Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <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 E AM TO 4 PM S� Z � I I <br /> SITE,A D �SS � � PROPERiYTA%M PE�11T�/�/ `�� <br /> � U ��r i � ci <br /> LEGAL lor new construction: ShoA Pla subdivision_ Lot No._ (attach copy ol lorg legal descnption) <br /> OWNER r Q a Phone/E-mail ��!(/ — '/ <br /> AtlGress �, yv , (� CitylState/Zip ,� �/'� <br /> CONTRACTOR L&I Lic.q <br /> Address Phone/Email <br /> TENANT BUSINE55 NAME CONTACT fOR PERMIT <br /> AhonelE-mail <br /> BUILDING FERMIT APPLICATiON CONTnACT PniCE oF wORK <br /> Existing Use ol Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Omer <br /> Building type: _Single Family _Duplex_Townhouse _Mu�ti-Family _Commercial <br /> Type ot project: _New _Addition _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> Desc�ipliOn of Wodc(edditional space pmvided on Ibe back): n /� / �� <br /> /�y'n/!� CO �.�d�f`��PC k� �' '.� <br /> ' ' l <br /> Have you atarted working without a permit7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBIN6 PERMIT APPLICATION <br /> Type ol Project: _New_AdAn _Alteratlon_Repair Typa ol ProJact: _New_AAdn _Altention_Repalr <br /> Show Number(M)o//ixta�rcs Show N�mber(NJ o(fixtures <br /> NC—airhandlin units Toilet <br /> forced air s stems Bathtub <br /> Gas pipin Lavato wash basin) <br /> Water healer Shower <br /> Gas fireplace Kitchen sink&tlis osa� <br /> Gas ran e Dishwasher <br /> Clothes dr er Clothes washer <br /> R.n e hood Water heater <br /> Exhaust fan Sink(service/badmop/etcJ <br /> hleat pump Backllow preventer <br /> Unit heater Urinal <br /> Bc�ler Drinkin Fountain <br /> Re i�geration Floor drain <br /> Woadstove Grease tra <br /> � Ducting Roof drains <br /> Olher Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM other: <br /> � Number of Heads Other. <br /> I hemby cetlify Ihal I have read and e�amineA Ihis applica�ion and knmv ihe same to be We and cortecl.All provisions of laws an0 ordinances paveming <br /> this type ol work will be complietl wilh whelher specifetl herein or noL The granting ol a permil does nol presume to give authmity lo violate or cancel <br /> the provis�on ol any other slate or local law regWating construction or ihe pedonnance af consiructiort Thal l am auV,on�ed 6y the owner ol th�s pmperty <br /> lo peAorm the work lor which�plica�ion is made and I comply wilh Ihe Stale Conlraclors Law 1827 RC4V and 2982:.WAC <br /> 7 � <br /> w r uthodn Agont gn luro Dale (He✓ised7/7077J <br />