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FEB/15/2016/MON 11 : 24 AM Greenwood Heating FAX No. 206 462 6216 P, 001 <br /> • <br /> 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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX ti P IT# • <br /> la i t le L r e. (�4n cxMc ��Qd2'O <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy <br /> �of long legal description) <br /> OWNER 3OE. C Phone/E-mai(�lam) p�CgQ "I-7.501 <br /> Address e �.� City/$tate/Zip `/(Zee fi ,� <br /> APPLICANT: Owner _Owner's Agent oX Contractor Contractor's Agent _Tenant(must provide a letter of consent from the owner to doworkIn the apace) <br /> CONTRACTOR C-�feein j4ect I� 4C-. IL&I Lic. #�*ZIL , fie4 Q V l COE Bus.Lic.# f✓ t .s/ <br /> Address $�� S d3 Phone/Email <br /> TENANT BUSINESS NAME C9NTACT FOR PEMIT A c_ <br /> eVitew..a+ If,. ( H <br /> Phone/E-mall . 844 e <br /> BUILDING PERMIT APPLICATION • CONTRACT PRICE OF WORK eu00 o 'er <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use oof�Bullding Gas Electric, Other <br /> Building type: x Single Family Duplex Townhouse _Multi-Family _Commercial <br /> Type of pr9ject: XNew Addition Remodel , Repair T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> �V � � � <br /> -C4 l l Co I6vvc n elect-" /�UVv rc- (' tcL.( <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> .MMI <br /> Type of Project: -m=ow,T Addn Alteration Repair Type of Project: Now_-„f►ddn _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 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 <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 t have read and examined this application and know the same to be true and correct.Alf 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 •'s property to perform the work for which application is made and I comply with the State Contractors Law 18.27 ROW and 296.200A WAG. <br /> • WiChlte <br /> Owne•, •uthor zed Agent Signature Date (Revised 6/2012) <br />