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• • <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# PERMIT# <br /> �71s- iJfi PEEL) LAY elm <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Tee_ <br /> Phone/E-mail 7)t-7-1F-12_ � t�/6 [ . ?f 4t} I i. eat-t, <br /> Address -7 k- I ft�/'R�(`+�1 j( l �1� � �E fT City/State/Zip �t [7 [!Lj/t- �t cc-"2.� <br /> ';/ <br /> APPLICANT: Owner Owner's Agent _Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR `l (S f CZ�N SCO AJ L&I Lic.# M I KLCAicag OE Bus. Lic.# <br /> Address 2,.�-t (/'301-4-) �� 5 . � "�I I1f 41St - Phone/Emailt /2-c:0 T S Aex..,(8Wi <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Kg, 1"E)GI Phone/E-mail 2.4)6•6 !ci A 1-06 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK' I/g— <br /> Existing Use of Building (24 HEAT SOURCE: <br /> Proposed Use of Building ?f tJ ro 5)=- 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 /> .11\A Ci e- IN Di Vi QJ LEI) LAT Cttf,til E L _ <br /> SLGtu <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn Iteration Repair Type of Project: _New_Addn _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 I Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM j 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 authorized by the owner of this 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 /> ...J <br /> P/0/14 01 <br />