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UEC/10/2015/THU 09:13 AM Nort�Cree� Foofing FAX No,425 �8��24 <br />��RMIT APPLICATION <br />P, 001 <br />BU�LDING/MECWANICAL/PLUMBING/�IGN/SP�INK�ER/DEMOLITION <br />C1TY OF EVERETT PERMIT SERV[CES <br />3200 Cedar St_, Everett, WA 98201 425-257-8�10 FAX A�25-257-8857 www,everettwa.org <br />APPLICATIONS AR� ACC�,pTED F120M 8 AM T� 4 PiVt <br />ADDR�SS: , PROPER7YTAX# P MIT <br />3�.00 `��,�;�a� o�e, � ���� — � f � <br />for new constructian: Short Plat/subdivisi <br />� <br />No. {attach capy o� lorig legal descripfion) <br />Phone/E-rn$i� <br />CitylState/Zlp ����� � � �Z�� <br />APPL[GANT: _ �wner _ Ownar's Agent � Contr�cfor _ Co�trqctore A�ent <br />CONTRAGTaI� `iv�'�� �"�-'� �� �k� � L & I Uc. #� <br />Atldress `� v�� V► Y.Y�..l�� �, � W(r W��`,� Cf�t.l� � <br />TENANT BUSINESS NAME CONiACT <br />T@Ylant (fYiUBf prOYi�B d lettar of connenl (rom fhe owncr to do vrork In tho spacm) <br />,O�- 1 14 �� CO� Bus. Lic. #v323c11 <br />PhoneJEmall �r�� �'�-�� ` � g� <br />R PERMIT 1/ .. � �1 �� <br />\V��l�.l <br />Phone/E-mail ����'�� 3 '—' �'L <br />BUILDING PERMIT APPLICATION COtVTRACT Ptt10E O� WORK <br />�xisting Use of Building HEAT SOURGE: <br />Prqppsed US9 F BUIIdirlg Gaa Efectric Other <br />Bulldfng type: � SIngEB Family _ puplPx Townhouse _ Multi-Family _ Commercial <br />TypB af pro)ect; New Addition FZ2model Repair_ T.I. 5ign 5prinkler �emolltion Ch�nqe Of Use <br />b�$CRIP`�ION OF WORK (addlilonal space prov/ded on [he pack): u� � ` g� `�� ' <br />��.'� ��C �,ll•Yv�p S�nr��R� � �� �'1+L9-l�- 11�°�- � . ,.. '� <br />MECH4N�CAL PERMIT APPLICATION <br />7ype of Project _New�AdCln ,..^A�te�atlon,_,_,R¢p�l� <br />Show Numbar (#) al f7xiuras <br />A/C — air handlir�g units <br />ForGed air svstems <br />RIN <br />Wafer <br />Gas ranqe <br />Clothes dryer <br />Range tiood <br />�xhaust fan ^ <br />Heat pump <br />Unit heater <br />�oiler <br />Refrigeration <br />Woodstove <br />pucting <br />Other <br />/ SUPPR��SION SYST <br />Number of H�ads <br />P6UMBING PERMIT APRiICqTiON <br />of Project: _New _Addn _Aiteratlan _Repslr <br />Show Number (#) af flXtures <br />Lava.tory (wasfl besin <br />Shower <br />Kitchen sink & dispos <br />Dishwasher <br />Clothes washer <br />Water heater <br />5ink {servics/bar/mo� <br />Be�CkflOw preventer <br />Floor dralr� <br />Grease tr�p <br />Roof drains <br />Medieal Gas <br />other: <br />I hereby certify lMat I nsve rastl and axaminsd tY�is �pplic�f�on �nd know {hs sams to bs truc� and correcl All provisiona of lewa and ordinancee Boverning thle type of work will he cvmplietl <br />with whether sDscified hersin or not. The grenting of a perml[ doaa no[ preeume ro glve au4horlry 10 violate or caneel ihq prpvi�i4n of any olhsr siats or local law re�uleting conatructlon <br />That I am �uthoYized 0y U�e own�r �f this propc� to perForm th� work for which application is medB and 1 comply with the StaDci Contractore Law 18.27 RCW snd 298-2DOA wAC. <br />/[�U'V v � h � � Z/ L � `� <br />wner/Authorized Age ure Date (Revised &'2092) <br />