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From: 0961{2014 12:21 #694 P.002/002 <br /> PERMIT APPLICATION \h \ <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: PROPERTY TAX# <br /> 1 i 01 ( 'Z . E' VV -* is P T' D 9 4)5C, <br /> , <br /> LEGAL for new construction' SShh�ortt Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER 14k V( i 0 ) El'Wv-e6 <br /> Phone/E-mail t\inAddress1 4 1 V� - . City/State/Zip ( v l Y 0 A /W A 011s; 70-2.) ~ <br /> 1 1a <br /> APPLICANT: Owner Owner's Agent K Contractor Contractor's Agent _Tenant lmu.t provide e letter of consent from the owner to do work in the space) <br /> CONTRACTOR fad- YN t-t�ace--C- L&I Lic.#T{\S-T w I E7C COE Bus.Lic.#sty—C3 3 <br /> Address l`11115 North Creek`Parkwaout-h, Si EC -106 Bothell, WA 98011 .mai (-(i},.., lk%-t"A01,30-,,.i- .\P«{,I,(,_ 'Vx <br /> TENANT BUSINESS NAME (CONTACT FOR PERMIT — - <br /> Phone/E-mailt I rjgi—t),:;(c , ;.Li. <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas X Electric Other <br /> Building type: _Single Family Duplex Townhouse X.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 o h be ): <br /> (rnc�v�at001 rev ioiGt gv's 1,� --c� L'��-� r��' I vi <br /> . rIt S4'1 iry I UCal f <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 /> A/C-air handling units I Toilet <br /> Forced air systems Bathtub <br /> Gas piping _ <br /> Gas fireplace Kitchen sink&disposal <br /> Lavatory(wash basin) <br /> iWater heater - Shower <br /> i <br /> I Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater ' <br /> i Exhaust fan Sink(service/bar/mop/etc.) - <br /> 1 Heat pump I Backflow preventer - <br /> Unit heater S 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 /> • <br /> Number of Heads Other <br /> I hereby certify that I have read and examined this application end know the same to bo true and correct.All provisions of laws and ordinances governing this type of work will be complied <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other stale or local law regulating construction <br /> That I am authorized by the owner of this property to perform the work for which appscation Is made and I comply with the State Contractors Law 18.27 RCw and 296.200A WAC. <br /> al (`21 ) l it—I <br /> /Authorlieo Ngeiit.,iy,,,.,u40( Date (Revised 6/2012) <br /> 1 <br /> I <br />