Laserfiche WebLink
kER.MIT APPLIC TIS <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 /> /frt. 3 of',---q _ <br /> SITE ADDRESS: i / PROPERTY TAX# PERMIT# <br /> f73r Ilk i 1At a-yac-e v 478 3 0, 3247("/024,093LGA I D-0.1/) <br /> LEGAL for new construction: Short Flat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER l ,.ct.\ 0�A Phone/E-mail K UL A- iii- A L i4 o1-yvt 1 ,CO✓A <br /> Address I"Zrs '3, 5)-, SE 04,41- Cverd f, q320? City/state/p <br /> APPLICANT: Owner Owner's Agent _Contractor _Contractor's Agent Tenant(must provide a letter of consent from the owner to dp work In the space) <br /> CONTRACTOR S eif:TR$ (f�6,,✓rft.„0J)/Ym✓% 0r/ �ti 7� ac State Lic.# S6 - )il`Z 2C t' CityBus. Lic.# <br /> Address 224s- /3j0 R c7 A4— LG7/6Pa`ei C r ti9 f Phone/Email 04--571/ 6##// bit-If711atse <br /> CONTACT FOR PERMIT l <br /> 1 r 4.- ,S--S-c31444 • Phone/E-mail 'AA- t( -/1 /G r Ce ' <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OFfWORK <br /> Existing Use of Building iV/ • HEAT SOURCE: <br /> Proposed Use of Buiidin• / •-- .._ �- - <br /> �' ,_ - � Gas Electric Other_ <br /> Building typ Single Family Duplex Townhouse 1 �i 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 ,6---:-pu csi----1, _ ___A__,-_, ,‘ f 46.11ED <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: __4New_Addn _Alteration Repair Type of Project: JNewlAddn Alteration^-Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> NC air handling units 3 Toilet <br /> Forced air systems J Bathtub <br /> Gas piping4 Lavatory(wash basin). <br /> I I Water heater i I Shower <br /> Gas fireplace I Kitchen sink&disposal <br /> Gas range I. Dishwasher ' <br /> Clothes dryer l Clothes washer <br /> Range hood Water heater <br /> A- I 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 I Grease trap <br /> Ducting I 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 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 perform the work for which ap lication is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> �r /sem <br /> Ag9 <br /> Owner/ uthorized A ent Signature /Date (Revised 4/2015) <br />