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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 ADDRESS: IMIOPIMYTAX# <br /> I TMI 0 <br /> 2605 15th Street Everett Wa 9820I <br /> LEGAL for new construction: Short Plat/subdivision_ Np._ (attach copy of long legal description) <br /> OWNER 3011137T BOUM==TIM Y Phone/E-mail <br /> Ad ti 3107 COLBY AVI 0/201 City/Stat&Z p <br /> APPLICANT:_Owner `Owner's Agent x Contractor _Contractors Agent Tenant(must prevmrraMYN of consent from the owner a m work in the space) <br /> CONTRACTOR PLUMBING TODAY State LIC. M3TI161BF City Bus.Lic.# 043340 <br /> Address 2328 GIBSON ROAD EVERETT WA 98204 Phone/Emaii 425 789-1867 <br /> TENANT BUSINESS NAMEQ111 CONTACT FOR PERMIT mop gm= • <br /> 8akervj e w pts Phone/E-mail 425 7e0-1007 jdxudgeSplumbingtoday.csom. <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORT( =1.40#1000.00 <br /> Existing Use of Building_ � HEAT SOURCE: <br /> Proposed Use of Buildiry_w. Gas_ Electric_ Other <br /> Building type: _Single Faintly%Duplex Townhouse .L 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 /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typed Project New Addn _Alteration_Repair Type of Project: New Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> 4/C-air handling units 157 Toilet <br /> Forced air systems Bathtub <br /> Gas piping 156 Lavatory(wash basin) <br /> Water heater 192 Shower <br /> Gas fireplace 152 Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaustion 8 Sink(servicelbar/mop/etcl <br /> Heat pump 2 Backflow preventer <br /> Unit heater 1 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 /> ieseey certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances govemnaeieNeereoltelbaaoalpt <br /> eft Wheeler specified herein or 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 /> 7MlitIam authorized by the owner of this property to perform the work for which appfelpn is made and I comply with the State Contractors Law 18.27 RCW and 296 200A WAC <br /> Owne Authoriz Agent Signature (Revised 9/2014) <br />