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� � <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 />t �-� —7 2 � <br />LEGAL for new construction: Short PlaUsubd <br />�, <br />PPLICANT: _ Owner <br />ONTRACTOR �l'� � . <br />�T�Z L�.�-t�l�`_` <br />��� <br />Owner's Agent � Contractor <br />�-� a �r.r�r� �� r--�� <br />, ������. i � \ <br />�G��t-, �`;� ���;�.�.. %�.=�� �="-=s—> <br />BUILDING PERMIT APPLICATION <br />� <br />PROPffZTYTAX# <br />1 <br />Lot No. (attach copy of long legal description) <br />Phone/E-mail ����� - �7L�� 1-•�����)��S <br />COfltfeCtOf'S Ag@flt _ TeftBflt (must provide a letter oi consent from the owner to do work in the space) <br />..-. . . _ _� � r . � . . . , ..rf _ �.� �1l1c'� <br />State Lic. # <br />CONTACT <br />�J �ty Bus. Lic. # ()" <br />: ����I ,� -71 ��� <br />PERMIT �� <br />�-�ti�� a.�-i_���Z <br />PRICE OF WORK <br />Existing Use of Building l <br />Proposed Use of Building L <br />Building type: � Single Family _ Duplex _Townhouse _ Multi-Family _ <br />Type of project: New Addition Remodel Repair T.I. Si n <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />�� ��:��e� ��C ��' — (�.�s�` _� -�����?�;{'��.�__� <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 />HEAT SOURCE: <br />Electric Other <br />Commercial <br />S�rinkler Demolition Chanae of Use <br />PLUMBING PERMIT APPLICATION <br />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 bld <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 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 />That �am authorized 4�y the owner�of this property to perform the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296200A WAC. <br />���i ' ; /^ r'� � <br />l'��/;� / /•, �_� I �_._..— <br />r �,-��� � ����.-��ti�: � ��r��11,� <br />�.......'i� w..ai...-__� w.... _ .__ n,.�,. m....:.....d ninn�c� <br />