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0 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 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS:, ) PROPERTY TAX# PERMIT <br /> -2-j H 0 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER T 11eL .y t — Ct14)t&, Phone/E-mail �� Zj ) L7 �.. D Jiy <br /> Address l City/State/Zip G``//V q gC6;1,0 i <br /> CONTRACTOR 5 '(ff'1 � N.-C�I O L&I Lic.# �iVEK 0 l <br /> AddressI D!� Phone/Email 6,j Z <br /> TENANT BUSINESS NAME C2T FOR PERMIT <br /> �tC �'I ' � Phone/Email _ ry AIL V,41 ",9( <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK `'i ;70-00 <br /> Existing Use of Building e4fyjy-Z N HEAT SOURCE: <br /> Proposed Use of Building M) c#qA)61( I Gas X Electric Other <br /> Building type: _Single Family _Duplex—Townhouse —Multi-Family _X--Commercial <br /> Type of project: _New _Addition _Remodel IQ Repair_T.I._Sign_Sprinkler—Demolition—Change of Use <br /> Description of Work(additional space provided on the back): <br /> 492 q4q�1111& 4A5 AVIWAtf W1 IVA) - S^nom W,*-1 , , all rr atvS-t <br /> —uv ct0oU6,:S vvi S�A� <br /> Have you started working without a permit? _YES _)L_NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration1k.Repair Type of Project: _New_Adds _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(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other I Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM Other: <br /> Number of Heads I Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing <br /> this type of work will be complied with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel <br /> the provision of any other state or local law regulating construction or the performance of construction.That I am authorized by the owner of this property <br /> to pe m)e work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC <br /> Owner uthorize Signature Date (Revised 2/2011) <br />