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• • <br /> PERMIT APPLICATION <br /> BUILDING/MEC HANICAL/PLUMBING/SIGN/SPRIN KLER/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:1-1 2 l ``' Ly/� � ��� Z�� PROPERTY TAX# P MIT#M,� , \ <br /> LEGAL for new construction: Short Platt/subdivision Lot No. (attach copy of long legal description) U <br /> OWNER . -Cr��i�G,b1;� I.� > J z✓ 'a Phone/E-mail j( - 3?,7 `�Ct 4-4, <br /> Address 1-7 3L �f Jd L�ww t f�t.��2�r�;vxt�`G�( City/State/Zip �t�JC�F �t.v /31, <br /> APPLICANT: Owner Owner's Agent X Contractor Contractor's Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR N lA.i State Lic.# 'wuvS'r ( 2��%A 1' City Bus. Lic.# 7 <br /> Address L <br /> n ZlV�. <br /> 1 z O L f� \vtlic�i1 �'x��I Phone/Email Z� '�Y 1'-1 I< <br /> N SI 'lJ u <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mail I �,�I� )- 4-"".vt g . Lw.w-► <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK VP 16.1(ACjCt <br /> Existing Use of Building QM HEAT SOURCE: <br /> Proposed Use of Building22,-6+t LAS Gas_ Electric_ Other_ <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family X Commercial <br /> Type of projeft New Addition Remodel Repair T.I. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> ki O 1�1 '+�-til vl 1'%Ir VVl O tiA wti-t As S.t v\ . <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: NewAddn _Alteration_Repair Type of Project: _NewAddn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C-air handling units Toilet <br /> Forced airs stems 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 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 comp <br /> with whetherecified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other slate or local law regulating construction <br /> That a auth e 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 /> /7i16 <br /> O er/ uthorizeDate (Revised 9/2014) <br /> ! I2 <br />