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� <br />425-252-1666 c.m.heating 08:13:15 10-02-2015 3/6 <br />_ _ . _ _ . .. ... _ . _ _ _. _ _�. __ _ _. _. _. __ � _ _ _ . <br />PERMtT APPLICATION <br />BUILDtNG/MECHANICAL/PLUMBlNG/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar 5t., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />SIf1331�E1 1'l�l� � v""-r�-C.C..� ��S�PRDPERTYTAXq I P�� �I l." � lJ�l <br />LEGAL for new construcGon: Short PlaUsubdivislon Lot No. (attach copy of long legal description) <br />OWNER �N ���U��� Phone/E-mail 3 o-yr-q -03��1 <br />Address`3 �'�� �1 City/StatelLip �� � <br />APPLICANT: _ Ovmer _ Owner's Agent Contrador _ Contractor's Agent _ Tenant �musi P���da a iettar oi con,em rrom u,a ownorto do wor� in u,a,P. <br />CONTRACTOR ` G C State Lic. # C,(i1}i �;5� Cf�S R�I c�t e�s. u�. # ' <br />Address 1 u�� �� �i.�t'1'C 'CJ�,��� ( ,� �ur ,/{)� Phone/Email u � �1 �� 1 (��� <br />�'�/ <br />BUfLDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Existing Use of euilding <br />Proposed Use of Building Ga <br />Buitding type: _ Single Fami[y ` Duplex Townhouse _ Multf-Family _ Commercial <br />Type of prolect: New _ AddiHon _ Remodel Repafr T.I. 5iqn Sorinkler <br />DESCRIPTION OF WORK (additional space provided on the back): <br />� � !� �. � � <br />MECHANICAL PERMIT APPLICATION <br />of ProjecG _New_Addn _Alteration_Repair <br />Show Number # of Bxtures <br />A/C - afr handlina units <br />ce <br />lothes <br />� Other <br />RINKLER / SUPPRESSION SYSTEM <br />.�r� .�M <br />�� � G�a. oa <br />HEAT SOURCE: <br />Eleatric �ther <br />�molition Chanae of Use <br />Y�.� �� <br />PLUMBING PERMIT APPLICATION <br />Type oF ProJect: _New�Addn �Alteration _Repafr <br />Show Number /#) of Brtures <br />8athtub <br />Lavatory (wash bas3n <br />Shower <br />Kitchen sink & dispos <br />ar <br />rcoor arains <br />Medfcal Gas <br />Other. <br />I hereby certify that I have raad and examined Ihls appllcatlan and knaw the same lo be Irua and correct. A11 provisions o( ]aws and o�dinancas povoming thls typo of wark wlll be compl <br />wlth whather spe�ed herein or noL 7he granting af a pertnit daes nat presume lo glva authority to vlalato or cancol tho provlsian atany olher stata ar local law rngulapng construc0on <br />That 1 nm suthorized by lhe ownor ai lh prop ta petform Iha work for whlch appflcatlon Is made and I comply wlth the State Cantradors Law 18.27 RCW and 298.200q WAC. <br />ai3o ��� � <br />� <br />OwneAAuthorized Agent Signature Date �� ��(Revlsed 9i2014) <br />,� <br />� <br />_ _ _ _ _ _ _ _ _ _ . _ _ _ <br />___ <br />_ ___ _.__ _ <br />