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: )1PROPERTY TAX# MIT�r,� <br /> ("sot SCA 104(1, Suik i Z4oLlo3ao+400 co I ' UO' kD <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER.RoCt4Qy„ta1 A ,t LLC . Phone/E-mail <br /> Address CA40 cotlt-�E„i - ISAt SSS City/State/Zip 564 6, \& Cnin <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 u1l!JkeI meq/ float State Lic.# I�N�V / ���fJ��= City Bus.Lic.# <br /> Address 4//02 $ Jam_ AW, Aa/ c + -, k4,/A. 1800/ Phone/Email 2* - '7f-of <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> 4 Phone/E-mailkw �NNI �•� �^'q.Cor.. <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ' I9 So. -- <br /> Existing Use of Building • _ _ • A OW*. HEAT SOURCE: <br /> Proposed Use of Building SO.v4k. Gas V Electric Other_ <br /> Building type: —Single Family _Duplex Townhouse _Multi-Family ✓Commercial <br /> Type of project: New Addition Remodel Repair v/T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): l ��VN�r HkA�rr�,y <br /> -. t 2. AMA";boh` <br /> ste. --eibi Nt1. <br /> MECHANICAL PE.RMIT 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 Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Z 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 I 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 compl <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 au by th- • ner 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 /> f // 9 2Q �1 <br /> Ow r/A .1. zed A.-nt Signature Date (Revised 9/2014) <br />