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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 />E ACCEPTED FROM 8 AM TO 4 PM 2 `/ 0 _/-Z <br />APPLICATIONS AR <br />PERMIT <br />SITE ADDRESS: <br />31204wTrAmijx- <br />PROPE TY TA%# <br />ARTT 569700/00 <br />LEGAL for new construction. Short Platlsubdrvision Lot No. _ (attach copy of long legal description) 1 <br />' <br />,l N kSS�uA- 5 PhonelE-mail 2 ••25 •6057 <br />ALLIED CON;C/;TPVC <br />OWNER <br />-7 C u�� �1820/ <br />TrA <br />Address 292! CL'I-� City/State/Zip y <br />E}9I1��f - 00 <br />LfI & ILic. # L� �C �iI•'r �O(g pL� <br />CONTRACTOR /k's�7L�LII <br />�,,/) <br />Address � 27 ('OL$ r 1✓E IX f-�IL 2O'TENANT <br />BUSINESS NAME 7A'j C? FO�PERMIhone/E-mailBUILDING <br />If <br />PERMIT APPLICATIONONTRACT PRICE OF WORK <br />Q3-S(ih.12IJr CL� HEAT SOURCE: <br />Use of Building — <br />Existing <br />Gas_Electric Other <br />_ <br />Proposed Use of Building e7 f <br />4y <br />Building type. Single Family _ Duplex _Townhouse _ Multi -Family Commercial <br />_ <br />Type of project. _ New _ Addition _ Remodel _ Repair � T I. _ Sign _Sprinkler —Demolition-- <br />Description of Work (additional space provided on the �S �LD WuANINE WiTkaJ FFST j w ?"z— <br />F-F1�vmiF f l tur fw <br />� s�M""2"°{�-W LOBR!-m tl 2�"rb��P RE�4►�ty,ye�ln�ph*ao <br />Have you started working without a permil7 ._YES �1NO OVlCE W-W <br />MECHANICAL PERMIT APFJCATION PLUMBING PERMIT APPLICATION <br />Type of Project; _New _Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br />Show NumberM of fixtures Show Numberor fixtures <br />A/C - air handling units Toileett <br />I Bathtub <br />Forced ar systems <br />Lavatory (wash basin) <br />Gas moIna <br />I <br />Shower <br />Water heater <br />Kitchen sink 8 disposal <br />Dishwasher <br />Gas fireplace <br />Gas range <br />Clothes washer <br />Clothes dr er <br />iffl <br />Wale. healer <br />Range hood <br />Sink I SeNlde/bar/moplelC. ) <br />Backflow preventer <br />I Urinal <br />Exhaust fan <br />Heat pump <br />Unit heater <br />I Drinking Fountain <br />Boiler <br />' Rew eralion <br />Floor drain <br />Woodstove <br />I Grease trap <br />Ducting <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />I Other <br />Number of Heads <br />I 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 <br />this type of work will be complied with whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel <br />the provi - n of any other state or local I w regulating construction or the performance of construction. That I am authorized by the owner of this property <br />to pert thevioikforwhichapp a is made and I comply with the State Contractors Law 18 27 RCW and 296 200 WAC <br />----� �, (Revised 212011)i/ <br />Ov�ner Authorized AgenyB�nature Date <br />