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����.�a�����a���o <br />��9�.�1�9�/���G���9V���/��,���fR��/�I��l/�f��si�����/�����,�T��� <br />� CITY OF EVEREiT P�Rfif11T SERVICES <br />3200 Cedar St., �verett, WA 98201 425-257-8810 FAX 425-257-8857 wvuw.everettwa.org <br />DRES <br />L�GAL for new construction: Short PlaUsubdivis <br />ER �IA�4C�'I� 1r' <br />�� <br />_ Owner __ Owner's Agent �, Contractor <br />NTRACTOR � � <br />ress 2�2� <br />C����:-� <br />�G. �� <br />�� �.�.��1p ��� t� C�l � �v u. <br />BUI�DING PERM17" APPLICATION <br />PROPERTYTAX # <br />0 <br />PERMIT # <br />No. {attach copy of long legal description) <br />Phone/E-mail Z � - 2j z' ���� <br />City/5tate/Zip � i/(,'sV''� �(,lA R� �.L� <br />ContfaCto�'S Agellt _ Teflant (musl proyide a letter of consonl from 1he owner to dp work In �he space) <br />��'[}� Stafe Lic, #�.��t��` CiLZE� l C <br />�!.(� �`� ��U � Phone/Email � Z j � 2�2 <br />C�NTACT FQR PERMIT <br />�1 �/l<��v ��n� �: � : ��� <br />Phone/E-mail Z`� � Z7 � �l y <br />CONTRACT PRICE OF WORK ,_� <br />Existing Use of Building _ f�-' C�YI:'�` <br />Proposed Use of Building ��� �� Ga <br />Building type; ^ Single Family _ Duplex _Townhouse _ Multi-Family � Commercial <br />Type of project New Addition Remodel � Repair _ T.I. _ Sign _Sprinkler _C <br />DESCRIPTION OF WORK (additional space provided on fhe back) : <br />tZ�i� �2vz�� c� C� �S �=� - <br />_r✓�7� ��i/d '% _ `� �� G��j U' ll �i"�'�'i % � /�i �`�chJ ,J,v� �f ic�; �� �C <br />MFCH�NICAL PERMIT APPLICATION PLUMBING PE <br />Type of Project: _New _Addn _Alteration � <br />Show Number (#) of fixtures <br />A/C - air handling units <br />1=orced air systems <br />Ge�s piping <br />Water heater <br />Gas fireplace <br />Gas range <br />('lothes dryer <br />Range hood <br />� Exi�aust fan <br />� Heat pump <br />� Unit heater <br />� Boller <br />I Refriaeration <br />SPISIP�4��.El� <br />Dur.ting <br />Other <br />� Sl1PPEi��S00Yt9 <br />Nurnber of Heads <br />Bus. L.ic. # pc�'?�� <br />l, � <br />HEAT SOURCE: <br />of Use <br />/ z�s � �.,�'�-��� <br />of Project: _New _Addn ,_,Alteration _Repair <br />5how Number f#) of fixfures <br />�.avatory �wasn aasin). <br />Stiower <br />Kitchen sink & disposal <br />Dishwasher ' <br />Clothes washer � <br />Water heater <br />Sink (service/badmop/etc,) <br />Backflow preventer (inside b <br />Drinking Fountain <br />Flaor drain <br />Grease trap <br />Roof drains � <br />Medical Gas <br />Other: <br />Other: <br />I hereby cerfify that I have read and examined ihls applfcation and know ihe same to be irue and correct. All provisions of laws and ordinances governing this iype ot work will be complied <br />wiih whether specified herein or not. 7he granting of a permit does not presume to give authority to violate or cancel ihe provision of any other siate or local law regulating construction <br />That I ati ized by ihe owner of this property to perform the work for which application is made and I comply wiih the Siate Contraciors Law 1027 RCW and 296.2�oA WAC. <br />� `� � �Q���/��1� <br />•O�Th4uthorized A nt Si nature Date (Revised 4/2015) <br />