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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 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PIM 3a 0A\ <br /> PROPERTY TAX N PERMIT N / <br /> SITE ADDRESS: J� �ni � <br /> J <br /> LEGAL for new construction: Short Plat/subdivision Lot No (attach copy of long legal description) <br /> OWNER Zc rrc� Phone/E-mail `lIS- Z i`O 7433 <br /> City/stotetzip <br /> +ddress <br /> CONTRACTOR Chet ( `� L&I Lic.N <br /> Address ) :79 ^` ,P A ,�tJ� <br /> Phone/Email 0/ <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Vi�cc/ <br /> Phone/E-mad <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> HEAT SOURCE. <br /> Existing Use of Building— - ---- - <br /> Ges Electric Other <br /> Proposed Use of Building__ —-- <br /> Building type: 4Single Family _Duplex_Townhouse -_Multl•Family _Commercial <br /> Type of project: _New _Addition Remodel _Repair_T.I._Sign_S�prinklleer_Deni lit:_�I_Change ofUse <br /> Description of Work(additional sLpare Prov dad on the back)�ur p'y�� )�p_7rishn,�/—/y/�r (J <br /> /(�yry,J L1Ti1�flLr rtrLS /TW 17�y/7\./ C-C/tw-rz1 J-Ay"4[Cwlyill`=—c:1 <br /> Have you started working without a Permit? _YES 7 NO <br /> MECHANICAL PERMIT APPLICATION <br /> PLUMBING PERMIT APPLICATION <br /> Typo of Project: _Now_Addn _Alteration_Repair Typo of ProlocC _Now_Addn _Alteration_Repair <br /> Show Number(N)of fixfuros <br /> Show Number N of fixtures Toilet <br /> AIC-air handfin 1 units Bethiub <br /> Forced airs fstems Lavato wash basin) <br /> Gas i in Shower _ <br /> Water heater Kitchen sink 8 dis osal <br /> Gas fireplace Dishwasher <br /> Gas ran a Clothes washer <br /> Clothes d far Water heater <br /> Ran'le hood Sink servicelbarlmo /etc. <br /> Exhaust fan Backflow reventer <br /> Heat um Urinal <br /> Unit heater Ddnkin Fountain <br /> Boiler Floor drain <br /> Reid eration Grease tra <br /> Woodstove Roof drains <br /> Dudin <br /> Medical Gas <br /> Other____ _ <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 same to be two and corned.All provisions of laws and ordinances go+erning <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 state or local low regulating construction or the performance of construction.That I em authorized by the owner of this property <br /> to perform n w0", <br /> rk foLent <br /> Qp talion is made and I comply with Iho Stale�C!Tolntradora Lew 18.27 RCW and 298.200 WAC <br /> - Dale -�/ (Revised 2ROt1) <br /> ownerlAulhor �- <br />