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PERMIT APPLICAT <br /> BUILDING/MECHANICAL/PLUMBI NG/SIGN/SPRINKLER/DEIVIOLITI N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 88201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> 36 6'3 60 <br /> SITE ADDRESS: PROPERTY TAX#oc PERMIT <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copyofOng legal description) <br /> OWNER (/' �'�t d >s r Phone/E-mailD�a6) e <br /> Address �dGfrCity/State/Zip �E1��If W A 79Z,9 ( <br /> APPLICANT:_. caner —Owner's Agent _Contractor _Contractor's Agent _Tenant(must provide a leiter of consent from the owner to Op work In the space) <br /> e City Bus. Lic.# <br /> Address Phone/Emall <br /> TENANT-BUSINESS NAME CONTACT FQR PERMIT <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 4 <br /> Existing Use of BuildingHEAT SOURCE: <br /> Proposed Use of BuildinGas 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 /> A Sfn9 r G?ea/-b.s aA htedle-I- 9levwve 'Z�d iC> v'e t �i e�av,� S:n ks � l f r�Jcr/ <br /> t�e *r e- Atf t �-a Ffavr.�e spa ee i �o <br /> ✓�v Yr C t-/�k«. <br /> C,(6,1��s� �rti� I-(f, ei 14e^4ei/' A q cc t viz' (✓4 4&" 0-n d ci vlq!n /i l te-c� <br /> 'MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of project: _New Addn _Alteration_Repair Type of Project: _,New_Adds Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of factures <br /> A/C—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping LaVafory(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 /> Eachaust fan Sink(service/bat/mop/etc,) <br /> Heat pump Backflow preventer(inside bldg) <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 I have read and examined this application and know the same to be true and correct.Ali provisions of laws and ordinances governing this type of work will be complied <br /> with when"s`pecifie 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�rri auihoriz by a owne. f t is property to perform the work for which a plication is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> ne uth rize ant 19 at a Date (Revised 4/2095) <br />