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: PROPERTY TAX# <br /> 2701 WETMORE AVE 0043916 2600100 4 <br /> LEGAL for new construction: Short Plat/subdivision <br /> AJivisio'n1 Gam'� Lot No. (attach copy of long legal description) <br /> OWNER MORTHW EVMREDJ VESJ" +' LLC Phone/E-mail 20 G. 579. 2636 IivildA IM olowd SO <br /> Address 215 V1/ LAKE SAMMAM ISM PkW`( SE City/State/Zip BFLLFVUE WA 98008 <br /> CONTRACTOR (eji j�1 E L& I Lic.# <br /> Phone/Email <br /> Address <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT CHAD A CHMQ[/+ <br /> t <br /> Phone/E-mail 425-785. 9 2 Cchan o.3 @� ahoy. h1 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF W9 80 -OUO <br /> Existing Use of Building OFFICE HEAT SOURCE: <br /> Proposed Use of Building OFFICE A MULTI- gl1m `( Gas_ Electric Other_ <br /> Building type: _Single Family _Duplex_Townhouse X Multi-Family X-C mmercial <br /> Type of project: —New _Addition &Remodel _Repair_T.I._Sig _Sprinkler—Demo Iition_Change of Use <br /> Description of Work(additional space provided on the back): <br /> Have you started working without a permit? _YES NO <br /> MECHANICAL PERMIT APPLICATION i' PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn Alteration_Repair / Type of Project: _New_Addn XAlteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C-air handling units 12 Toilet <br /> Forced air systems l 1 Bathtub <br /> Gas piping Z1 2 Lavatory(wash basin) <br /> t ? Water heater ( Shower <br /> Gas fireplace 12 Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood i Water heater <br /> Exhaust fap/ Sink(service/bar/mop/etc.) <br /> Heat pu Backflow preventer <br /> Unit h ter Urinal <br /> Boil Drinking Fountain <br /> R rigeration Floor drain <br /> oodsto/e 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 <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 made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC <br /> 09/,3 0/2o I I <br /> Owner/Authorized Agent Signature Date (Revised 2/2011) <br />