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r" � � � � � � <br />BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wwvu.everettwa.org <br />SITE ADDRESS:�/� � �� <br />�7 <br />LEGAL for new construction: Short PlaUsubdivis <br />OWNER �(��� ,Qaji, f�— <br />Address �'i �l% D c���! D d <br />PROPERTY TAX # <br />Lot No._ <br />Phone/E-mail <br />City/State/Zip <br />PERMIT # <br />(attach copy of long legal description) <br />�� <br />APPLICANT: _ Owner _ Owner's Agent Contractor _ Contractor�S Ag2t11 _ T211811i (must provide a �etter of consent from the owner ro do work in the space) <br />CONTRACTOR <br />ress <br />I��l��`��c �a.a� <br />BUILDING PERMIT APPLICATION <br />State Lic. # L <br />Phone/Email � <br />CONTACT FOR PERMIT <br />Phone/E-mail�► `��,�„j <br />CONTRACT PRICE OF WORK <br />Existing Use of Building �� <br />Proposed Use of Building � Q�Qa�. <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition Remodel Repair _ T.I..�Sprinkler <br />DESCRIPTION OF WORK (addrtional space provided on the back) : <br />-t c�c� C.Z� ��`� i�� ��� l g i$-vt�s <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />' Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Ducting <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />e <br />� ity Bus. Lic. # I <br />� <br />,� <br />HEAT SOURCE: <br />Gas Electric Other <br />of Use <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disp� <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/m <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 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be comp <br />with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br />That I am authorize by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296200A WAC <br />_'. ��L <br />er/A rized Agent Signature Date (Revised 9/2014) <br />