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� <br />�-- ;, ;- ,�� ��� ;, ;,, -�..¢ti� <br />C� <br />�IJILDIfVG/MECFiANICAL/PLUMBIIVG/SIGfV/SPRINf�CL.ER/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 />�-�...„ n „�„ . ,. . <br />LEGAL for new construction: Short Plat/subd <br />owrvER John Cv�.Yrt,� � 1RIiCio� �o.ndoc <br />Address � � (� � �(�Y k V �C�^-� �� <br />APPLICANT: _ Owner _ Owner's Agent � Contractor _ <br />CONTRACTOR ,�,�(�lJ� � <br />Address � �lQ'�-}' 1�� <br />TENANT BUSINESS NAME <br />BUILDING PERMIT APPLICATIORI <br />=RTY TAX # I P�i Tj # <br />qy300000$00 ( I r � ll G <br />Lot No. (attach copy of long legal description) <br />Phone/E-mail ���� �� � � � ` / I <br />City/State/Zip Ev�,r�tt � W� l� �`� ✓ <br />COf1if8CfOf�S AgOflt _ TEf12f1Y (musl provide a letter of consenl fromlha owner lo do work in �he space) <br />State Lic. # �ijQ!-f �(L( City Bus. Lic. # d� Ci% <br />p Phone/Email �2S ` /%S '�`'t�..0 <br />CONTACT FOR PERMIT �O�p �� <br />Phone/E-mail "�2� `��� � F `"`� � <br />CONTRACT PRICE OF WORK ��733 . Q� <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building Gas x Electric_ Other <br />Building type: � Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project fJew _ Addiiion _ Remodel � Repair _ T. L_ 5ign _Sprinl<ler _Demolition_Change of Use <br />f�ESCRIP I ION OF VVORK (additronal space provided on the back): <br />1�1� ln �rd� C�� '�u-rn� �P�p� ' t� Utc� �� n�nd <br />. - � ►�o r�e�,� �-s �i P� ,�l � . <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteretion �Repair <br />Show Num6er (#) of fixtures <br />A/C — air handling units <br />x � Forced air systems <br />� Gas piping <br />� Water heater <br />� Gas fireplace <br />� Gas range <br />� Clothes dryer <br />� Range hood <br />Exhaust fan <br />Heat pump <br />� Unit heater <br />� Boiler <br />� Refrigeration <br />� Woodstove <br />� Ducting <br />X I ocne� -rhermas�� <br />SPRINKLER ! SUPPR�SS161V �l(S'��iifl <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New_Addn _Alteration _Repair <br />Show Number (#) oi fixtures <br />� Toilet <br />� Bathtub <br />� Lavatory (wash basin) <br />� Shower <br />� Kitchen sink & disposal <br />� Dishwasher <br />i Clothes washer <br />� Water heater <br />� Sink (service/bar/mop/etc.) <br />� Backflow preventer <br />� Urinal <br />j Drinking Fountain <br />� Floor drain <br />� Grease trap <br />� Roof drains <br />I Medical Gas <br />IOther: <br />� Other: <br />I nereby certify lhal I have read and examined this application and know lhe same lo be true and correcl. All provisions of laws and ordinances governing this type of work will be complied <br />wilh whether specified herein or not. The granting of a permit does nol presume to give authority to violate or cancel the provision of any o�her state or local law regulaiing construction <br />That I am authorized by Ihe owner ot this properly to perform the work for which applicalion is made and I comply with the State Coniractors Law 18.27 RCW and 296.200A WAC. <br />07 a�d �0�-41 C.P � �l J� � � � . <br />/ <br />wner/Authorized gent ignature Date (Revised 3/2013) <br />