Laserfiche WebLink
9 <br /> ERMIT APPLICATIO <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: igloo PROPERTY TAX# PERMIT# <br /> Co2AKII-3 {cul= •,FvERMI , tAIA %EL,► e0y';q167eto 31oo P1505 - 07 0 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER W S+-U> M \ION SCHNEIDPA) Phone/E-mail 1-125- 2qq- 94 66 <br /> Address a1' P1l&t- 61- SI.)CTE. A City/State/Zip 5a_p1/4TrL /wp c101.01 —.2066 <br /> APPLICANT:_Owner X 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 `'Syr1Ev6H (21; // State Lic.# City Bus. Lic.# OW/D-14 <br /> Address (OO��U tUl Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> MA-NIA-L.. St-tA W t S)-t <br /> 1 RANO-H c:- POTAL#k PLAG.E_ <br /> Phone/E-mail L0.5—2�,L-2t�,Z/ trotG,vto..l C 2_812a.vc_I4:A}eck12-•c(t^^ <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $ 10/ 000 <br /> Existing Use of Building GlJMMF) r'aHEAT SOURCE: <br /> Proposed Use of Building CemitM„Rr t 4.-L. Gas Electric Other <br /> Building type: _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(additional space provided on the back): <br /> TV-NAN"r IMPRov MENT a.{- -1"f-iE P3 R-ANc_Ei 'OTAL/-Pc 1,A.16\2K, -1/4- <br /> i,27.1 561• F"C <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(inside bldg) <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 comp <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 lam 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 /> ill 65-27- t� <br /> Owner/Authorized Agent Signature Date Ci.,___(Reirlsed 4 015) <br /> 2— <br />