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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 />ADDRESS: 1818 Pacific Avenue, Everett, WA 98201 PROPERTY TAX # 00439073902100 PERMIT # <br />Ra�05—n2O <br />EGAL for new construction: Short PlaUsu <br />'NER Housing Authority of Snohomish County <br />ress 12625 4th Avenue W, Suite 200 <br />LICANT: _ Owner X Owner's Agent <br />RACTOR <br />ress <br />Contractor <br />Lot No. (attach copy of long legal description) <br />Pnone/E-maii 425-290-8499 or 743-4505 x543 CBogdan@hasco.org <br />ICity/State/Zip Everett, WA 98204 <br />COf1�f7ClOf S A92fll _ T01lHflt (must provide a letter of consent from the owner to do work in the space) <br />L&ILic.# <br />Phone/Email <br />COE Bus. Lic. # <br />I�tNANI 13USINt55 NAMt G'(�NSAL;J:,.F_S),};_PtKMII �:,`� �'��;'�'� \ ,; �� �,` ' <br />Snohomish County Office Katherine Willis, Schemata Workshop � �. .- �_ <br />Phone/E-mail 206-285-1589 katherine@sehein_atawork'shop.com 5� � <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Existing Use of Building occupancy: B, M, R-3, S-2, A-3 (accessory) HEAT SOURCE: No Change <br />Proposed Use of Building occupancy: B, M, R-3, S-2, A-3 (accessory) �as Electric otner <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family X Commercial <br />Type of project: New Addition Remodel Repair X T.I. _ Sign _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additiona� space provided on the back) : <br />Proposed tenant improvement of an existing building. Scope of work includes the relocation of a demising wall, relocation of toilet and office rooms. <br />, , �t. <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number f#1 of fixiures <br />w� — air nanaung u <br />Forced air systems <br />Gas piping <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 />Refrigeration <br />Woodstove <br />Ducting <br />Other <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />j Toilet <br />Bathtub <br />Lavatory (wash basin) <br />� Shower <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/ <br />Backflow prevent� <br />Urinal <br />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 to be true and correct. All provisions of laws and ordinances governing this type of work will be complied <br />with whether specifed herein or noL 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 />�a�,'�. � �l�s � i5 � 3 <br />Ow rlAuthorized Age S ature Date (Revised 6/2012) <br />! <br />1'�_ <br />