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PERMIT 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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 3..-' -"I <br /> SITE DRESS: PROPERTY TAX# I <br /> ?30 O4J<es Ave 00g39/6270/30a I .4 u2-00 I <br /> LEGAL for new constructieni Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER t'IAifS uj/I at neck Phute/E-mal 266 gl4- 3500 <br /> Address ILI I I NJU/ t' ST City/StateZlp SE'/}TLE, WA qg 107 <br /> APPUCANT:_Oyster _Owner's Agent _Contractor )(Contractor's Agent _Tenant in,uct frmle a letter.,r'.,neem trnm the ver„er t,nn work In the e(we) <br /> CONTRACTOR A pv &tc eoLL.e- L&I Llc.# ADVANISL923pPCOEBus.Llc.# <br /> Address 37 t4£ NW 4 G Avipt ridWo0/ Phone/Email253'1874"1J 6"3/fi )499"44;6'"A <br /> '" <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> i4rs gi/! CLlvvcL • <br /> Phone/E-mail L 3-9'87-SQOeY ASI.' yl e. Jab:m.40 j C4•w1 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK S, )O. OG <br /> Existing Use of Building (pWIW/tNC/.-I HEAT SOURCE! kVA <br /> Proposed Use of BuildhngC0t44v$40 Ca./ Gas_ Electric_ Other_ <br /> Building type: _Single Family _Duplex Townhouse _Multi-Family A Commercial <br /> Type of project: New Addition _Remodel _Repair—T.I. Sign_ Sprinkler_Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> E1Pro) <br /> � <br /> ae'1 1I One. l!/tvk.t.t;Na 14.6.1/ Hcc,ivt� Pr ect,va. 5egr1. <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(It)of fixtures <br /> A/C-air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> 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 <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 1 SUPPRESSION SYSTEM other! <br /> Number of Heads Other! <br /> I hereby certify that I have read and examined this applhatlon and know the same to be true and correct.Al provisions of laws and ordinances governing this type of wort wM be compled <br /> wph whetlw 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 regulathg construction <br /> That I ant author ed by the owner of this property to perform the work for which application h made and I comply with the State Contractors Law 18.27 RCW and 296.200A'MAC. <br /> N/y J ( � <br /> n Authorized Agent Signature Date (Revised 6/2012) <br />