Laserfiche WebLink
PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES Q-- (( I It <br />3200 Cedar St., Everett, WA 98201 - 425-257-88'10 — FAX 425-257-8857 — www.everettwa.org <br />Ar Q APPLICATIONS ARE ACCEPTED FROM 8 AM TO PM <br />n QJ <br />PROPE TY Ax a <br />PERMIT s <br />0 8oT" 'ST 5tn) �P-ETC WA98Zc3 <br />ZSo412CA3C5600 <br />,' - <br />LEGAL for new construction: Short Plattsubdivision _ _Let SO_ (attach copy or long legal description) <br />OWNER 0 ON DAN RBC N Phone/E-nieil ql5 B�-3n <br />Address 73000 F-000 FFLLEE Aue MJ101City/statelzip UEK W 8 I of 6 <br />CONTRACTOR lou�r L 8 I Lit. # <br />s �f <br />PhanelEmall S O US'�O <br />Address <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT 5� T� C-D t.v qt=-D <br />Phone/E-mail ZO6 S -� t�•n <br />NO �UUN�` <br />BUILDING PERMIT APPLICATION <br />1CONTRACT PRICE OF WORK <br />HEAT SOURCE: <br />Existing Use of Buildingy] <br />Proposed Use of Building Gas Electnc X Other <br />Building type. Single Family _ Duplex _Townhouse _ Multi-F Commercial <br />_ <br />Type of project: _ New _ Addition X Remodel _ Repalr T.1 Sign _Sprinkler _Demo of Use <br />Description of Work (additional space provided on the hack): <br />Description <br />Op Com`i� <br />rm U `l <br />Have you started working without a permit? _YES X NO <br />MECHANICAL rERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _Addn .2�.Aherelion _Repair <br />Type of Project:. New_Addn ,Alteration _Repair <br />_Now <br />Show Number (a) of fixtures <br />S w Numberrill) of fixtures <br />Toilet <br />Aft; - air handling units <br />Forced airs stems <br />Bathtub <br />Lavato (wash basin <br />Gas i in <br />Shower <br />Water heater <br />Kitchen sink 8 disposal <br />fireplace <br />Dishwasher <br />e <br />— <br />Clothes washer <br />er <br />Water heater <br />ood <br />(service/bar/mo /etc.) <br />IMR <br />fan <br />now reventerter <br />l <br />Fountain <br />drain <br />Re eratwn <br />se traDuctin <br />I <br />Woo tove <br />drainsOther <br />GasSPRINKLER <br />__cal <br />I SUPPR SWON SYSTEM <br />r <br />I} I Number of Heads <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 state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property <br />to perform the work for which application Is m de and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC <br />�—- QZ. <br />Owner! horized Agent Signature Date (Revised /22010) r , <br />