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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# PERMIT# <br /> nn W• cmli o Pb buff BLDG 40 .;1 h . - 0 -� <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER f5t)E) Phone/E-mail <br /> Address Pb Q ol. 3-1t)-7 MIS U-13 City/State/Zip 5 W-rlam, WA 9 S NA - 2.x,01 <br /> APPLICANT: A Owner _Owner's Agent _Contractor _Contractors Agent _Tenant(must provide a letter of consent from the owner to do work In the space) <br /> CONTRACTOR ti O.&L State Lic.# City Bus, Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> SEPF bctmu, 't�5-2.34-D19�b <br /> Phone/E-mail JEFFERY•G. DRW9K # BOEING. CDM <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK i L' <br /> Existing Use of Building MFG HEAT SOURCE: <br /> Proposed Use of Building M IeG Gas_ Electric_ Other_ <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family X Commercial <br /> Type of project: _x New Addition Remodel Repair_T.I._Sign_Sprinkler_Demo lition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> car- 17 ,�� �/� ce,�r;',�si�,� >.i; 777"t `0-3 . ►, 0-L ji 5'-l <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 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 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 /> That I am 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. <br /> Owner/Author(zed Agent lvgnature Date (Revised 3/2013) <br />