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•RMIT APPLICATION <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 /> SITE ADDRESS: F"e�r7 PROPERTY TAX# PERMIT# <br /> 4 1--/EA 1 -(-. z g 7. .707,0 CC564-9CD 3Do 1 cO & I i--) L' U L)t� <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER N iLW /_/„. 47 -5 JL./ 4 -� y'1P�e E-ail j, �f�.✓--t k .me. . ed„y\ �U6- - �� <br /> Address ,,}- [V\ _. ,4.�,v�-. City/State/Zip I <br /> APPLICANT: Owner. Owner's Agent Contractor Contractor's Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR TA)J 1.0_z--. CGAI -I aI.�TlcNI tate Lic.# 1A NNE � JLJ City Bus. Lic.# <br /> off e4 - 3`!I-135:e <br /> Address 4 J FA- z— ACJ. , N v% �j&oc)rr i Phone/Email „L-1 fell,s4, 70-4-kms;/. kV/ <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mail c--41/-y1=',.544"--) 7 -----" ' '-'*-tri <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 57(# <br /> rTh <br /> Existing Use of Building /.-7�� v+-t/4—/ kfes/4�- 7c�-1 HEAT SOURCE: <br /> Proposed Use of Building {11a� r- ' `'7Ga _____ Electric _ Other _ <br /> Building type: X Single Family Duplex Townhouse Multi-Family Commercial <br /> Type of project: _New _Addition X Remodel Repair_T.I._Sign Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> I--- )-4e- C_L.---, 7 ©a e- l z ,---7�/ 2' -27 /� .�.�u/� co,T,a,// <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn >Alteration_Repair Type of Project: _New_Addn /Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C-air handling units Toilet <br /> Forced air systems - 1 Bathtub <br /> V Gas piping T Lavatory(wash basin) <br /> T <br /> Water heater I Shower <br /> Gas fireplace / r Kitchen sink&disposal <br /> / Gas range j 1 Dishwasher <br /> Clothes dryer _ .— Clothes washer <br /> / Range hood Water heater <br /> I Exhaust fan / Sink(service/bar/mop/etc.) <br /> T Heat pump _ I Backflow preventer(inside bldg) <br /> — I Unit heater I Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other 1 Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I Other: <br /> Number of Heads l 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 comp) <br /> with whether specified herein or •. 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 a ze.•. e. • er of this roperty to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC <br /> / n r,., 11:7o,,;co.l enn1 c;t <br />