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MAY/05/2016/THU 09: 54 AM North Creek Roofing FAX No. 425 487 6524 P. 002 <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 D ESS: PROPERTY TAXI! P. • IT# <br /> °�1 ‘ • 44,+- ,sh«.^ Zr . �,i , r —a • <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal <br /> description) <br /> OWNER y✓„/1 (4, I\MLJJ-1L Phone/E-mail ��^ �-• " 3 S^� —1 (_p LA k'- <br /> Address CO C�\ 60 C Y 1\I'&V)C i iJ,Q J .City/State/Zip E-A)for&X�i V\ _ .t-- -O 3 <br /> APPLICANT:_Owner _""Owner's Agent AContractor _Contractor's Agent _Tenant(must provide a letter orconeentfrom the owner to dawork to the apace) <br /> CONTRACTOR `CYC YC ' CAUL- i,�71 ! `OAc-s' /10:. 1r. L&I Lic.#CA OS- g. k '10 COE Bus. Lic.#151:39Address k r .i�V 1" \V(.c c. M'+v 1"`kJS , &dL okorLPhone/Email 4-/A--- <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT \, . ; <br /> Phone/E-mail LA' S"--C--�. % ,- g <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK Q <br /> Existing Use of Building HEAT SOURCE: u <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 /> 7A1),,tr t.CwVp -o:-�\ r , \Y\TQ Qt kut. vv-twt-,..13. ci J. - <br /> MECHANICAL PERMIT APPLICATION — WPLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn .Alteration_Repair Type of Project: New Addn Alteration Repair <br /> Show Number(#)of fixtures Show Number NO of fixtures <br /> ( A/C—air handling units I Toilet <br /> Forced air systems Bathtub <br /> i Gas piping _ I Lavatory(wash basin) <br /> Water heater _ Shower <br /> Gas fire lace I Kitchen sink&disposal <br /> Gas range I Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood _ Water heater <br /> Exhaust fan I Sink(service/bar/mop/etc.) <br /> ( Heat pump I Backflow preventer _ <br /> Unit heater Urinal - <br /> Boiler 1 Drinking Fountain <br /> Refrigeration <br /> �i Floor drain <br /> 4 I Woodstove I Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSIION SYSTEM I Other: <br /> . Number of Heads Other: <br /> I hereby certiry 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 wal 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 stete or local law regutattng eonstivction <br /> mat lam authorized by the owner of this properly to perform the work forwhich application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> A;111,-.4_1,...di in Alii i A r 613=ILLS:h0 i tr <br /> • • er/Authorized Agan fifirrer Date (Revised'WW2) <br />