Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGISION/SPRaNKLERIDEMOLJTIQN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200.Cedar St., Everett, WA 08201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS: PROPERTYTAXft M T O <br /> 303 1�4�v t Av c 4-. I'�( v0W <br /> LEGAL,for new construction: Short Plat/subdivision Lot No. (attach copy of Ibng legal description) <br /> OWNER l��Ss�e� �l',lGrn�P��,,� Phone/Email 100•=4,31- z�Yl5 <br /> Address 2c� L-1, Awl,i T I'W City/State/Zip o,( 1 p ') <br /> APPLICANT:—Owner _Owner's Agent _1�_Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to dp work span <br /> CONTRACTOR -51-Pct State L•ic,# � t C�Z�C'l City Sus. Lic. 00-141' <br /> Address 2-t`2-p rbC.-tac Al)e v. ev�T—t _ w•A q 9 zo[ Phone/Emall 42-.- 2 2 I <br /> CONTACT FOR PERMIT <br /> +}Z�i-252-3t14 <br /> Phone/E-mail t'i'tA IZt(J <br /> BUIi.DING PERMIT APPLICATION CONTRACT PRICE OF WORFC f L) <br /> Existing Use of Building Nt: t-tar4N HEAT SO E: <br /> Proposed Use of Building ` C tpdi�t Gas_ Electric _ Other <br /> Building type: _Single Family _Duplex_Townhouse Multi-Family !Commercial <br /> Type of project: _New _Addition _Remodel _- Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> 121A '2Tv S Pr"'t2,�r',p►ct I Lv t:x C�vw✓ �A04tl� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration�.Repair Type of Project: ^New^Addn ,_,Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin). <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bartmqple <br /> I Heat pump Backflovv preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> I Ducting Roof drains ' <br /> Other Medical Gas <br /> SPRINKLER /SUPPRESS110H SYSTEOther: <br /> Number of Heads 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 this type of work will be complied <br /> with whether specified herein or not,The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That I am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State contractors Law 18.27 RCW and 298.200A WAC. <br /> 1 ' <br /> Owner/A (Revised 412015) <br />