Laserfiche WebLink
PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St Everett. WA 98201 - 425-257-8610 — FAX 425-257-8657 — www evereltwa org <br />•r•r•corcn ronu a AM TO d PM <br />APPLICATIONS Any- <br />.-..... --- ._.... _ <br />SITE ADDRESS:?-_ .�jI�ITT <br />PROPERTY TAxp <br />PERMITa <br />LEGAL for new construction Short PleVsubdmsion Lot No _ (attach copy of" legal description) <br />OWNER EC -A ce Phone/E•mail eJZ5-3e- - <br />A <br />Address �l ^i<% R e- City/SIatJZ,p Vf72•C C(f�f 24 r <br />CONTRACCTOR 1 7 + •LCB I I is p <br />'1//,�- -jam <br />Address (/' •' y �.i"/L �L) �wiN u� p ti 3- PhonerEmad q2 57 77 <br />TENANT BUSINESS NAME <br />CONTAC/TIFOR PERMIT �n <br />Pnone/Emad <br />BUILDING PERMIT APPLICATION 1CONTRACT <br />^ <br />PRICE OF WORK <br />Existing Use of Building Ali' H- iT 1 HEAT SOURCE: <br />Proposed Use of Building v^ P Gai Electric Other <br />Building type: Family _ Duplex __Townhouse _Muhl -Family Commercial <br />_Single <br />Type of project: _ New _ Addition _ Remodel _X Repair _ T.I. _ Sign _Sprinkler _ Demolition_Change of Use <br />Description of Work (additional space provided on the beck): <br />L <br />Have you started working without a permit? _YES A NO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project'. _Addn Alteration _Repair <br />Type or Project. _Now _Addn _Alteration _Repair <br />_Now <br />Show Number p offlxfures <br />Show Number p of fixtures <br />A/C - air handling units <br />Toilet <br />Forced airs fisterns <br />Bathtub <br />Lavato wash basin <br />Gas I in <br />Shower <br />Water heater <br />Kitchen sink 8 disposal <br />Gas Gre lace <br />Dishwasher <br />Gas range <br />Clothes washer <br />Clothes dryer <br />Water heater <br />Ran Its hood <br />Sink servicelbarlmo letc. <br />Exhauslfan <br />BackRow preventer <br />Heat PUMP <br />Urinal <br />Unit heater <br />Drinking Fountain <br />Boller <br />Floor drain <br />Refrigeration <br />Grease tra <br />Woodstove <br />drains <br />DuctingRoof <br />Other <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other: <br />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. All provisions of laws and ordinances governing <br />this type of work will be complied with whether specified herein or not The grenbng of a permit does not presume to give authority to violate or cancel <br />the provision of any other state or local low regulating construction or the performance of construction That I am autho i ed by the owner of this Property <br />to pertopqhe work for which appli is made and I comply with the State Contractors Lew 18 27 RC W and 296.200 WAC <br />` (Revbed2120I11 <br />OwderlAu)orizad Agent gnslure <br />