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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:_J/, Ro� /r/ems PROPERTY TAX# PERMIT# <br /> .fi <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER s5a-tr yy s//GG./'i ri1 Phone/E-mail C 2 j3> (.7'-7'7—O S-5( <br /> Address ..✓✓✓✓!! City/State/Zip <br /> APPLICANT: Owner _Owner's Agent ,Gontractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space)ce <br /> CONTRACTOR j �f✓L-f�{-5 so Ctr% et_ _TnLState Lic.# D 6L-I '72.13€1 y Bus. Lic.# /4 <br /> Address t 2 c• l3OX 2_2-6,c- ,,,/e rt 024 - 41 5(213 Phone/Email (4)353–I 5-3 Z <br /> i. <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> 2 iGk– 8 /L6e-P <br /> Phone/E-mail (42-S-7 355(y3-1 S 3 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 2D 7c' — <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of uilding Gas Electric Other <br /> Building type: Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project New Addition Remodel Ol–Repair T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): �l <br /> ��cJc r % C7 2.C._ Sh�—! I /Ipi1 it/ eaW f'J 22,:, 7� c <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 /> 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 I 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 FountainII <br /> Refrigeration Floor drain <br /> Woodstove 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 s•ecified 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 a e4.rized by the owner of this property to perform the work for whit application Is made and I comply with the State Contractors Law 18.27 RCW and 298.200A WAC. <br /> / 9/2014 <br /> DBrrSer/Authoriz d t Signature Date (Revised ) <br />