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0 0 <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 />SITE ADDRESS:PROPERTY <br />k'iti�lI�cs5} -Ve � 1,t ���',� <br />TAX # <br />0 b 110 IC <br />PERMIT # <br />-D2 <br />LEGAL for new construction: Short Plat/subdivision Lot No (attach copy of long legal description) <br />OWNER, `j (� (1G C?!1 <br />Phone/E-mail — (7 <br />Address ` w lU f,,.ke, <br />City/State/Zip &eo . <br />APPLICANT: _ Owner _ Owner's Agent x Contractor —Contractor's Agent _Tenant (must provide a letter of consent from the owner to do vmrk in the space) <br />CONTRACTOR gla(l L1 n 1(; (j I State Lic. # 603 3Z I City Bus. Lic. # <br />Addressl �z� I + 1�ki YtQCl , ®� l© F tY F�W4x,� 9y'o3W Phone/Err : i • rI" . cc a e l <br />TENANT BUSINESS NAME CONTACT FOR PERMIT <br />w ((-,. 39�gy . <br />Phone/E-mail ' t bla(.k I(xA1V ac <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK I O Ott Cam. <br />B <br />Existing Use of Building __ HEAT SOURCE: <br />Proposed Use of Building Gas Electric Other <br />Building type: , Single Family _ Duplex _Townhouse _ Multi -Family , Commercial <br />Type of ro'ect: New Addition Remodel _Repair_ T.I. Sin _Sprinkler Demolition Chancle of Use <br />DESCRIPTION OF WORK (additional space provided on the back): <br />Ovl[.- ksE hec,4 pua-11P <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New <br />Show <br />_Addn _XAlteration _Repair <br />Number # of fixtures <br />Type of Project: _New `Addn _Alteration _Repair <br />Show Number # of fixtures <br />f A/C — air handling units <br />Toilet <br />i Forced airs stems <br />Bathtub <br />Gas piping <br />Lavatory wash basin <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink & disposal <br />Gas ran a <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Ran a hood <br />I Water heater <br />Exhaust fan <br />! Sink servi_celbar/mo /etc. <br />Heat PUM2Backflow <br />preventer inside bld <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refri eration <br />Floor drain <br />Woodstove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />i Other: <br />Number of Heads <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 comp <br />with whether specified herein or not. 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 />Tha zed by the ow operty to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 298.200A WAC. <br />C�'�Ftes'�ririt t�sf!r��f ?l�Hnt �ignt5fltre fete f�v!Sftd �f>'099) <br />