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 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS:! 17--N/ G Z�,), 1 l n RQE A y ,yap <br /> cool PERMIT# O <br /> / / lV I� Fir` �f' <br /> LEGAL for new construction: Short Plat/subdivision4cpitv/State/Zio'�— azk-A) <br /> Lot No. (attach copy of long legal description) <br /> OWNER � �� �'V VCS S' hone/E-mail ! �'� '"J// M 3 <br /> Iri <br /> s�� <br /> Addres �) (; +V Wq— <br /> APPLICANT:NOwner Owner's'A/gent _Contractor —Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR ] c AJ}-{// Lr0 &I Lic.# f�D �C� rJ J� C`OE Bus. Lic.#j <br /> Address S/S &SOT - � N U) Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mail '74c;'--) �` l <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 000 <br /> Existing Use of Building >G I HEAT SOURCE: <br /> Proposed Use of Building � � Gas Electric Other <br /> Building type: Single Famil Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: _New _Addition _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project:>LNew_Addn _Alteration_Repair Type of Project: _New_Addn Alteration 4Repair <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 J Kitchen sink&disposal <br /> Gas range J Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hooder <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / 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 true and correct.All provisions of laws and ordinances governing this type of work will be complied <br /> with whether specked 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 th owner of this property to perform the/work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />