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 6�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROPERTY TA%% PERMIT a <br /> SITE ADDRESS: I 'UD <br /> si 5 — <br /> LEGAL for new construction. Short PleVsubdivislon Lot No— (attach copy of long legal doscnption) <br /> OWNE.^. •L= I!"ICN Phone/E-mail 2 � y7 <br /> Address Jr — City/State/Zip G ) <br /> CONTRACTOR 1 L&I Lie.p <br /> Address N C uy, `. PhonelEmall3(O- '? Sfi <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> C° Dr6PItF�ENeETO <br /> PhonNE•mail - 24 rL'N [�� •CSN <br /> BUILDING PERMIT APPLICATION ICONTRACT PRICE OF WORK 2/ OAU <br /> Existing Use of Building <br /> ,51'2 HEAT SOURCE: <br /> Proposed Use of Building �' I'IIIL <br /> Gas Electric-k Other <br /> Building type: '[Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: _New _Addition Remodel _Repair_T.I._Sign_Sprinkler_Demolilion_Change of Use <br /> Description of Work(additional space provided on the back): ` Uw113 t ti C Y�'I pG�f • Q/V�� <br /> Kttchej /]5ATVt PCH0Dl1rL- Nc1 <br /> Have you started working without a permit? �< YES ,_NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Project: _Now_Addn _Afteratlon_Repair Typo of Project: _Now <br /> do of Rxfuteratlon_Repair <br /> Show Number 0l)or fixtures Toilet <br /> AIC-airhandlin units <br /> Forced airs stems Bathtub <br /> Gea i in Lavatory wash basin) <br /> Water healer Shower <br /> Gas fireplace Kitchen sink&dis osel <br /> cieDishwasher <br /> s ran a <br /> Clothes dryer Clothes washer <br /> Ran a hood Water heater <br /> Exhaust fan Sink serviceibarlmo /etc. <br /> Heat pump t <br /> a <br /> Nnw reventer <br /> Unit heater Nn at <br /> DrinrC Fountain <br /> Boller <br /> Refrigeration Floor drain <br /> Woodslove Grease ire <br /> Roof drains <br /> Dueling <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the some to be true and correct.All provisions of laws and ordinances governing <br /> this type of work will be complied with 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 slate or local law re ulating construction or the performance of construction.That I am authorized by the owner of this property <br /> to pert the wprR r which ap Iication Is a and I ply with the Slate Contractors Law 18 27 RCW and 296.200 WAC <br /> ,r Dale (Revised 7/2011) <br /> OwnorlAuthorizod Agent 81pne 0 l <br />