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• <br />PERMIT APPLICATION <br />• <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />p��}} 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />I -1 a� 6111w Sr, <br />SITE ADDRESS- ''11 <br />f cam% Lr. �Ve�� �,X1 t7� <br />PROPERTY TAX # PERMIT # <br />Z��'��3- -a►D Qa <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />OWNER s—, ,A^ Q�bJ&MCtSt LLC <br />Phone/E-mail c -,I Z�k <br />Address �06 4419 S``f <br />City/State/Zip tJp rgf(�J �1 zzn, <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� �: wr Q <br />State Lic. # City Bus. Lic. # <br />Address <br />Phone/Email ! L S- 2 4 3 -- SU 4 <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT Li ; — 3 5 3 C)'T <br />D int AN. . <br />Phone/E-mail �QCk `� pc <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK ;� 7-tc� , I'f 5 3 <br />Existing Use of Building 5F R HEAT SOURCE: <br />Proposed Use of Building 5 F R Gas vL Electric Other <br />Building type: � Single Family _Duplex _Townhouse _ Multi -Family _ Commercial <br />Tye of project: New Addition Remodel Repair _ T. 1. _ Sign _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back): <br />� ld r 1,,L .3 C, AT S —, lam, -,ic, (, kz, 4 "- �-- <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: P,�-New_Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Type of Project: o�, New_Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />Toilet <br />Forced airs stems <br />Bathtub <br />Gas piping <br />Lavatory wash basin <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink & disposal <br />j Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />j Water heater <br />�i Exhaust fan <br />Sink (service/bar/mop/etc.) <br />Heat pump <br />Backflow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />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 compl <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 forwhich application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />Owner/Author ed Agent Signature Date (Revised 9/2014) <br />1� <br />