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r i <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 />ITE ADDR <br />LEGAL for new construction: 5hort PlaUsu <br />OWNER c�J V <br />' l ��D I d i0�] /��� <br />CANT: ,� Owner _ Owner's Agent <br />CONTRACTOR <br />ress <br />rAx a <br />nl� No. (attach copy of long legal description) <br />� Phone/E-mail � � �t � � @ es� v� ��sfi <br />�f City/State/Zip �� {M Q � 1/��p-�- � ���� <br />_ COfltfaCtOl' _ C0111�8CtOf�S AgBfll _ T211af11 (must provide a letter of consent from the owner to do work in the space) <br />BUILDING PERMIT APPLICATION <br />State Lic. # <br />Phone/Email <br />Bus. Lic. # <br />c:uN iA� � r�rc rtrcmi i� U� V1G�Q� KYl E,' �'�'�� <br />Phone/E-mail ��� � --�� �� ' n kyle ��FC ��� Co� C� . <br />CONTRACT PRICE OF WORK �iT �_ ��8, bc�C� <br />Existing Use of Building t, VL���..QX HEAT SOURCE: <br />Proposed Use of Building �)il �l��Q � Gas_ Electric_ Other <br />Building type: _ Single Family 1'� 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 (additiona! space provided on the k) : a <br />� ( � \ ��'� ��CJ / \ � � v � � ��0 `/ �� � �' V 1.-..� �i�� �, �w � �� 1 � ` � •-� <br />�� K� U �'%.�' �,w' l�� Ol v'l �X. �. S'� '� `� � C� v- C �l v���G � <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />of Project: _New,�,,Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handlina units <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Exhaust fan <br />Unit heater <br />Boiler <br />stove <br />� Other <br />SPRINKLER / SUPPRESSION SYSTE <br />�) Number of Heads <br />Type of Project: _New ! �qddn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />Lavatorv (wash basinl <br />Kitchen sink & < <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/b� <br />Urinal <br />Drinking Fountain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />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 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 iaw regulating construction <br />That I am authorized by the owner of this property to pertorm the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. `�� <br />� �L' <br />Owner/ thorized gent Signa ure Date (Revised 3/2013) <br />