Laserfiche WebLink
01/27/2017 FRI 7: 57 FAX Fast water Heater _- X002/004 <br /> "PERMIT APPLICAT`I l %OD . <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-2578810 FAX 425-257-8857 www.everettwa.org <br /> SITE D S: t/V Do � f)� .. PROMeKi <br /> 00(5 00c,e0 <br /> pCRMIT# <br /> LEGAL for new Cohetructlon: Short Plat/subdivision Lot No. (attach copy of icing legal description) <br /> • <br /> OWNER e,r f//l- Phone/E-mail QLQ 0- 3 51,3-- 5 P -- <br /> Address <br /> -Address nob 7 is,vt w O Oc4 111).F -1 -0- City/State/Zip \f e 4, -to/4 15-003 <br /> APPLICANT: Owner Owner's Agent Contractor Contractor's Agent _Tenant(must provide 0 letter of consent irom the owner 1.0 worm in the a,ace) <br /> CONTRACTOR , .1 SrA KIt'. ./4 P State Lic. <br /> # r' kAN.11-0 g Cit Bus.Lic. . ,�� @ ' �,( (Address L c�-1II c E^xP'KvUL � � � (nl1- Phone/Emal! a6l�3 , K/„ AIR <br /> ,TENANT BUSINS NAME � <br /> CONTACT FOR PERMIT '' r. A <br /> 1Y. <br /> Phone /E-mail ,• ea. Ow. .1 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK +i '�'. <br /> Existing Use of Building .AT OURCE: <br /> Proposed Use of Building 1)(1, Gae()< EI®cerilliIVOiher <br /> Building type: _Single Family Duplex—Townhouse4' ulti-Famil Commercial <br /> Type of project: �,. New Addition Remodel'Onnlft T,I. Sign Sprinkler Demolition • Change of Use <br /> DESCRIPTION OF WORK(additional specie provided on the back): <br /> Pi�°` VO /rp a CL IA5 GLI1 kico-fA--- <br /> MECHANICAL PERMIT APPLICATION P M : 0 PERMIT APPLICATION <br /> Type of Project: _New^Addn Alteration Repair Type of-roject: _dew Addn _-Alteration_Repair <br /> Show Number of fixtures Show Numb (#)of f1Xfuree <br /> A/C-air handling units Toll: <br /> Forced air systems <br /> Gee I In Laval() wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sl &disp•-al <br /> Gas range Dlshwashe <br /> Clothes dryer Clothes was <br /> — Randa hood - Water hes ^ <br /> Exhaust fan - Sink(se ce/b mop/etc.) <br /> Heatp <br /> _ ump Backfl- prevent,r(Inside bldg) <br /> �- Unit heater �'� a Url �"- <br /> Boller IT nkinp Fountain _ <br /> Refrl•elation boar drain <br /> WoodstoveGreasehtrap <br /> •- �- <br /> Ducting <br /> Roof drains <br /> ,...._ Other Medical Gas.' <br /> SPRINK : IJPPRESSION SY M Other: <br /> Other; <br /> I hereby caltlfy that I have read and examined this application end know the Same to be true and correct All provialone of laws and ordinances governing this type of work will be cotnp <br /> with whether speclfted herein or not.The granting of a permit doss not(Assume to give authority to violate or cancel the provision of any other stale or local law regulating oonatruction <br /> The( em authorized by the wrier of dile property to perform the work for which application la made aridre I comply with the Stale ConlractoLaw 10.27 RCW and 2g8.200A WAC. <br /> l <br /> Owns /Auth rtzed Agen Signa u Data (Revised 4/2015) <br />