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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%R (/ 1 t- f e6 • 7 fi S Otvs(� IPROPERTI) # <br /> RMIT I 12# D <br /> — 'f� <br /> LEGAL for new construction: Short Plat/subdivision 5514i-1—00-7 Lot No. I (attach copy of long legal description) <br /> OWNER V}O„U�7Ck gal+Fit 1 s 1-1 if&S Phone/E-mail A2.5-29 0- `2..t2 R d'cetC hAaLk l►er�.cool <br /> Addressf q2(„_ g 1 . ASG City/State/Zip(INV-ASO."l <br /> ` `e • qg 7 0 <br /> APPLICANT:_Owner _Owners Agent t Contractor _Contractors Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR IDA 13#A€J S State Lic.# ac+kBO1ato Z. City Bus.Lic.#0.53`i1,7 <br /> Address q2 _ ?1 k f1 Phone/Email ; hark bre+ie{3.&M <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Z'Ce•l N-actttc <br /> Phone/E-mail '92r 2-10`2 7.9 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK g I R 0 k <br /> Existing Use of Building S F 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 /> SFR, 13.NsIC 1i1SoCv -001 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project „New Addn Alteration_Repair Type of Project: 6_New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> j A/C—air handling units 3 Toilet <br /> Forced air systems i Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater a Shower <br /> Gas fireplace ( Kitchen sink&disposal <br /> Gas range I Dishwasher <br /> 1 1 Clothes dryer I j Clothes washer <br /> { I Range hood Water heater <br /> L � { Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer(inside bldg) <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.AN provisions of laws and ordinances governing this type of work will be comps <br /> with whether specified herein•r 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 authored,i • is properly to perform the work for which appreciation is made and I comply with the State Contractors Law 18.27 RCW and 298200A WAC. <br /> ►� +r ���V <br /> \` -23—I5 .1v <br /> • . u• •nzed A Signature Date (Revised 42015) <br />