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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRIN KLER/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: PROPCRTTYTAX# D PERMIT#� O <br /> toy �GQN' A%. d <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER c.(_ k `rTTou0 Phone/E-mail 20 -7(3, 2 - 7)JAW16U1-'r1T0 (rat <br /> . Cows <br /> Address a A o�— CsRWY�� WvE City/State/Zip (�V�RC—"C� WA 99 20 1 <br /> APPLICANT:_Lzo wner'^_Owner's Agent _Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR J4)1C L 1 tt` ! TO M Q(t)(1� t%Lic.# City Bus. Lic.# <br /> Address 1101 G ZK*SJ) AU C- , Phone/Email X/— 7(3— 2-42-k <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> ' >AWIC-L.,L. YTTON p 6- MAIL <br /> .Cows. <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building opt(x HEAT SOURCE: <br /> Proposed Use of Building ✓ V t" &C x Gas_6Q= Other_ <br /> Building type: _Single Family _Duplex Townhouse _Multi-Family _Commercial <br /> Type of project: _New mode_Addition e _Repair_T.I._Sign_Sprinkler_Demolition_Change of `Use <br /> DESCRIPTION OF WORK(additional space provided on the back): -ram S(4t ( t t- S�d'A �00 <br /> I kSG�1l w t �(jow s, �yr;�4�1 Ci1rQ �21-e� :o•. {a,arw.s t �ln$�k �� Pau -��i�'. <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 Toilet <br /> Forced air systems Bathtub <br /> Gas piping 4 Lavatory(wash basin) <br /> t Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range f 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 i 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 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 state or local law regulating construction <br /> That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> O r/Authorized Agent Signature Date (Revised 312013) <br />