Fillable Building, Mechanical, Plumbing, Sign, Sprinkler & Demolition Permit Application (City of Everett)

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Building, Mechanical, Plumbing, Sign, Sprinkler & Demolition Permit Application (City of Everett)

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The Building, Mechanical, Plumbing, Sign, Sprinkler & Demolition Permit Application (City of Everett) form is 1 page long and contains:

  • 1 signature
  • 22 check-boxes
  • 90 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Everett

BROWSE CITY OF EVERETT (WA) FORMS

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Fixture
Count
Fixture
Count
List of Fixtures
Fixture
Count
A/C – Air Handling Units Gas Piping Backflow Preventer (Inside Bldg) Shower, Tub, or Combo
Boiler Gas Range Clothes Washer Sink-Commercial (3-comp,prep,floor)
Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential (kitchen,bath,bar)
Duct System (Remodel) Refrigeration Drinking Fountain Sink-Utility, laundry, mop
Exhaust Fans (Residential)
Commercial Ventilation
Floor Drain Toilet
Exhaust Hood (Type I) (Not Heat/AC system) Hose Bibb Urinal
Exhaust Hood (Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair
Exhaust Hood (Residential) Wood Stove Interceptor-Sand/Oil Water Service (behind meter)
Forced Air Systems Other: Medical Gas Water Valves or Fixtures
Gas Fireplace/Insert/Log Roof Drains Water Heater
Sewage Ejector or Sump Pump Other:
No. of Heads
No. of Heads
PERMIT #
(Revised 10/10/2018)
Owner/Authorized Agent Signature Date
CONTACT INFORMATION
OWNER NAME:
TENANT BUSINESS NAME (Commercial):
STREET
Proposed Use of Building:
SPRINKLER / SUPPRESSION SYSTEM
MECHANICAL PERMIT APPLICATION
CITY OF EVERETT BUSINESS LICENSE #(REQUIRED):
CONTACT NAME:
LEGAL for new construction: Short Plat/subdivision____________________________Lot No._____ (attach copy of long legal description)
CONTACT PHONE:
OWNER EMAIL:
CITY STATE ZIP
CITY STATE ZIP
OWNER PHONE:
STREET
CONTRACTOR NAME:
PERMIT APPLICATION
BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION
CITY OF EVERETT PERMIT SERVICES
3200 CEDAR STREET, EVERETT, WA 98201
(P) 425-257-8810 | FAX 425-257-8857 | (E) everetteps@everettwa.gov | www.everettwa.gov/permits
List of Fixtures
Type of Project: oNew oAddition oRemodel oRepair oT.I. oSign oSprinkler oDemolition oChange of Use
List of Fixtures
List of Fixtures
CONTRACTOR EMAIL:
CONTRACTOR PHONE:
Existing Use of Building:
CONTRACTOR LICENSE #(REQUIRED):
City of Everett Official Use Only
ACKNOWLEDGEMENT: I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with
current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the
Building Official before being authorized under any circumstance. I am the owner, or I am 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.
Fixture
Count
PROJECT SITE INFORMATION
(Blue or Black Ink Only Please)
PLUMBING PERMIT APPLICATION
Heat Source: oGas oElectric oOther___________________
PROPERTY TAX #:
PROJECT SITE ADDRESS:
ASSOCIATED BUILDING PERMIT # (if applicable):
Contract Price of Work: $_____________________________________
BUILDING INFORMATION
PRIMARY CONTACT:
o OWNER o CONTRACTOR o OTHER (Please Specify) ___________________________________________
DESCRIPTION OF WORK:
CONTACT EMAIL:
BUILDING USE: oSFR oTownhouse oDuplex oADU oMulti-Family - # Units:________ oCommercial oAccessory Structure
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Building, Mechanical, Plumbing, Sign, Sprinkler & Demolition Permit Application (City of Everett)

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Completed 13 February 2021

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