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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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: PROPERTY TAX # I O^�� _ <br />2132 Rockefeller AVe 00439143601700 � I <br />for new construction: Short PlaUsubdivision Lot No. <br />CHU MARVIN & ANNATASIA Phone/E-mail <br />4716 ALBERT ST, BURNABY, BC V5C 2G9 Canada City/State/Zip <br />4NT: X Owner _ Owner's Agent _ Contractor _ Contractor's Agent _ <br />�CTOR Owner builder L& I Lic. # <br />BUILDING PERMIT APPLICATION <br />(attach copy of long legal description) <br />`�.-7�� I - I 7 �� <br />T2f18f1i (must provitle a letter ot wnsent irom the owner to do work in ihe space) <br />COE Bus. Lic. # <br />PhonelEmail <br />�long wang <br />Phone/E-mail 425-485-3791 tonqsusu@qmail . com <br />CONTRACT PRICE OF WORK � 5 0� 0 0 0. 0 0 <br />ExistingUseofBuiiding Slrigle family nouse HEATSOURCE: <br />ProposedUseofBuilding Sinqle family house cas Electric X Other <br />Building type: X Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition X Remodei Repair _ T.I. _ Sign _Sprinkler _ <br />DESCRIPTION OF WORK (additiona� space provided on the back) : <br />aI,L �,v ��r'<<o�, tz��,t�,��;,U%,T ��c��cv��1l� �t-vv�r�f <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Aiteration _Repair <br />Show Number (#) of fixtures <br />wc — air nanaung unrcs <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 />' SUPPRESSION SYSTEM <br />Number of Heads <br />of Use <br />�r �/�Tt-� r�N1� �, <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixfures <br />3 Toilet <br />3 Bathtub <br />i Lavatory (wash basin) <br />Kitchen sink & c <br />Dishwasher <br />Clothes washer <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 goveming this type of work will be complied <br />with whether specified herein or not. The granting of a permit does not presume to give authorfty 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 wdh the State ConVactors Law 18.27 RCW and 296.200A WAC. <br />___ , . __ �I (�- <br />;,;%i,�;�..._ 12/6/2012 � <br />Owner/Authorized Agent Signature Date (Revised 6/2012) <br />