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� <br />� <br />PERfVIIT' APPLICAiION <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: �, ,( <br />�%� � fJ lli� il. ����\ l� `� <br />� <br />LEGAL for new construction: Short PlaVsubdivision <br />OWNER �t%��-% Z��V �� ��U `� <br />� <br />Address�-�-��(. /�J,r%---�-�jL�U �=�� . <br />APPLICANT: � Owner _ Owner's Agent _ Contractor <br />CONTRACTOR � y� G�Q� <br />ss <br />BUSINESS NA <br />ERTY TAX N <br /># <br />Lot No. (attach copy of long legal description) <br />' �._ <br />Phone/E-mail � � i j� � '�:� i �� � <br />City/State/Zip � ��� � ''=� �'� � � ���' <br />COf1�f8CtOf�S A9BIlf _ T0f78f1� (musl provide a letler of consent from the ownef to do work in the space) <br />State Lic. # <br />hone/Email <br />Phone/E-mail <br />BUILDING PERMIi APPLICAilO(U CONTRACT PRICE OF WORK <br />Existing Use of Building �=� 1 !'�� <br />� i' r <br />Proposed Use of Building �1 �"' '�f ��` ti�- �" <br />Buflding type:� Single Family _ Duplex _Townhouse _ Multi-Family _ <br />Type of project: New Addition Remodel Repair _ T.I. _ 5ign <br />DESCRIPTION OF WORK (additional space provided on �he back): <br />Citv Bus. Lic. # <br />HEAT SOURCE: <br />Gas Electric Other <br />Commercial <br />_Sprinkler _Demolition_Change of Use <br />� �J ('- � �� � r r� �, � ��- ��� _ � � r r:�1► �;.� <br />%; � V'� ,��� �\� ; �:� � ' J� �./'' <br />r <br />f�ilJ � ' ,r�yl� _ ►—' �''� =7U` i.iJ • f(� <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair Type of Project: _New _Addn _Alteretion _Repair <br />Show Number (#) of fixtures Show Number (#) of fixtures <br />A/C — air handling units � Toilet <br />� Forced air systems I Bathtub <br />� Gas piping <br />� Water heater <br />Gas fireplace <br />Clothes drye <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />i Woodstove <br />Ducting <br />� Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />r Number of Heads <br />Shower <br />Kitchen sink & dispo <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mo <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certify that I' h'ev� read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type o( work will be complied <br />with whether specified,herein or not. The granting of a permit does not presume to give authority lo violate or cancel the provision of any other state o� local law regulating construction <br />That I am authoriz�d by the owner of this propeRy to p�rform the work (or which applica�ion Is ma e and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. � <br />1e 1 � '� . j/ , � Li <br />� ��- ____ -_ r , -� <br />� � � � ,.- :�:`� � � ,� ( � � 1 �, <br />,. <br />�-"�� � _ .� . <br />