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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 /> SiTE ADDRESS: kJJS( .....cit d1' PROP- TYTAX# G I Sa d PERMIT# <br /> 3Ca'3n Pri Clingy Av6 &1 (eg fo2-�,'n - �3 1' 1t5 Iij- 0 l i-f <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER 946E1 O ID4"g Jageef Phone/E-mails/l 45-6>''28 4,/eisly.witi'Ate&pie 444)-1 <br /> Address l ,W)( I7t34 City/State/Zipi.sVE, 4113,0©q-g7s4- <br /> APPLICANT: Owner _Owner's Agent Contractor _„_Contractor's Agent ,. -'tenant(must provide a later a consent from the cvmer:a do work In the space) <br /> CONTRACTOR c-v'fW11c1i1/t CA„) &- \exelehrk In State Lic.N V-ki AIVALE 7 CT City Bus.Lic.N <br /> Address IN ky- A 7 31.1\3 414 t WA-. x$373 Phone/Email CrrrokUn'I-01M_,ecom Ulf-,YlPk <br /> TENANT <br /> as}- <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> 14 14/7 1° <br /> Phone/E-mail ,gc3 4,05 (Q( (r,0 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK a-7f_ei c ) e w <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Other <br /> Building type: Single Family Duplex Townhouse Multi-Family i .Commercial <br /> Type of project: _New _Addition_Remodel Repair T.I. SignSprinkler,_DemoitionChange of Use <br /> DESCRIPTION OF WORK(additional specs provided on the back): vtS4-Cta to-e+v"O ^-,-t- PS Fluke_ c-\ r- <br /> t:,...o.. wt.e&lna•,.+'cu,l,l� s -evv.cra :el-: P—w PA7,�t9• NC <OLPO n„-;k 5�k5[e tok5 <br /> rook--m5 • 555.4---ew, a.v✓ e)($#i\ ijv ,4 V . 10 04 I e3 f <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn Alteration_Repair Type of Project: _New Addn Alteration_Repair <br /> • •.how Number(t)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 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(servieeibarhnopfete.) <br /> Heat pump - Backflow preventer(inside bldy) <br /> Unit heater _ _ Urinal <br /> Boiler - �—'!�Drinking Fountain <br /> Refrigeration Floor drain <br /> __ WoodstoveGrease trap <br /> Ducting�� Roof drains <br /> Other Medical Gas <br /> SPRINKLER i SUPPRESSION SYSTEM Other: ___ �'�- <br /> Number of Heads Other: <br /> I hereby eat tify that I have tend and exru:tined this oppitcation and know the seine to be Imo and correct.All provisions of laws end ordinances governing thin type of workwll)be comps <br /> with whether specified herein or not The granting of a pennit does not presume to give authority to violate or cancel the provision of any other state or fecal iavw regulating construction <br /> That I amuthorize the ownerorthis property to perform the work forwltich application is made and I comply with the Slate Contractors Law 18.27 ROW and 298.200A WAC. <br /> 7s40—.��r <br /> /3-lf <br /> Owner t ed agent tura oat° (Revised 4/2015) <br /> • <br /> If:l i Z <br /> . <br />