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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 />ADDRESS: <br />'�'P;%`�.c'� /Ir:`i''� �'.i��`+'- <br />'ERTY TAX # I PERMIT # <br />�'�'Z�s�%%�//<;D� �1/il�i/1�— <br />LEGAL for new construction: Short Plabsubdivision Lot No. (attach copy of long legal description) <br />ER f% j� E„ (--'t-� �� . /�, l L C/tf Z ��/ �Phone/E-mail <br />2..6 2� � t fit/ �-:y �'L � ��, , ICity/State/ZiP t—i.�'F"-z/��-ci �/� �l cs �? «`3 <br />,NT: _ Owner _ Owner's Agent .� Contractor _ Contractor's Agent _ Tenant �m�5i Pro��de a iener ot consenc trom cne owner ro do wor� m me sPace> <br />CONTRACTOR �i',:;�?!f ,/�% ; � , �< � ;--7i;• �„� "f'� � c- . State Lic. # i'� ;�^/"'/'�' ��'/' �} '�` City Bus. Lic. # � s E � l � <br />,( k-i: ^�. ' �_, p �' � ~ � ��. <br />AddresS�(_�' �.s_ iC .i;�' % .�rPi��/�.- (,i.�i �if�wa-~rf �—' PhonelEmailn-r,-,� n,�l r��ay,i�v�'1 %r.?;�1-r��/'.�. <br />TENANT BUSINESS NAME CONTACT FOR PERMIT <br />j /�� ° �1C.- 1F-.f��5��'r.d�J<_ .Sf,Ct—��>�-%°.3' 3S <br />_F��i4f�7'T ���.�/�° ! <br />Phone/E-mail ���?.f?/7'3�' ,�!�j � � �C'�7�'t (�'' �:' /. CL'-�'1 <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WOR %�2 S, C� T <br />Existing Use of Building ,�y,.��-�i r�!���jij% f.= � HEAT SOURCE: <br />PropoSed Use of Building �i�-�'r -% C� r%��/"f �' � Gas� Electric Other <br />Building type: _ Single Family _ Duplex _Townhouse _ 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) : , /'` '` � ��,/ r�� •_ � �,� ,�, - <br />%� ' / �y ._ -�- ` !� rr-��,, � , � i %-r' t/' /�.:' 7�`' '<_ fia.T�j f'"ff,"`l S�/�l •.��fl � !�G / <br />\r :; iLi P.t j �� %!"c, - ' ,. , �` % r!'�1 � v , _S��f [.. �. � �"%" � <br />�1tG.�/•.�%'t�,.J ,�%% -.S:;f�� �C ��'��� �f�r' i� .f'r4C; ; � �2 T /�'Y`�'�"{ ., <br />l <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn�Alteration _Repair <br />Show Numbei (#) of fixtures <br />a; � A/C — air handling units <br />�n Forced air systems <br />7x Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes drye <br />Range hood <br />� Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <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 lyumber (#) of fixfures <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />/ Shower <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mopletc.; <br />Backflow preventer (inside <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medicai Gas <br />Other: <br />Other: <br />I hereby certify that I have read and examined this application and know Bie same to be true and correct. All provisions of Iaws and ordinances goveming this type o( work will be comp <br />with whether specrfied herein or nol The granting of a pennit does not presume to give authority to violate or cancel the provision of any other sfate or local law regulating construction <br />That I am authonzed by the owner of this properly lo perform the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296.200A WAC. <br />' ' / � �� <br />� - � , r �— <br />� ,.�� £�_,L./ ;- A'`'�= , �.� / L- <br />Ow r; hcri d Aye��f �ig�ature Cat2 (Pevrs2d 4:2015) <br />