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� � <br />, �� �� <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 TAX # P�RMIT # <br />��ZG 1 �"�'1,�i t�iSUN � � _�#� v�> ; �� I �-t c-: ���c-� �-i �=J C, ( �f ) �' -��G'�� <br />LEGAL for new construction: Short PlaVsubdivision Lot No. (attach copy of long legal description) <br />a,�,� "� J S iG ' f s-� � e <br />OWNER �% � � / �L-� � Phone/E-mail Jl� . I �(_ -.� C�. U9lL.. (� �-/ <br />Address , GC1 j C� City/State/Zip k��, ���� j'L..� �%��i� j� <br />APPLICANT: _ Owner _ Owner's Agent _ Contractor _ Contractor�S A j0f1Y _ Tef18�t (must provide a letter of consent from the owner to do work in the space) <br />CONTRACTOR ��`�i�� �`� State Lic. # City Bus. Lic. # <br />ress <br />CONTACT F <br />Phone/E-mail <br />BUILDING PERMIT APPLICATION <br />�Phone/Email <br />OR PERMIT <br />PRICE OF WORK <br />Existing Use of Building � <br />Proposed Use of Building <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition Remodel Repair _ T.I. _ Sign _Sprinkler _ <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />� L> �� ,?� � PC'� U-� l� �i�. ('<k�'j �'✓1 b�i it-�►� � k7 S i7lV'�C�� ����� �NL �� <br />t� U � �T � )� r2s �, �r -'��'� ,� -S � f - <br />C�- <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />i Forced air svstems <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Boiler <br />Refrigeration <br />Woodstove <br />Ducting <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />Ga <br />HEAT SOURCE: <br />olition Chanqe of Use <br />� S ;�,/rD V � /i,1 �% l. �' ",� (� � <br />PLUMBING PERMIT APPLICATION <br />pe of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />� Toilet <br />I Bathtub <br />Lavatory (wash basin <br />Shower <br />Kitchen sink & dispos <br />Dishwasher <br />Clothes washer <br />Sink (ser <br />Backflow <br />Urinal <br />Floor drain <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 lo be true and correct. All 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 law regulating construction <br />That I am authorized by the ner of ' perty to pertorm lhe work for which application is made and I comply with the Staie Contractors �aw 18.27 RCW and 296.200A WAC. <br />� 7 , /, , � <br />� - ' �� . � � <br />Owner/A orit d A ent ' nature Date (Revised 3/2013) <br />