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0 <br />• • <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: �- ��,� �, <br />6��c�� � <_� <br />LEGAL for new construction: Short PlaUsubdivisi <br />OW N ER �} �� �-���,1 ��� <br />Address � \ � �� ` � i � v�-✓ <br />APPLICANT: __ Owner ___ Owner's Agent _ Contractor _. <br />CONTRACTOR'�1 ��� �j�je �1� <br />Address IL� -� � % i � C�� \ \ ��-- `/'� <br />TENANT BUSINESS NAME <br />BUILDING PERMIT APPLICATION <br />PROPERTY TAXr <br />��, �: <br />Lot No. <br />Phone/E-mail � <br />City/State/Zip <br />Contractor's Agent ___ <br />Existing Use of Building <br />Proposed Use of Building_ ______ <br />Building type: � Single Family _ Duplex __Townhouse ___ <br />Type of project: New � Addition Remodel Repair <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />��CrC�\ j� �'�C� �- '.��� �-Y'1 �� <br />MECHANICAL PERMIT APPLICATION <br />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 />� Exhaustfan <br />Heat pump <br />�', <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Ducting <br />Other------------ <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />P RMIT #_ <br />`x'�;t� i�� i�.'1�.�'� <br />(attach copy of long legal description) <br />., ��-� � - ��(� � <br />T2f1811t (must provide a letter of consent irom the owner to do work in the space) <br />State Lic. # '.1..-I�C���iSb(.?L'fty Bus. Lic. # <br />�\��' �f i� Phone/Email ���`,� �, � <br />CONTACT OR PERMIT <br />(`�1 � C��:1 i � ��'�►�=�i�� <br />Phone/E-mail ���� �G � �� � � <br />CONTRACT PRICE OF WORK __ Z����• �� <br />FJEAT SOURCE: <br />_ _ _ Gas _ _ Electric_ __ Other <br />Multi-Family ___ Commercial <br />T.I. Sian Sprinkler Demolition Chanae of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _ _New ___Addn ___Alteration ___Repair <br />Show Number (#) of fixtures <br />Toilet <br />' Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer (inside bl <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 ancj ordinances goveming this type of work will be comp <br />with whether specifed herein or not. The granting permit does not presume to give authoriry 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 prope t perform tbe wor for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />� ����-��'%�— :J—�/ ' <br />� <br />Ow er/Authorized Agent Signature Date (Revised 4/2015) <br />