Laserfiche WebLink
Iá4'9 <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 /> S .DRESS' P PER T I # <br /> _ i to :/ ` . : ii 1;; 42" ;.4 ivLoct _ Ow <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER alit, l li f a i ij) Phone/E-mail C 6 ' 7 g... of � <br /> Address i {,'I / 101 ,"pCity/State/Zipger , 4,i l� ovey 5/ <br /> APPLICANT:_Owner _Owner's Agent k,j ontractor Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR 4i/ % �77 "�••a State Lic.# , ' / // ty Bus.Lic.# 9��0 <br /> nigt <br /> Address 90 ;' re, oily, a 47;Po e19<mail (_W.4 /'�/ 7 .'..,1i&/. . <br /> TENANT BUSINESS NAME �/ JVr CO TACT FOR ER IT <br /> �f tl nr?—&•49,444,-* //3/ <br /> Phone/E-mail ILA,,Oja/a /i7 r/ a/j/j I-_,t„ll//r _i f <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ii ii ar .( .” <br /> Existing Use of Building 502-- HEAT SOURCE:�/ <br /> Proposed Use of Building Gas Electric /� Other <br /> Building type: {71) Single Family _Duplex Townhouse _Multi-Family Commercial <br /> Type of project: _New _Addition Remodel _Repair_T.I._Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additio a/ pace provided on t back): _ 02. f/yysl� <br /> Cno,11 jeers on �V �/ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: __New XAddn _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 Sink(servi• bar/mop/etc.) <br /> I Heat pump (C)6te.die455 Backfl. preventer <br /> Unit heater Uri . <br /> Boiler ► inking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM Other: <br /> INumber of Heads Other: <br /> I her= y certi hat I h. - -.d and examined this application and know the me to be true and correct.All provisions of laws and ordinances governing this type of work will be comp <br /> wi hath: p= '"ed herein or not,The granting of a permit does not pre me to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> T . I-• . h. ,d by the o .• of i is property to perform the work which applicatio is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> i .. , 4b1 ga <br /> Owner/Authorized Agent Signatur Dae (Revised 9/2014) <br />