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\J <br />• <br />PERMIT APPLIC�OTION <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 />ITE ADDRESS: 1 .n PROPERTY TAX N PERMIT # �-y�� <br />-211 i/.. I_�i..-rr,.�n r- Y\. . C � 1� 7 f���. W <br />L for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />ER � ��'Qi"� <br />ress <br />APPLICANT: _ Owner _ Owner's Agent <br />CONTRACTOR <br />Address \';j �1 <br />TENANT BUSI� <br />Phone/E-mail <br />City/State/Zip <br />Contractor _ Contractor�5 Ag21ll _ T2f18f11 (musl provide a letle� of consent from the owner to do work in the space) <br />L & I Lic. # <br />"— G���,,, PhonelEmail � – <br />CONTACT FOR PERMIT <br />M��C"ar� t�,��r�P�� <br />Phone/E-mail <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building <br />CONTRACT PRICE OF WORK <br />Proposed Use of Building � Gas <br />Building type: K Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition _ Remodel _ Repair _ T.I. _ Sign _Sprinkler _DE <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />� A/C - air handling units <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 />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />COE Bus. Lic. # 1 O <br />`ure, �.lh Z <br />"- �f' 3 �liA ccrv� <br />M�. �,,N�t,��. Z- Q <br />�� , cr�- <br />HEAT SOURCE: <br />Electric Other <br />olition Chanae of Use <br />PLUMBING PERMIT APPLICATION <br />pe of Project: _New �Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />f� ' Toilet <br />�' Bathtub <br />� Lavatory (wash basin) <br />�� i Shower <br />t � Kitchen sink & disposal <br />� � Dishwasher <br />' — <br />j Clothes washer <br />� Water heater <br />� Sink (service/bar/mop/etc.) <br />I 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 this type o1 work will be complied <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 regulaling construction <br />That I am authorized by the owner of this property lo perform the work for which application is made and I comply with the State Contraclors Law 18.27 RCW and 296.200A WAC. <br />� <br />- � ' ' ' . _' ' r._._ /o..�,�,....dR/7n�71 <br />