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0 <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: PROPERTYTAXq P€ F��MIT <br />18 PACIFIC AVE.. EVERETT. WA 98201 00439073902100 t1 I I`Z' �' <br />.EGAL for new construction: Short PlaUsubdivision Lot No._ (atlach copy of long legal description) <br />)WNERHASCO Pho�e�e-ma�� 425-290-8499 <br />�ddress 12625 4TH AVE W. c��Y�scace�z�P EVERETT, WA 98204 <br />:ONTRACTOR �j Mi � P f 1 ` j I'��' J �T �,,� L& I Lic. # S 3 2�� 7 Q l� 7 <br />�ddress 1106 54TH AVE EAST, TACOMA, WA 98424 PhonelEmail (253) 237-1366 <br />fENANT BUSINESS NAME CONTACT FOR PERMIT <br />HASCO PACIFIC CREST Dl�nno/F_moil NICK SCOTT 253-248-2056 <br />BUILDING PERMIT APPLICATION �CONTRACT PRICE OF WORK �-f•3 7 <br />Existing Use of Building OFFICE HEAT SOURCE: <br />Proposed Use of Building OFFICE Gas_ Electric_ other_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family X Commercial <br />Type of project: _ New _ Addition _ Remodel _ Repair X T.I. _ Sign X Sprinkler _Demolition_Change of Use <br />DesCription of Work (additional space provided on the back) : <br />NEW WALLS AND CEILINGS REQUIRE RELOCATION OF EXISTING SPRINKLERS <br />Have you started working without a permit7 _YES X NO <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number f#1 of fixtures <br />A/C — air handling units <br />Forced air systems <br />Gas pipinq <br />Gas firepla <br />Gas ranqe <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Woodstove <br />� Other <br />SPRINKLER I SUPPRESSION SYSTEM <br />16 � Number of Heads <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />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 />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 <br />this type of work will be complied with whether specifed 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 construclion or the performance of construction. That I am authorized by the owner of this property <br />to p orm the work for whic application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC <br />��,�,i,� ����/3 <br />Owner/Authorized Agent Signature Date (Revised 2/2011) <br />