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� <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/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 />ITE ADDRESS: <br />��i n t <br />LEGAL for new construction: Short PlaVsubdivisi <br />I � <br />WNER (�l-I-,� n�c.,(Jti,/'t�t '1.�� <br />idress j s`j pU C(` l�)-{-� <br />PPLICANT: _ Owner _ Owner's Agent <br />ONTRACTOR ft- (�„ d I , �--, ��� <br />,� � i �; l�< <� <br />fif l iS � C� � <br />�U; nc�;n �.i' <br />�� <br />f�Contractor _ <br />n L✓� `s2 r � i/� C <br />1� k� S�.K�, <br />tOPERTY TAX # P MIT <br />�i��'S 7 �'`� � ( .� j % U;) -3 � O C� � �-�' � — <br />Lot No. (attach copy of long legal description) <br />Phone/E-mail �GG �(� ,�-�j(�U <br />City/State/Zip �.,� i(t � �a 7 ��; <br />COf1lf2CfOf�S AgEf1I _ T2118f1Y (must provide a lette� of consent from the owne� to do work in the space) <br />;� <br />State Lic. # ,�� �. �� �7 I �� City Bus, Lic. # L� � j�j 3 <br />� l�%'f `75a� `�.i Phone/Email ` 1,� 5`�% C;' ��$ � � <br />(_n i �y +-� �� � � �7 (.) ' %J •�J � <br />PhonelE-maif <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK�S r 3� <br />Existing Use of Building S•1 •� i� -�..;,n , �� <br />Proposed Use of Building S:�n C` t �a, ,,,. , F,., <br />Building type: � Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition Remodel Repair _ T.I. _ Sign _Sprinkler <br />DESCRIPTION OF WORK (additional space provided on the back): <br />HEAT SOURCE: <br />Gas� Electric Other_ <br />Demolition Chanqe of Use <br />1� � t� �; � , ,� � G,>< � �" � � r� Y � � ( x �� : �� �t� S� •.-� '�i�:-.r� ti � � S � (� �ti � x ,�n j �-(�-�- ti.t„J �. � -�Z. �, � C <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn _Alteration Repair <br />Show Number (#J 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 />I Clothes dryer <br />Exhaust fan <br />Heat pump <br />Unit heater <br />� Refrigeration <br />Woodstove <br />Ducting <br />� Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New_Addn _Alteration' Repair <br />Show Number (#) of iixtures <br />� Toilet <br />� ) � Bathtub <br />� � Lavatory (wash basin) <br />� � Shower <br />� Kitchen sink & disposal <br />Dishwasher <br />j � Clothes washer <br />� � Water heater <br />i Sink (service/bar/mop/etc.) <br />� Urinal <br />Drinking Fountain <br />� Floor drain <br />Grease trap <br />� Roof drains <br />I Medical Gas <br />� � other: �1 z„ �„�,� k,, <br />,� � Other: I-�� u I�: b <br />I hereby certify that I have read and examined ihis application and know the same to be lrue and correct. All provisions of laws and ordinances governing this type of work will be complied <br />with whether specified herein or not. The granting o( a permit does not presume to give authorify to violate or cancel the provision of any other stafe or tocal law regulating construction <br />That I am authorized by the owner of this property to peRorm Ihe work fo� which application is made and I comply with the State Contractors Law 1827 RCW and 296200A WAC. <br />