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 a AM TO 4 PM <br /> SITE ADDRESS: PROPERTYTAX8 pEgfdl <br /> b�2� t►At�'`- r W � `�ZD V V I <br /> LE /GAL fornew construction: Short PlaVsubdivisiw Lot No. (attach copy of long legal description) <br /> OWNER Nt:0A%CLILC n Phorw/E mag 2011 ")1 - 1 s�j 1 MC1c@ Yy . �ShM <br /> 42— <br /> Address '54&Zo %"K. !of, W *-7-0t,Q ictty/statwZIP L-"A O <br /> APPLICANT:X Owner _Owners Agent Contractor _Comactors Agent _Tervrtt imus Prwwe a Naar a con.«u torn n.o rw e m Work.,ew rpsce, <br /> CONTRACTOR NtfZ L&I Lic.# COE Bus. Lia. # <br /> Address Phone/Email 1�1A <br /> TENANT 51-164NESS NAME CONTACT FOR PERMIT <br /> ±b PhorWE-mall - '4 • iGtA I MuNr\eJ { c tX.CM' <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK '' C"-- <br /> ExistWV Use of Binding M1gp43 L^'Aal HEAT SOURCE_ <br /> Proposed Use of Building Gas X Electrlc X Ottwr <br /> Building type: •__-Single Family _Duplex_Townhouse )e Mull Wamlly _Commercial <br /> Type of rn' New Addition V Remodel Repair T.I. Sion Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(adarikMIspace povidedonOwberlq: <br /> Zoptt--ncA.s. 1� cf's , fans, �it-+c P\We-I Cin t•yt„tS. <br /> fir+.c t , p�-n Qc.mo dci b . <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project; —New—,4ddn .2�-Alteratlon____Repair Type of Project _New_Addn X Alteratlon_Repair <br /> Show Number of f irfures Show Number(n!)of AxWraa <br /> A/C-air handlkV units I Toilet <br /> I Forced air syst=s Bathtub <br /> Gas piping Lavatory wash basin <br /> Water heater Shower <br /> Gas fireplace 1 Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer 1 Clothes washer <br /> l <br /> Range hood <br /> i Exhaust fan Sink (service/bar/mop/etc.) <br /> Heat purne Backflow preventer <br /> Unit heater Urinal <br /> Boder Drinking Fountain <br /> t Refri eration Floordrain <br /> Woodstove <br /> Grease Ira <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM ` Other: <br /> Number of Heads Other: <br /> 1 hereby etnty that I have read and eicamned this application and know the same to be Me and correct All provaens of taws and o Wmances gowmup tMa type of wo*wi be CompYeO <br /> wth whether specled her"or not The wanting ora perrcct does not presume b ow authorty tovcolaw orcancel the provision of any other stela or local lswragulatng construction <br /> That i am aumonzad by the owner of this property to perform the work for vhrch apptuton am de and I comply wth the State Contrae rs law 1827 RCW and 296290A WAC <br /> O er/Authorisad AW Signature V Data <br /> (Revised 6,2017J <br />