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• <br /> PL CATIO <br /> tERMIT AP I <br /> 11 <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 /> SITE ADDRESS: —/lo q C &! Wu f d.* 1 I-/ n 196 PROPERTY TAX# PERMIT# <br /> Iln�So�^ I. o3 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER P•02,140.Cat �e•co,E Phone/E-mail [3&O 383' Ivy a o <br /> Address `'2Zz) /61614 O) $0 City/State/Zip Lyn n r,Ococ�" iA.A4 �d�a <br /> APPLICANT: Owner Owner's Agent —Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to dp work in the space) <br /> CONTRACTOR V,.1-4 I Alec At okr,t51-u»4bet State Lic.# City Bus. Lic.#01+3016 <br /> Address Phone/Email <br /> (_ CONTACT FEOR_PERMIT ,y <br /> CcLAc- h e RCL'W\`Na CO 14'1'4 " a-rat Ckeje t S <br /> V J Phone/E-mail (31,0385-4370 ) 146, crucA:41'° bfed--- iy-CO/71 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK i lofoO() J <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Bfe`';'ec/ Gas_ Electric! Other <br /> Building type: Single Family _Duplex Townhouse _Multi-Family X. Commercial <br /> Type of project: New _Addition Remodel Repair X T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> 3vt57Cr.11 exhC40 i-1 e t(ckwt5 / NVtikC /-(zv Pecc+cr <br /> CAI col .5Y5+C / CA %ce„)esr e-yt, <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 /> NC—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin). <br /> Water heater 1 Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher • <br /> Clothes dryer Clothes washer • <br /> 1 Range hood Water heater <br /> Exhaust fan • Sink(service/bar/mop/etc.) • <br /> Heat pump Backflow preventer(inside bldg) <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove l Grease trap <br /> r ! Ducting I Roof drains • <br /> ( Other &/c'( Sy5f e-"''\ 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 authori d by She owner• s property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296200A WAC. <br /> � .moi /Z.r//� <br /> Ow r/A orized Agent ature Date (Revised 4/2015) <br />