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RERMIT 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: PROPERTY TAX# PERMIT# <br /> 7S 0 k / cz.D€ o AND t22.fSo4 - 2 -aoG-©A,00 9/gb 3-o9Z <br /> CC' <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) - f>14.1.1 <br /> OWNER y; ;,-VT , P\S,S Phone/E-mail < 4 <br /> Address\ l �a���•. Q�A.: 1 CZ°.ru cA�C:2ckE City/State/Zip S i - • Ls q 9 22 <br /> APPLICANT: Owner Owner's Agent Contractor a/Eontractor's Agent Tenant(must provide a letter of consent from the owner to do work In the space) <br /> CONTRACTOR TNA V j'�C� State Lic.#hhv S)(s5'*$4 2.0 6 City Bus. Lic.# <br /> 1 <br /> Address AC .-\ \Z451� 1 O' 47,‘\ � 42S- 454A- 4./4.1 S %G <br /> S - Jy/� \ Phone/Email <br /> TENANT BUSINESS NAMEi CONTACT FOR PERMIT <br /> 1- loS- 52A -2(a ck <br /> Phone/E-mail >`C \v-Nexc\AI SCG �+ 11eC�c.:G'\`- <br /> BUILDING PERMIT APPLICATION CONTRACT PRICF WORK 4 0 <br /> Existing Use of Building ""•4_4LE OS --- HEAT SOURCE: <br /> Proposed Use of Building O9..... Gas_ Electric_ Other_ <br /> Building type: Single Family _Duplex_Townhouse _Multi-Family 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 /> ` i Sk'\ z roe,-- I <br /> 1 IIUr-.;ti i c4 <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 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 drai"""` <br /> Other Medical <br /> SPRINKLER / SUPPRESSION SYSTEM Other: s..� <br /> Number of Heads Other: MAR 1 4 2018 -/ <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.Allprovisions of laws and ordinan a vyni t �4. <br /> with whether specified herein or not.The grantingof apermit does not presume to he T �is r� �constriction <br /> That I am authorized by the owner of t is property to perform th rovhl C application is made and I comply with the State Contractors L°aw`98Ctil'itMV U-1J6Uh7(AVVAC. <br /> Owner/Authorized Agent Signa re to (Revised 9/2014) <br /> �Z- <br />