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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 />ADDR <br />AY E <br />LEGAL for new construction: Short PlaUsubd <br />OWNER <br />ress <br />IPROPERTY TAX # <br />f4 °I810 I <br />No. (attach copy of long Iegal description) <br />Phone/E-mail <br />City/State/Zip <br />APPLICANT: _ Owner _ Owner's Agent X Contractor _ Contractor�S AgBfll _ T0f18f1t (must provide a letter of consen� from the owner to do work in ihe space) <br />CONTRACTOR v Zt. �— D h P I�'1 ZIV L Z!� L State Lic. # b O3 "� 7 T" Z � City Bus. Lic. # <br />Address I pj� ,(� TH D� /U� ��!S(J TL(,� �� �� Z7�J Phone/Email 3 Go- � Z6 - Ll f 7 <br />TENANT BUSINESS NAME CONTACT FOR PERMIT <br />MZL�.. �OI..JIV CV`� V� VNZ�N Phone/E-mail ��ZJ'SU ��Z I <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK � S(�, °— <br />Existing Use of Building � <br />Proposed Use of Building C.RG�IT UN j..v�J <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family � Commercial <br />Type of project: New Addition .X Remodel Repair _ T.I. _ Sign _Sprinkler <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />�ZC�L/�GE NoT whTGQ "T�*n�►".. �✓�TH LZY�E YT�/��. <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />( A/C — air handling units <br />I Forced air svstems <br />RIN <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Woodstove <br />Ducting <br />Other <br />R / SUPPRESSION <br />Number of Heads <br />HEAT SOURCE: <br />Chanqe of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn x Alteration _,Repair <br />Show Number (#) of fixtures <br />i Toilet <br />j Bathtub <br />Lavatory (wash basin) <br />� Shower <br />I Kitchen sink & disposal <br />i I Dishwasher <br />� Clothes washer <br />l i Water heater <br />� � Sink (service/bar/mop/etc.) <br />� Backflow preventer <br />� Urinal <br />i 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 lo be true 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 of a permit does not presume to. give authority to violate or cancel the provision of any other state or local law regulating consiruction <br />That I am authorized by the owner of this property to pertorm the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296200A WAC. <br />3 - lZ- I <br />O er/Authorized Agent Signature Date (Revised 3/2013) <br />