Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everetlwa.org _� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � G'7� O <br /> SITEADDRESS: .� .� � PROPER7YTAXp P MITN <br /> ;/ nc � • � <br /> LEGAL for new constmction: Shorl Plat/subdivision_ Lot No._ (attach copy ot long legal descripticn) <br /> OWNER }"� [� - � ` ') ,.SPhonelE�mail �" S � '�Gj � <br /> ddress C+'i ' . �// City/Slale/Zip - - � "! 0 <br /> APPLICANT:_Owner OwnefsAgent �Conlractor CONfBLI0f5A9Efl� _TEOd�I�mmlyrnrlealetkrolronsenifromPewmerto0o.whinNespecel <br /> CONTRACTOR s7 -C ') ') ' � 0«i L&I Lic.# L C � ' D��Bus.Lic.# <br /> Address � / �����7 5"1' >, PhonelEmail �-� - � ` J � / <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> �'a � . L ,I � � 1 L(�I.� `(al.�� P�one/E-mail C� -�� � <br /> BUILDING PERMIT APPLICATION CONrRACTPRICEOFwoRK <br /> Existing Use of Building � � ��-� i= f�� iv1� I �� HEAT SOURCE: <br /> i <br /> Proposed Use of Building_f�_�, V r'�T I C F Gas_ Eiectnc otner <br /> Building rype: _Single Family _Duplex Townhouse _Multi-Family,�„Commercial <br /> T pe of pmjecl: Ne�v _Addition �' Remodel _Repair T.I._Sign Sprinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(addAional space provitled on the bacA): <br /> l',u F���T'� -���� - ? <br /> MECHANICAL PERMIT PPLICATION PLUMBING PERMIT APPLICATION <br /> TypoolProJect: _New_Addn _Aiteratlon_Repalr TypoolProJect: _New,�Addn _Alteration_Repalr <br /> Sfraw Num6er(ll)o!/irfures Show Num6er(ll)ol0ufures <br /> NC-air handling unils Toilet <br /> Porced air s slems ��� I Ba�htub 1[cu.` ' �� <br /> Gas pipin Lavalo (wash 6asin) <br /> Water heater Shower <br /> Gas tireplace Kilchen sink 8 disposal <br /> Gas range I Dishwasher <br /> Clothes dryer :blhes washer <br /> Range hood Water heater <br /> Exhausl fan Sink(service/badmo0letc.) <br /> Heal pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinkin Founlain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ductin Roof dreins <br /> � Olher MedicalGas <br /> SPRINKLER ; SUPPRESSIONSYSTEM � Other: <br /> Number of Heads Olher: <br /> I i�mcCy cerldy Ihat I�avo re�E und eaamined lhia appikotion ane know tho samn�o 0o W o nn0 cortect.All p�ovisionf ol laws antl aMmances Boveminp Nie rype olwork wiA Ee complled <br /> �,vnq rficthe�speafreE hercin a nol.Tho BmntinB o�a pem�lt Does not Omsuma to B^'o aul�onry ta violele otcnncel l�o Dmvisron ol any oNet slaie or loal mw repuWln9 consirvction <br /> nio�I am aulAotlxeC by the avmerollhla pmDeM�o pcAartn Iha wo�k forwhKh epplkalion u madv anA I comply wA�t�e Stole Contradon Lmv 1B.Y7 RCW nnd Y981WA WAC. <br /> ��� -- <br /> �,�%/ �7 �7 !,l/ �� � �� ��. <br /> OwnedAuthodzetl Agenl SlgnaWrc �ale (Revised W2012) <br />