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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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE/ADDRESS: Feel PROPERTY TAX#1 P��R ? <br /> LEGAL for new construction: Short Plat/subdivision _Lot No. (attach copy of long legal description) <br /> OWNER ,''(,)tle,r4 L 1� 1et16;t.- Phone/E-mail <br /> Address 010 5+IA A <br /> Z w City/State/Zip -E; i Ir Z 411007 <br /> CONTRACTOR 15n v )e L& I Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> 1�1/14.(01 1/‹. <br /> Phone/E-mail <br /> �'L f ��'r ` <br /> tt <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building 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 /> Have you started working without a permit? YES NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn Alteration_Repair Type of Project: New_Adds _Alteration Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—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 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 <br /> this type of work will be co plied with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel <br /> the provision of any other tate-or local law regu ting construction or the performance of construction.That I am authorized by the owner of this property <br /> to perform the work for i a ication is m e and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC <br /> !l � 41-41 " 11); <br />