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ERMIT APPLICATIOI <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: PROPERTY TAX# PERMIT# <br /> rc37_ (�r�LJ PL tkJA 9J2O C zg_50000 Soo 0 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER TA-'(\( S S-TlitU Phone/E-mail 7()(D 3 E _0 <br /> 7 <br /> p <br /> Address (D2Z� l (AUL ()L City/State/Zip T7 LLjA- CJ{2)7_03 <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 emii__OrYCS ?,AnP. Ix L , State Lic.# / tILMJ-1°17_7_ City Bus. Lic.# <br /> Address i��� �cj f\i( YVAL`CSt)ILLF_ ItiiA- 91?-nC) Phone/Email LZ ' MLIL((1-Lre_6.414LL77W <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> ,Phone/E-mail Li ZS 344 ISL Pd iL.LLL-ft r) 640A-tL•LF? <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 4 31_0,caoc, o� <br /> Existing Use of Building 2=-QG)CrI'1/ HEAT SOURCE: <br /> Proposed Use of Building Li OJ \IYftit Gas Electric Other <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 /> cc�f�Iv��,—I�t� G aal_ spi�f tMTO ial)WY -1\ LUUl J SPACL FA._ ALS V&T192t4 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn 1`\ Alteration_Repair Type of Project: New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> NC—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater I Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood r Water heater <br /> u—' Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer(inside bldg) <br /> Unit heater Urinal <br /> Boiler I Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove I Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> 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 comp) <br /> with whether 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 regulating construction <br /> That 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. <br /> \), <br /> note, /l:PoviceA A/,/11 I <br />