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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 /> S APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: l / " (��C.Y J/�,r'>� 1/l}cal PROPERTY TAX# PK12O'(- 00 2- <br /> LEGAL for new construction: Short Plat/subdivision `C Lot No. (attach copy of long legal Sdeescription) <br /> OWNER )/ ')\A C� N v c)C) d - Phone/E-mail <br /> Address , ` J City/State/Zip <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 7"0 k Y )7r-.'lc: L&I Lic.# COE Bus. Lic.# <br /> Address <br /> /,5f -�'/6 S ,t,) 14f4 Phone/Email <br /> TENANT BUSINESS NAME <br /> 5ESS NAME CONTACT FOR PERMIT <br /> k` d e( Phone/E-mail 1-y--4.777 1� 227 . )-(-(2 27 . )-�2 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ,11-'�G -‘16' <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Other <br /> Building type: _Single Family Duplex_Townhouse Multi-Family Commercial <br /> Type of project: N4,New Addition Remodel _Repair_T.I._Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> �v9s'/ )'i�tc' Ll�-- O6 1 ;rL c J 7-c7 ha <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: A New_Addn _Alteration_Repair Type of Project: New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> j A/C-air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater I Shower <br /> Gas fireplace j Kitchen sink&disposal <br /> Gas range I Dishwasher <br /> Clothes dryer j Clothes washer <br /> Range hood j Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump j Backflow preventer <br /> Unit heater I Urinal <br /> Boiler j Drinking Fountain <br /> Refrigeration j Floor drain <br /> Woodstove Grease trap <br /> Ducting I Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads j 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 /> 111 <br /> .- . - . -- R/7/1491 <br />