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0 • <br /> APPLICATIONPERMIT <br /> Bt..IILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVE ETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereftwa org--T- ; <br /> SITE ADDRESS: PROPERTY TAXA P1gRn111T# <br /> 9506 19th Ave NE 1(t 1 q l G2- ' <br /> LEGAL for new construction` Short Plai,'sybdivision Lot No. (attach copy of long legal description) <br /> OWNER CHJ Properites PhonelE-mail 206-265-3859/hankjacky@yahoo.com <br /> Address 7815 15th Ave NE City/State/Zip Seattle WA 98115 <br /> APPLICANT: X Owner Owners Agent Contractor Contractor's Agent __Tenant(must provide a letter otconsent°ram the owner to co worl,in tho space) <br /> CONTRACTOR State Lic.# City Bus. Lic.# <br /> Address PhonelEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mail �G o o c <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK "'200 <br /> Existing Use of Building HEAT SOl'RnF. <br /> Proposed Use of Building Gas ` Electric Omer <br /> Building type: - Single Family _Duplex—Townhouse � ill�lfi,-Family �Commercial <br /> Type of project: New Addition Remodel Repair T.1. Sign Sprinkler_De!ro1 icm Change of Use <br /> DESCRIIPT I0N OF WORK wditt;onaf space Provided on tie back): <br /> Repair 5/8" drywall soffit on exterior of building. Soffit material is to be <br /> replaced in kind. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT'APPLICATION <br /> Type of Project: _New_,Addn _Alteration_Repair Type of Project: __,New^Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C--air handling units Toilet <br /> € Forced air systems Bathtub <br /> Gas piping Lavatory(Kush basin) <br /> ! Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Pange hood Water heater <br /> Exhaust fan SinkF(service/barlmpp/etc.) <br /> Heat pump Backflow prevertter <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration _ Floor drain <br /> Wcodstove Crease trap <br /> Ducting _ I Roof drains <br /> Other redical Gas <br /> PRr,' LER 1 ;SUPPRESSION SYSTEM Cther: x <br /> ,rtber of Heads '.ther: <br /> hereby certify have "i amined this application and known the same to be true and correct.A.i r uvisio, Df rl ordinwice governing this type of work will be complied <br /> .lith whether sx• JiS <br /> e granting of a permit dws not preeumo to give•,,horitj to violate cr.. . ai:h ,T%,V�'' unq otl:rst ate or local kivl iegalaiing construction <br /> That l am auth: s property to perform the work forwhich applical�,n is made and i r.nrr v.,­;h the Y°�+.�Co;."motors 3 rwa 18.2,7RC:�d and 2 r,200A WAC. <br /> �_nertA#hr D fe (Revised 3,"107,;) <br />