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"PERMIT APPLICATI <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 /> SITF ADDRESS: .1 PROPERTY TAX# P R <br /> e fOi ,l5�Z=-1 8/1 /,./ <br /> . 4 z?o`/o,0t7 3'/t 1 I.'`� t i- <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER g Co4/Liza l� /2 Phone/E-mail 4/a 5-Lox�[�?-�1-� . <br /> Address /0500 Aje R1"i ,j f% City/State/Zip ) �'�"64' 1 7 <br /> APPLICANT:_Owner Owner's Agent XContractor _Contractors Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR;(fi�/ �? �L—�!'E/f� j State Lic.# City Bus. Lic.#�J/S <br /> ,cm -/:?Address <br /> Address pit... 9.8 7/,� y ' R'._1772?, iN.P 7P),./ <br /> Phone/Email -25',f,----,- .29:7.2 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Nei/ yy+o.,,yy <br /> £/‘ �- 1:// g;(it?r 72Q/1 171 �,.ZsC24 jc'zr"_.Y19— (" <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORT ///,7 tt7 <br /> Existing Use of Building Wl�f/e-M,);- HEAT SOURCE: <br /> Proposed Use of Building 1-1 .4eA t-i Ga Electric _ Other <br /> Building type: Single Family Duplex_Townhouse Multi-Family Commercial <br /> Type of project: New Addition Remodel _Repair T.IX Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF ORK(additi al space provided on the back): <br /> f,7 -,1-5#1 iPAt—oet /41--"A?..9 <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 /> i A/C—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping 1 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(inside bldg) <br /> Unit heater f 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 this type of work will be comp <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 authoi -.by the Owner of is 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 /> f / ._..4,..e.ie,ai....ise,t e,.ent Ci«..ot,�.a nnro ir7o„icor1 4i9n4ct <br />