � ! � � . - -'.. _ ... � II , <br /> � , � <br /> i � �:� , <br /> Owncr/A�rihodzetl Agent Sigwture Dale (Revised 2�2077� <br />