Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING�MECHANICAUPLUMBINGISIGN/SPRINKLER/DEIIAOLITION <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 B AM TO 4 PM —� 7'��� <br /> SITEADDRESS: pROPERTYTAXp PE ITi <br /> o aa� - <br /> LEGAL for new conslruction: Short PlaUsubdivision Lot No._ (etlach copy of long legal descriplion) <br /> OWNER phone/E-mall <br /> Address Cily/State/Zip <br /> CONTRACTOR�Q �'f1 V N 1 T �vin13�N6 L 8 I Lic.# <br /> Address �{ 7" �,J 0 0 wr����Zi Phone/Email 5 (A �.G�M'�hVN T <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT f7 L v��/N�, �=J 7,., <br /> (f � Phone/E-mail l/ <br /> BUILDING PERMIT APPLICATION CONTRACT PPICE OF WORK <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Ekclnc Olher <br /> Building type: _Single Family _Duplex_Townhouse _Multi•Family �Commercial <br /> Type of project: _New _Addition �Remodei _Repair_T.I._Sign_Sprinkler_Demolr.��on_Change of Use <br /> D9scription o(Work(atlditional space piovided on the back): <br /> /9 �D FLOD/L �/(q►1/✓ i0,A1j'f MOp f INK . <br /> Have you started working without a permit7 _YES _NO <br /> MECHANICAL PERMIl' APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration,_Repair Typa ol ProJect: _Naw_Addn _Altantion_Rapalr <br /> Show Number(#J ol/fxtures Show Number(M)o/flxturea <br /> A!C–air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavato (wash basin) <br /> Water heater Showor <br /> Gas fireplace Kitchen sink&dis osal <br /> Gas range Dishwasher <br /> Clolhes d er Clothes washer <br /> Ran e hood Water healer <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump BackFlow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refrigera�ion Floor drain <br /> Woodstove Grease tra <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certily tha�I have reatl antl examined this application and know Ihe same lo be lrua and corred.All provisluns ol laws and ordinances goveming <br /> this type ol work will be complied wilh whether specified herein or not.Tho granting o!a permil does nol presume to give aulhority lo violale or cancel <br /> Ihe provision of any other slale or local law regulating conslruclion or t:i�pertarmance of construction.Thal I am authorized by Ihe owner of ihis property <br /> to perfor Ihe work lor which application is made and I comply with Uie Sta�e Contractors Law 18.27 RCW and 296.200 WAC <br /> � - / � �_ <br /> �vnerlAuthorizod Agont Signature Dale (Revised Z20f f) <br />