Laserfiche WebLink
A11111;11 ZPERMIT APPLICATION <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT FERMI SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(F.)everettepsgeverettwa cloy I mew,evereth,va.gov/permits ., <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: .. 00 IF 0 C ,t, ,....c..1.\,c,f–" _PROPERTY TAX tf:CD 4 gqq4 00,03(:::,(:) <br /> LEGAL fur new cow,tro;,.'ouri Sue Platis,AM%rearm ¶01 N u .__ (attaiti copy of ton ieg,ti Per,crptioni <br /> — ---- <br /> CONTACT INFORMATION <br /> OWNER NAME:1"-\ 0,,,k) \ Ga.( bt,r rt 1 '1" TENANT NAME(Ii Commercial): <br /> OWNER MAILING ADDRESS: sTioFs ilr S <br /> ..iiik..... . <br /> stmi, ZIP <br /> !OWNER PHONE: , 6 • ID • _.. OWNER EMAIL; <br /> !CONTRACTOR NAME Brennan Heating <br /> CONTRACTOR ADDRESS: STQfl,T 4601 S 134th PI <br /> co, Seattle STAT Wa z 98168 <br /> CONTRACTOR PHONE: 206-248-7900 CONTRACTOR EMAIL: Jairnie@brennanheating.com <br /> CONTRACTOR LICENSE fif(REQuiRliDi: BRENNHA971R9 CITY OF EVERETT BUSINESS LICENSE a(REauiRED): 028230 <br /> PRIMARY CONTACT: 0 OWNER p CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-248-7900 <br /> Jaimie How CONTACT EMAIL: JalfTlie@brerMarlheatiflO.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building Contract Price of Work: 5 LA VI'S <br /> _ <br /> Proposed Use of Building Heat Source: ['etas 0Electric 00ther_. .„„_..,....._..„, ___... ..... <br /> Building Type DSFR-Detached al-IR-Attached ODuplex 0Multi-Family-tt of Units0Comrnercial Olndustrial <br /> . ....._ ... <br /> Type of Project: ONew OAddition ORemodel ORepair EI171, OSign OSprinkler ODemolition OChange of Use <br /> DESCRIPTION OF WORK: , <br /> V.tr- tiC,C. -e_.,\C%s.1,--tr•-5 <br /> 0...s C f-,., Y 1-Lac,c., <br /> ASSOCIATED BUILDING PERMIT#(If applicable): . <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn Alteration Repair Type of Project: New _Addn Alteration Repair <br /> #of #of #of ti of <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C–Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> I Forced Air Systems Unit Heater Bathtub Urinal <br /> ' .. <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> , <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap , <br /> Gas Range Ducting Dishwasher Roof Drains <br /> ... <br /> Clothes Dryer Hookups Other Clothes Washer Medical Gas <br /> Range HoodWater Heater Other <br /> . • <br /> Exhaust Fan Sink(Service/f3ar(Moptetc.) Other: <br /> SPRINKLER / SUPPRESSION SYSTEM <br /> i . ..... <br /> Chemical or Water I No.of Heads <br /> ACKNOWLEDGEMENT.i have reviewed this application and confirm the information contihned tWitrIll 15 true and correct,Work done pursuant to this perml must comply with <br /> cunvin der ii sfate,and hical law Trio!pirating.of,per it only authorizes approved work and nu deviations Mieufrom Opyratems must fast be authorized in writing from the <br /> audchd9 Official before being authorized under any cdcurnstunce I am Me owner,or!ant Cut/un/ed by they owner of Mrs property to perform the work Icr which application is made. <br /> and I comply with the State Contractors Law 11.3 27 ROW and 296 200A WAC <br /> City of Everett Official Use Only <br /> . s <br /> (/ <br /> 0 D ; pEmp <br /> U(A2--02S <br /> Ow 171:uthorized Agent Signature Date (Reined 9/23/2016) <br />