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ERMIT APPLICATIO <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 />SITE ADDRESS: <br />j`, ;c=���\���1�l�� <br />LEGAL for new construction: Short Plat/subdivision <br />PROPERTY TAX # <br />���� � 'Z.�K <br />Lot No <br />PERMIT <br />(attach copy of long legal description) <br />�.• �I'%� <br />OWNER L' �'C����C_ �2.f�"L-- C:' .�'C'� �'� Phone/E-mail � �? ) `� "�- '�C�� 1 ���� .���-�-SEN � •� ; � CC�� <br />Address X; ������ �-�C-��� �(-� City/StatelZip ��--f�L'����' `-(� � '� ��G(t.(�. <br />APPLICANT: _ Owner ✓�Owner's Agent _ Contractor _ Contractor'S Ag@f12 _ Tef18f1t (must provide a letter of consent from the owner to do work in the space) <br />CONTRACTOR � � <br />�-- �,� State Lic. # City Bus. Lic. # � <br />Address Phone/Email <br />TENANT BUSINESS NAME CONTACT FOR PERMIT �l <br />�y--, e�A � _..J Ci�� '1 `�::� � �.,�.#--LCi'-`��� C�? E, � 1'�' 1 <br />t-�= � ����,� -����/ v ������� S PhonelE-mad t.��`�\ �'c'�' � .?� , -S� ��� � � i �E= � 4� � C �r <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Existing Use of Building ����L-- ��'-�x`'�' � HEAT SOURCE: <br />�� � , t. <br />Proposed Use of Building � �1�'��" � Gas Electric Other <br />Building type: _ Single Family _ Duplex _Townhouse _ Mutti-Family �Commercial <br />T e of ro ect: New Addition Remodel Re air ,iT. Si n S rinkler Demolition Chan e of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />�'�`cr� �,`C�-'Ct� � � �: c'r� �y_1S�it�c., ����it._ c��•t`�• ft-��'CzK%'l�` �NCC c%� t�<^�- '�°�—�3��{"�uN <br />\r�t �- t'l��z � uTII,F'<<'� �z�_-�� � � � � -�C� i F �' � _ <br />C1' ,� �'-R-�—�t�.�c—j�$�c�--���= <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C - air handlin units <br />Forced air s stems <br />Gas i in <br />I Water heater <br />• Gas fire lace <br />Gas range <br />Clothes d er <br />Range hoocJ <br />� Exhaust fan <br />Heaf um <br />Unit heater <br />, � Boiler <br />Kerri eration <br />% Woodstove <br />� <br />Ducting <br />Other <br />NKLER / 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 />Lavato wash basin-' <br />Shower <br />Kitchen sink & dis osal <br />Dishwasher <br />Clothes,uvasher <br />Water heater <br />Sink service/bar/mo /etc. <br />Backflow reventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease tra <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 to be true and correcL All provisions of laws and ordinances governing this type of work will be comp <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 construction <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 296200A WAC. <br />_---� `�� ����i�' ��� <br />Owner/Authorized Agent Signature Date I/ Z (Revised 9/2014) <br />