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II L.1 \11111 I /,1 I L.IvaA II 1vI10 <br /> BUILDING/MECINICAL/PLUMBING/SIGN/S INKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SER ES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> PROPERTY TAX# PERMIT# <br /> SITE ADDRESS: 'S •.e_ L I ,C s r 005/r 7Z ` <br /> LEGAL for new construction:Short Plat/subdivision if Lot No. (attach copy <br /> yoof long legal description) <br /> OWNER ����� ��f7A t/UTf14/c�rrY Phone/E-mail 272�2.5 fJ qz z z <br /> Addresst0 Zak /s"77 City/State/Zip �(i -, //1 A /7�/ 97269/: ' <br /> APPLICANT:X Owner _Owners Agent _Contractor _Contractors Agent _/ Tenant(must provide a loner of consent from the owner to do work In the space) <br /> CONTRACTOR /9NDC��� State Lic.# BEGS! -- tc1 l(j I Z City Bus. Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME/ CONTACT FOR PERMIT4�lji.y 6Z 771/6- <br /> g <br /> j}/E' fr-1.g6'4 f� /Z- �� Phone/E-mail r- 2 93 /J 7��" ' <br /> BUILDING PERMIT APPLICATION/� CONTRACT PRICE OF WORK 7600, 61-VExisting Use of Building J`/�iHEAT SOURCE: <br /> Proposed Use of Building 5�/�/e Gas /�yElectricOther—_—_ <br /> Building type: _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 /> yl a,( ,, ,c,1.c 4 1t V i1 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New_Addn X 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 Bathtub <br /> Gas piping Lavatory(wash basin) <br /> 1 Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> 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 Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> 1 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 cor <br /> with whether scified 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 construct <br /> That lam autho ed by e 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 298.200A WAC. <br /> Owner! uthorized Agent Signature Date (Revised 4/2015) <br />