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 W 12. -003 <br /> SITE ADDRESS: PROPERTY TAX# P RMIT# <br /> 3 / / / 2.'`ti St. S. . 22O le 21,4 O044O001, OO gyp--(9 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER L'ct r /3 e=N S o H Phone/E-mail 3 6O -d SO-33 75/e a r/,6ensohnwwu.eot' <br /> Address 2 'If O ? Lisa L.4 h e. City/State/Zip ,62e //!M 9 A Q A W A l $2 z / <br /> CONTRACTOR OW y 4" L&I Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Ea r I QeN sori <br /> Phone/E-mail 36d'6$O-337SYear/•r4 s,son ekWWM.e 4 <br /> 29 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK l MO <br /> Existing Use of Building y ek r4 7 a. 1! �r r y e HEAT SOURCE: <br /> Proposed Use of Building 7 a res.y e_./ rivipay a Gas_ Electric_ Other <br /> Building type: Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project _New _Addition K Remodel x Repair_T.I._Sign Sprinkler Demolition_Change of Use <br /> Description of Work(additional space provided on the back): <br /> "/'eL, t., let „ of 9 arae # side. ls14;/4 A.7 t41 were. destroyed/ <br /> da W.04.7,eo Q i n a A'r e. IA Ta.,c4.a P 44 22--o /j/. <br /> Have you started working without a permit? V YES _NO f vp95eI rebid/cl /ff7 .- <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 /> A/C—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan • <br /> 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 <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 /> Owner/Authorized Agent Signature Date (Revised 2/20 1) <br />