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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 /> SITE ADDRESS: PROPERTY T PERMIT <br /> 2GT G s ,1 ��'061(0 i=� L <br /> LEGAL for new construction: Short Plat/subdivision Lot No. _ (attach copy of long legal description) <br /> OWNERy6p:riffPhone/E-mail ;7 — <br /> Address JZ05 CPA 'u City/State/Zip /'E _ 17?20 <br /> APPLICANT: Owner X 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 State Lic.# City Bus. Lic.# 3 <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT )EIS ` A1- <br /> �� D �l' � TT �r�H N,' I + r}I�AL.L- AFC1t+CTf-GC7S <br /> Phone/E-mail — 015 6 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK !� �X�Co <br /> Existing Use of Building j HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Other <br /> Building type: _Single Family _Duplex_Townhouse Multi-Family _X Commercial <br /> Type ofproject: New Addition Remodel Repair T.I. Sin_Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): k T F—tMKT 1A1 F96VEAfE`(-r <br /> T�7j?- TRF- Tt))E!T GTL M P-51T5 Aw WATr'�9eORT FLA(-V- Fr-0,7-F,'-'T <br /> nFF1Gtr---- , <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_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 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 p mp 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 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 prope7tc,' no the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> Owner/Autho ized Agent Signature f Dat (Revised 9/2014) 6� <br />