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• <br />P RMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNlSPRINKLER/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 />ADDRESS: Zd � <br />a p�1.XGS <br />PROPERTYTAX� ��,�N Zvq I� I�IIY 1� <br />o� <br />EGAL for new construclion: Short Plat/subdivision Lot No, (attach copy of long legal descriptlon) <br />PhonelE-mail �7is—(pQGj — <br />i��OZ ICfry/StatelZip <br />_ Owner � Owners Agent _ Contractor � COntf8Ct01'S ACJ8f1� _ TB�S�I (must provide a Inttar of Consent from iha ovmer to do work tn tha space) <br />CONTRACTOR <br />��(( Sc„J C�+ PUS DR.. �� Z <br />f BUSINESS NAME <br />IL1 Y��ti1- � �l�i <br />BUILDING PERMIT APPLICATION <br />Lic. # (,JG�ST� <br />Phone/Email <br />.r <br />BUS. LIC. # Cy� <br />DR PERMIT � Z�"9��—� Sy,��' <br />� t s� � �aS <br />Kevir�� c,�esf'err�r�,e�h.vS _ <br />PRICE OF WORK� /�� ISB. OU <br />Exlsting Use of Building HEAT SOURCE: <br />Proposed Use of Building Gas Electric^, Other____ ____ <br />Buiiding type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of pro}ect New Addition Remodel Repair T I. Sign Sprinkler Demolition Chanqe of Use <br />DESCRIPTION OF WORK (additiona/ space prov�ded on the back) : <br />��.0 0� ��F c STr �. p[. v.�..g �..� C� r N !G rrCt�t�+� +�`S • r�3��- D i Si.t�n�S�t�-�-, po �..�-r o xr <br />US(. v�ra-C� c-k�c'�-� � 2. (�iT� stal�S, ! t��NA/� S�eaK� �! pTa�..�t4r�c. Fa.wtr�+,.--�> <br />Z Sc�G r..�a-�Cr�- c�C�S �'�-'t� �O�.c��-..a��. �oR- ru- c.oF��. w�wKC---R-. <br />MECHANICAL PERMIT APPLICATION <br />oi ProJoct: _New _Addn _Alteration _Repalr <br />Show Number # ol flxtures � <br />A/C — air handlina units <br />SP <br />Gas piping <br />Water heater <br />Gas freplace <br />Gas ranqe <br />hood <br />Unit heater <br />Number <br />N SYSTEM <br />PLUMBING PERMIT APPLICATION <br />of P�oject: TNew _Addn �Altoratlon _Rapair <br />Show Number (#) o/ flxtures <br />TOilet <br />Bathtub <br />Kitchen sink 8� di <br />Dishwasher <br />Clothes washer <br />Water heater _ <br />Urinal <br />Drinking Fc <br />Floor drain <br />Roof drains <br />Medical Gas <br />Other: =C.L <br />Other. Go� <br />ide <br />I hareby certtfy that I have read and examined this appucatlon and know the same lo be We and corroct. All provisions of laws and ordlnances goveming lhis type of work will ba comp <br />wlth whether speciAed herein or not. The granling oi a partnit does not presume to gNe aulhority to vlolate or cancol the provlsbn of any other state or local law raguleling consiructlon <br />Thal I am authoriza'�^ a owner ^f th�{s-pro�erty lo pe orm the work (or whichZ pllcaUon is made and I compty wilh the Stale Contractors Law 18.27 RCW and 296.200A WAC. <br />� // % <br />Gr. �— ! � <br />OwnerlAuthorfzed Agont 51g ture Date (Revlsed 4/2015) <br />