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! �' <br />PERMIT APPLICATION <br />BUILDIN�/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 />ADDRESS:� ���^ � /,�.�{� �• <br />> ��r <br />1L for new construction: Short PlaUsubdivision <br />WNER ' <br />idress � jj � 5 I � �, <br />PPLICANT: _ Owner _ Owner's Agent <br />NTRACTOR <br />l� <br />�� <br /># <br />0 <br />Lot No. (attach copy of long legal description) <br />Phone/E-mail ')�—�3 d% <br />City/State/Zip �{/�r C% O �U � <br />f_ COf1tf8CtOf�S A96flt _ T8llallt (must provide a letter of consent from the owner to do work in the space) <br />• State Lic. #l�'!� t[���_H-�/ Gli� �%ity Bus. Lic. #�� Qf( ,/ <br />Address N� � ~C'-� • Phone/Email�Z-�j �6'� "�- <br />TENANT B SINESS NAME CO�AC CFO��R� R/M��� L�� <br />V� J f r 1 CL vh,, <br />Phone/E-mail S_ 3 �}- CU '� ��C�� •,�.�. %�Gf • <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK '� �`� <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building Gas_ Electric Other_ <br />Buifding type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />/ �'l�S'2�I /� C �fz�Y'`iC�C E ���G'i <br />MECHANICAL ERMIT APP��f..1�q7iON <br />of Project: _New_Addn _Alteration Renair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />I Forcedairsystems fr1��Q <br />i Gas piping <br />J j Waterheater (`�-(�y�k {� <br />Gas fireplace � <br />j Gas range <br />Clothes dryer <br />Range hood <br />j Exhaust fan <br />j Heat pump <br />; Unit heater <br />Boiler <br />; Refrigeration <br />Woodstove <br />Ducting <br />� Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />f'� Number of Heads <br />I hereby c rtify th I have re� <br />with whet er spec ied herein <br />That I iz d by �he o� <br />and <br />of this <br />Signature <br />� �" Ccr � C,�l 7`-r <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 />j Shower <br />; Kitchen sink & disposal <br />i Dishwasher <br />Clothes washer <br />Water heater <br />; Sink (service/bar/mop/etc.) <br />; Backflow preventer <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied <br />�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 />to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A V`JAC. <br />/ <br />S � �� �. <br />Date (Revised 3/2013) <br />