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• <br />• <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 />TE ADDRESS: / / L <br />�'7 �V L1/L.!S7 ��-�K;'�v <br />EGAL for new construction: Short PlaUsubd <br />ROPERTY TAX �i I P <br />��C'`�/'1�L'%� �?L;.-/��=C_' 4 <br />No. (attach copy of long legal description) <br />OWNER ' ��r - ,� . �L L Phone/E-mail <br />Address C:� �C-3 T /'Z�i:=w�;�rJ�'��.^ i'�� , City/State/ZiP � U%C-7^'r ` ��.,:.c^' <br />APPLICANT: _ Owner _ Owner's Agent �COf1tf8CtOf _ COf1tf8Cf0l�S A90f1Y _ T2f1811t (must provide a letter of consent from the owner to do work in the space) <br />CONTRACTOR � / G i� �� "'' i0�1. State Lic. # i� %�i��/ � /-' City Bus. Lic. # <br />Address �fr�iL �s f��lc:� �/G ����,,� � ��;t" Phone/Email <br />TENANT BUSINESS NAME ' ' CONTACT FOR PERMIT �--� , <br />--� <br />-, � � , . f���y<� C��,/v:%L- <br />r � rc � � rct- ����v.����v� � , , , ,.. <br />1 � Phone/E-mail �,� � � �,n �,.�� „ �{,:.y�. <br />BUILDING PERMIT APPLICATI�N CONTRACT PRI E oF ORK ���,�,�T, <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building __ Gas Electric Other <br />Building type: _ Single Family __ Duplex _Tcwnhouse _ Multi-Family _ Commercial <br />Type of project: New Addition Remodel Repair _ T.I. _ Sign _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : /4xT� %� �'�� �'ow:� � �u �S �ur�h �tc� ,<"!�% <br />...(f l�C� r' � l�'�CL�LvtG'/ vL�C2.-vY7t�r� c:�iY'c��'7.���Y( fIOL!/LCGf ['7N/ !i 1 S�� � LCGCG(-j''f /�-dviil> �✓.`/� '✓'['�t t <br />/`�� `f�� w�('(`� �7'�rc'��Yz'r%� ��1`%���j� 6"`f'c��'��'t�„ �v�.:� ��i�ve�'iv � <br />�l <br />MECHANICAL PERMIT APPLICAT�ON <br />of Project: _New _Addn _Alteration __Repair f. ,� . ✓ <br />Show Number (#) of fixtures <br />/ / A/C — air handling units <br />T—� Forced air systems <br />f i Gas piping <br />i Water heater <br />� Gas fireplace <br />i Gas ranae <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />rtetngerauon <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 fixtures <br />� Toilet <br />� Bathtub <br />j Lavatory (wash basin) <br />( Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />; Sink (service/bar/mop/etc.) <br />; Backflow preventer <br />Urinal <br />; Drinking Fountain <br />Floor drain <br />j Grease trap <br />; Roof drains <br />i Medical Gas <br />' Other: <br />i Other: <br />I hereby ceRify thal I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied <br />wilh 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 perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />(Revised 3/2013) <br />