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 /> SITE ADDRESS: PROPERTY TAX ft_ P MIT <br /> 3(°t i-PkwiOit k� .&'u E.X- H el 0 5q 3 4D�o 92o 0 4 4o --o03 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNERA( <br /> WE,9�A---f,K Phone/E-mail 4 25- 35 q - /75'Z <br /> • Address j 1 i ,t-yfrI A_ 4c City/State/Zip ±� E . H— T 0 <br /> APPLICANT: Owner _Owner's Agent _Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR ®(,ij A.) .. State Lic.# City Bus. Lic.# <br /> Address Phone/Email <br /> — <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK Si 0 P <br /> Existing Use of Building \ 31, -k, C0e ) HEAT SOURCE: <br /> Proposed Use of Building C) �`QLc 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_DemolitionChange of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <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 /> 0 I A/C—air handling units / Toilet <br /> a I Forced air systems / Bathtub <br /> U ( Gas piping ( f Lavatory(wash basin) <br /> / Water heater D j Shower <br /> d Gas fireplace d Kitchen sink&disposal <br /> rJ f Gas range j Dishwasher <br /> C) ! Clothes dryer e) f Clothes washer <br /> IT—IRange hood / Water heater <br /> Exhaust fan /9 Sink(service/bar/mop/etc.) <br /> (j Heat pump b ! Backflow preventer <br /> Q l Unit heater 0 j Urinal <br /> ( Boiler (`� Drinking Fountain <br /> ("`} I Refrigeration 0 j Floor drain • <br /> 3 Woodstove ; Grease trap <br /> Ducting (;) ; Roof drains <br /> Other C. I Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM ; Other: <br /> INumber of Heads I 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 /> - •m authorized by 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. 7 v� f <br /> Owner�,uthorized Agent Signature Date (Revised 3/2013) <br />