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� <br />• <br />PERMIT APPLIC�OiION <br />BUILDING/MECHANICAL/PLUI�IIBING/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 />SITE DDRESS: r PROPERTY TAX q PER I# <br />� /" �,r2� -�-� G��3�jbC��,� ly �? � (% �' lX.�'� <br />�m r v �—�� <br />LEGAL for new construction: Short PlaUsubdivisio ��r D� I%I`�' J3LK' `�v�vZ Lot No. �� j(attach copy of long legal description) <br />�Zc�, � �r'�fC7 :5�� 5L <br />OWNER �G?5C-C� tj �f !✓L �'�-S Phone/E-mai � C� �,- � 4� r � t_ _��c�l <br />Address � _3 �'1. L , t;, � �Sr (,(;-%} City/State/Zip SE�T`TL � 1�°� � �/ �' � <br />APPLICANT: o� Owner �Owner's Agent _ Contractor _ Contractor�S A90flf _ TBf1011f (must provide a letler of consen� from lhe owner to do work in the space) <br />CONTRACTOR 1�C OS c-�' � �.0 �- � S L& I Lic. # COE Bus. Lic. # <br />Address ( 51i� n'►� �i � v'^� �`�K� Phone/Email <br />,��, o��,,.��.� ,.,., , � � KS <br />=s c c.=C. <br />BUILDING PE1tIVI1T APPLICA'�ION <br />�, � y vr� :s ��� �� <br />Phone/E-mail �SC_t-'� �`�j � �t' f�J/%lL - �'��� <br />CONTRACT PRICE OF WORK �1,� LrO�G <br />Existing Use of Building yC�� ��C µ r� /� L <br />Proposed Use of Building f�-�.51 1��� T� /T 1-' <br />Building type: Single Family _ Duplex _Townhous Multi-Family _ <br />Type of project: New Addition _ Remode! �epair _ T.I. _ S <br />DESCRIPTION C7F WORK (additior,al space provided on the back) : <br />�� ry. o c�<'-- � d"r' �. �,lSt� n f �il b m� <br />MECH�►iRIC�"s►� PERMIT APPLICATION <br />Type of Project: �ew �ddn �Alteration� Repair <br />Show Number (#) of fixtures <br />� A/C - air handling units <br />Forced air systems <br />i Gas piping <br />� ! Water heater <br />� Gas fireplace <br />� Gas range <br />� Clothes dryer <br />� Range hood <br />Exhaust fan <br />� Heat pump <br />U' � Unit heater <br />Boiler <br />; Refrigeration <br />Woodstove <br />� Ducting <br />� Other <br />SPRINKLER / SUPPRESSION SYS�'EM <br />Number of Heads <br />Commercial <br />5prinkler De <br />HEAT SOURCE: <br />� Electric V Other <br />olition Chan4e of Use <br />� ��''� � � ��nn h �'L�'� n <br />PLUMBING PERMIT APPLICATION <br />of Project: f�New j�ddn �Iteration l�epair <br />a Show Number (#) of fixtures <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />ishwasher <br />C hes washer <br />Wate eater <br />Sink (se7e'ce/bar/ <br />Backflow pr entE <br />Urinal <br />Drinking Fountain <br />Floor ;irain <br />Crease trap <br />Ftoof 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 uf work will be complied I <br />with whether specified herein or not. The granling 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 />That I am authorized by the owner of this property to perform the work for vdhich application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />__ f �J <br />�' <br />r . .._._ iY % q.�� t N -..� � <br />.` �r <br />�. , � <br />-----� �— �� l " ` . Y, /'j,L/�c- � <br />�-� _� � _�� � Y `.__ � <br />�=- --------------- _ _ � �� <br />� <br />�-�.� . . _ . ,�_._ � l/'ye/ /�/ io,.,,;,.,,,.�aionaoi": <br />