Laserfiche WebLink
I r <br /> 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 /> SITE ADDRESS: r i2 PROPERTY TAX# RMIT# <br /> r i< Ili fav , ' C C\I -["-i-1 �i ill-ti 4) �i � '( =t Ot;�c e0 i ti CI _ � 1 t2--Oe l <br /> LEGAL for new construction: Short Plat/subdivision _Lot No. (attach copy of long legal description) <br /> OWNER 4>eP:A ig\J'Fr1'A) /•\}-14 4 UL Phone/E-mail 114.1"-' i07J '41-'1119--{ t <br /> Address j 2-4,q- i`'C City/State/Ztp C t` `\f/\, 'i 2_1 3 <br /> APPLICANT: A,Owner ___. Owner's Agent Contractor _ Contractor's Agent _Tenant(musterovide stetter of consent from the owner to do work in the space) <br /> CONTRACTOR PEALmi htMe4a (AkState Lic.# A:..[UU jA' 9 (AI City Bus.Lic.# <br /> Address y44il At- h> mcI E 1 t s t'( T 1+I1A 44 fi.79-'2...'t Phone/Email -7J :41'Z/ WO`.-) <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/ mail f.iu of ��f- 50'3-1-115 <br /> BUILDING PERMIT APPLICATION CONT CT PRICE OF WORK if 219-719-)L 2.- <br /> Existing Use of Building___ HEAT SOURCE: <br /> Proposed Use of Building, __V L GaP- Electrict Other <br /> __^_ <br /> Building type: Single Family r'_Duplex Townhouse Multi-F mily __.___Commercial J <br /> Typof project: X New Addition Remodel Repair T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): '� I <br /> "gLA,v c�� j2d. i ii fj, 6-31 CC)"t Sc) C"A 61)5Q_� . ;v\0e5A-M2itc Orr? <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: ° New_Addn _Alteration Repair Type of Project: _A' New_Addn Alteration Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C-air handling units & Toilet — <br /> Forced air systems .j- Bathtub <br /> Gas piping L = Lavatory(wash basin) <br /> Q j Water heater Shower <br /> Gas fireplace Z Kitchen sink&disposal <br /> Gas range 2 Dishwasher <br /> ;� Clothes dryer :Z- Clothes washer <br /> z. 1 Range hood '. ; Water heater <br /> j(? Exhaust fan j Sink(service/bar/mop/etc.) <br /> Heat pump j Backflow preventer <br /> Unit heater I Urinal <br /> Boiler Drinking Fountain <br /> 4 Refrigeration Floor drain — <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other __ Medical Gas <br /> SPRINKLER I 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 comp <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 authoyiy the 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 /> Al, fif2-440.5 (Ni \\ <br /> Owner!- , ..r, ized Agent Signature Date (Revised 9/2014) ! <br /> r� <br />