Laserfiche WebLink
'E R I AI®"i"" TI <br /> BUILDING/MEDHANICAL/PLUMING/SIGN/SP INKLE /DE OLITION <br /> • CITY OF EVERETT PERMIT SERVICES <br /> ,/_ 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> 1-070 6 o <br /> SITE ADDRESS: i, fh • PROPERTY TAX f# PERMIT# . s, <br /> LEGAL for new construction; <br /> Short Plat/subdivision Lot No. ,Fl(attach copy offlo�n <br /> g <br /> legal description) <br /> OWNER' ��1t 3 l Gt\ 11 � Phone/E-mail K UL 4 it l`; fJ o G�.y ,(O✓A <br /> Address I S 136114 51'... SE 044- Cverclf, q3 20? City/State/Zip <br /> APPLICANT: Owner //Owner's Agent Contractor Contractor's Agent Tenant(must provide a letter of consent from the owner to tip work In the space) <br /> CONTRACTORS 7 3 o t O// J 'q7`/ j"7 Ll-C,LState Lie.# S6 - �)$138 2C(" City Bus. Lic.# <br /> Address /24,1 /30 R cr. ce 4- , C`7�t�s+ i'� cot_ 447 f Phone/Email 1Zi -5W—6 01 ®✓�l{7/'la 66/14-1L <br /> TENANT BUSINESS NAME / CONTACT FOR PERMIT , <br /> /pit' k JC It/to( ! ' � FFA " 4 <br /> ZI- "- --Stzi---6 44t _t Phone/E-mail ,r) 5-®A'(0/T ti S OD 6-l#1-7 G r Co / • <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 1 j /9 ( 3(7 15 <br /> f <br /> Existing Use of Building A//P HEAT SOURCE: <br /> Proposed Use of Buildin• <br /> p d/ 4--‘.-h - � Gas Electric 17-Other <br /> Building typ-: Single Family Duplex_Townhouse 410:41r# <br /> ► ►�► ` ommercial <br /> Type of project: //New _Addition _Remodel Repair_ _ ign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> N -M-') (-"Si" - --,/11-Y7.4(}-16-7-D <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: di\lew_Addn __Alteration_Repair Type of Project: t/New_Addn Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> NC-air handling units 3Toilet <br /> Forced air systems j l Bathtub <br /> Gas piping 4 Lavatory(wash basin). <br /> I Water heater i Shower <br /> I Gas fireplace I Kitchen sink&disposal <br /> Gas range ( Dishwasher <br /> I Clothes dryer ( Clothes washer <br /> 1 I Range hood, Water heater <br /> Exhaust fan I Sink(service/bar/mop/etc.) <br /> L Heat pump Backflow preventer(inside bldg) <br /> Unit heaterUrinal <br /> I Boiler Drinking Fountain <br /> I Refrigeration Floor drain <br /> Woodstove Grease trap <br /> I Ducting I Roof drains <br /> Other Medical Gas <br /> I 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 auth ri ed by the owner of this property to performthe work for which ap lication is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> rwtofe.,_ <br /> I <br /> Owner/ uthorized Agent Signature Date (Revised 4/2015 <br /> `? <br />