Laserfiche WebLink
� <br /> ������ �Ir"�lL�����Q�tl`�i <br /> BIJILDING/MECHANIC�4L/PLUfV1�IiVG/SIGN/SPRINKLER/DEMOLIT'IOf� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> (�w � o $ - 0�8 <br /> SITE ADDRESS: , / I/ PROPERTYTAX# PER�^�T" <br /> U� — �Nt V� 'Z�il c%�l' h' ) �� ��i`� i (C' . <br /> LEGAL for new construction: Short PlaVsubdivision Lot No. (altach copy of long legal description) <br /> OWNER. /� — —�' � Phone/E-mail`� , �7— `� � �i . l-C - 1��� <br /> Address ��� 't�� ����„ = � l� City/State/Zip ^ J— .� <br /> APPLICANT:_Owner �wner�5 AgBfl� _COfllfeCfOf _COfIYfeCI0f�5 Agef1Y _TCfl3flf(musl provide a Ieller ofconsenl from lhe owner to do work in ihe space) <br /> CONTRACTOR � . ) �=� State Lic. # City Bus. Lic.# <br /> \ �-. � <br /> Address Phone/Email � (�l 0 • ��S� r �`� r c�L�/`G�,, . ( �'` <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT��� �G�����(/r <br /> Phone/E-mail ��`j �� Z �� ' <br /> BUILDING PERMIT APPLICATIOPI CONTRACT PRICE OF WORK — 'e c <br /> , <br /> Existing Use of Building_ "� � L �`�` � HEAT SOURCE: <br /> - � <br /> Proposed Use of Building I �' � �` � «{ /S� Gas_ Electric ' Other <br /> Building type _Single Family _Duplex_Townhouse __y'i ulti-Family _Commercial <br /> Type o(pio�ecL _ Na�-v _Addifion __f�emod�l =Repair__T I._Sign__Sprinl;l�r__Damoli�ion __Change of Use <br /> f)1=tiCRIP I ION UF VUI�IKK(addifional spaceprovidedonlhe�ackJ: <br /> .;��l�l��y� G(��j��',��v/�'jo� .�'�#" �t���T ��-�{,��'�'-�� � <br /> �c�lti�-� S�f�G� 7�� ��,�1c�'ti!��-t � �--�������= - <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(#J of fixtures Show Number(#J of fixfures <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 j Drinking Fountain <br /> � Refrigeration � Floor drain <br /> � Woodstove � Grease trap <br /> � Ducting � Roof drains <br /> � Other I Medical Gas <br /> SPRINKLER / SUPF�R��S18P1 Sl(�Yftiifi I other: <br /> Number of Heads � Other: <br /> I nereby certify lhal I have read and examined lhis application and know lhe same lo be true and correct.All provisions of laws and ordinances governing Ihis type of work will be complied <br /> with whether specified herein or not.The granting of a permil does not presume to give authority to violate or cancel the provision of any olher sla{e or local law regulating conslruclion <br /> That I am authorized by the owner o(lhis property to perform the work(or which applicalion is made and I compty wifh the Sfate Contracfors Law 18.27 RCW and 296200A WAC. <br /> � � <br /> _ � _,� �,� <br /> n,.. n„Fti,..�-,,,a n,.,,..ti ct,..,ar���A I�afa� (Revlsed 3/2013) <br />