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• • <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SP RINKLER/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 TAX# PERMIT# <br /> 11 ever9r� W o� STF-,3 UoSBt qtodvvo l01 1 ,51507,-DOt <br /> LEGAL for new construction: Short Plat/subdivision Lot No.1 (attach copy of long legal description) <br /> OWNER Ci-AkE mq"r ✓f i-c.A4E S rAne> LLL, Phone/E-mail <br /> Address << o�2THLAA E JDA City/State/Zip C NG IIJA),4T/ U Al �l3 Zit$ <br /> APPLICANT:_Owner _Owner's Agent )C—Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR ADVAMCED `J f&xj.4 LLL State Lic.# AD%1AN6I. 2 P City Bus. Lic.# <br /> Address 1 3'?^^ -5'r AU 57.C AIAL4ryt UA- 9800 Phone/Email <br /> TENANT BUSINE1S�Sl NAME CONTACT FOR PERMIT <br /> c�EQ��E'r P'1/kES �v�S P�pber-a- 5ar4o5 /aSr-Sanfos . re101,9M re' <br /> Phone/E-mail 2 53 -98,l-sfoq <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ,&3001).00 <br /> Existing Use of Building c-6m J ;AC/AL HEAT SOURCE: A J/A <br /> Proposed Use of Building cyY1HE0Ze-1At-- Gas_ Electric Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family Commercial <br /> Type of project: New Addition Remodel _Repair_T.I.X Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): T-r-.S 4.al a+rpn cf 6 r e— I ltvwt4,o,�ed <br /> LV&k C,,ti n. <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 air systems 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 I SUPPRESSION SYSTEM Other: <br /> i <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 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 /> 1 20 IS <br /> erld Agen ignature b e (Revised 9/2014) <br />