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Ma r. 11. 2015 9: 36AM <br />No, 8667 P, 2 <br />� � <br />PERIVr17 �►ppLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKL.ER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St_, Everett, WA 96201 425-257-6810 FAX 425-257-8857 www„everettwa.org <br />]�D-�R-(ES �p, PR APERTYTAX�I PE 1+T <br />\Ili� •�(�A/1 PA.�) 'VJI �/� �ll���%nCJ(Jr'7 �9v -----�1�0 > _ <br />for new construction: 5hort Platlsubdivision Lo[ No. (attach copy of long lega[ doscription) <br />Z �� PhOne/E-meil `�1�,.�l��i� l��U <br />APPLICANT:_Owner _Owner'sAgent �Contractor <br />CONTRACTOR �$� {�,«�� <br />Adtlress 2j`1(� � ��Q,�i�t�-- �"I �'-� . �P i(�i <br />�E�JANT BUSINESS NA E <br />BUILDING pERMIT APPLICATION <br />C.Of1ff8Cf.Or3 %@Il[ _ TBflBflt (mUet DrOViAa 8 IaIIeI of coneent froM lhn ovmar Io do wark in Ihe spaca) <br />Existing Use of 8uilding <br />Proposed U52 Of tluilding <br />Building type: _ Single F&mily _ Duplex_Townhouse _ <br />Type of project: New Addition Remodel Repair <br />DESCRIPTION OF WORK (addit�ona! space provided on the bac�' <br />State Lic. # �� � , <br />� p � Phone/Emall <br />Ph�e�� n� <br />CONTRACT PRICE OF Y <br />Multi-Family _ Commerclal <br />T.I. Si9n Sorinkler <br />us. Lfa # <br />H�A7 SOURCE: <br />Electric Other <br />of Use <br />MECFIANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />of Projecf: _New�Addn „TAlteration _,Repair Type oF Pro}ect: ,___New_Addn _Alteration _Repair <br />Show Numbcr # of flxtures 5how Number # of frxtu�es <br />A/C — air handlin units Toilet <br />Forced air systems eathtub <br />water heater <br />Gas range <br />Ciothes drye <br />Range hood <br />Exhaustfan <br />ler <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heatls <br />Kitchen sink & <br />Water heeter <br />Sink (service� <br />Backt7ow pre� <br />Floor drain <br />Roof drains <br />Medical Gas <br />Other: <br />I here�y certlry Inal I have rea0 antl eKamineA Nle appllca[lon sna know Ine sama to De We and correct. All provlslona of lews and ordlnances govemfng Inls rype of work w111 oe compl <br />with wnelner epeclAeG nereln or nol. Tna granling of a permlt aoes noL preaume lo glve aulnorlry lo vlalate or cencel the prvvlsion of eny olher slate or local �aw reguleling conetructlan <br />Tnsl I sm aulnorizeu ny Ina owner o� lhls prvperry la peAortn tna work for wnlch eppllcallon !e meQe end I compty wilh ihe Slale Contractors Law 18.27 RCW end 296.200A WAC. <br />�� �'l �1 S,� <br />Owner/Aut ' ed Agent Signature T�DatO (RsVlSed 9/2014) <br />