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JUN/02/2016/THU 04: 26 PM Greenwood. Heating FAX No, 206 462 6216 P, 001 <br /> 0 • <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 425-2578857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX# RIT <br /> ,4v -W A / <br /> LEGAL for new construction: Short Plet/subdivision Lot No. /, 1(a(tt�ach copy of long legal description) <br /> OWNER Phone/E-rnall C41 <br /> Address l"I City/State2lp � sy CL�a(} <br /> APPLICANT: owner _Owner's Agent XContractor Contractor's Agent _Tenant emuetorovide -t fnm the-r to do work in th.,p�o�l <br /> CONTRACTOR L&I Lic.#C COE Bus. LIG.#d� <br /> Address Sj we U cw2d <br /> Phone/Email q-{ Lt <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Y-awe CZ fQ)t-1t02-G;2(�C�l>,rec Ltne) <br /> Phone/E-mail Y� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WOR <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed use of Building _ Gee Electric Other <br /> Building type: Single Family _Duplex_Townhouse _Multi-Family _Commerclal <br /> Type of ra'ect: New Additlon Remodel Repair T.I. Slgn Sprinkler Demolitlon Chane of Use <br /> DESCRIPTION OF WORK(additiona)spats provided on the beck) <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project _New_Adcln A_Altarafion Repair Type of project: _Naw_Addn _Alteration_Repair <br /> Show Number(# of fixtures Show Number U1 of fixtures <br /> A/C-air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas pi inq <br /> Lavatory wash basin <br /> Water heater Shower <br /> Cas fireplace Kitchen sink&disposal <br /> Gas ranpe Dishwasher <br /> Clothes dryer Clothes washer <br /> Rango hood Water heater <br /> Exhaust fan Sink (service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler DIrInking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hers by certffy that I have read and examined this application and know the same to be true and correct.All provlelons of laws and ordinance governing this type of work will be compacd <br /> with whether speCffied herein or not,The granting of a permit does not presume to giv¢authority to violate or cancel the provision of any other state or local law regulating construction <br /> That I am authori ed by the owner of this property to perform the work for which application Is rnede End I canply with the State Contractors t.aw 1$.27 RC,W and 296-200A WAC. <br /> 6 N xi. <br /> Owner «thorized Argent Signature bats <br /> (Revised 6/2014 <br />