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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: f2� �� PROPERTY TAX q Pirt, <br /> T <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER VS Phone/E-mail ��� CAU —40 "M <br /> Address 2:t2— Ut A-"D City/State/Zip \ <br /> APPLICANT:—Owner _Owner's Agent _Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR State Lic.# City Bus. Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION �n CONTRACT PRICE OF WORK <br /> Existing Use of Building V--� S� HEAT SOURCE: <br /> Proposed Use of Building---Z--1 � Gas_ Electric `Other_ <br /> Building type: XSingle 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 /> i7,c7c C <br /> MECHANICAL/PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C–air handling units Toilet <br /> Forced air systems j Bathtub <br /> j Gas piping j Lavatory(wash basin) <br /> j Water heater j Shower <br /> Gas fireplace I R Kitchen sink&disposal <br /> j Gas rangeDishwasher <br /> I Clothes dryer Clothes washer <br /> Range hood j Water heater <br /> j Exhaust fan j Sink(service/bar/mop/etc.) <br /> Heat pump j Backflow preventer <br /> j Unit heater j Urinal <br /> Boiler Drinking Fountain <br /> I Refrigeration j Floor drain <br /> i Woodstove Grease trap <br /> Ducting j Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I Other: <br /> Number of Heads I 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 complied <br /> with whether specified herein or not.The granting permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction I <br /> That I am authorized by the owner of this prope to p rform the work for which application Is made and I comply with the State Contractors Law 18 27 RCW and 296.200A WAC. ) i <br /> nwnpr/Aiithnri art Gnpnf Rinnatnrp nntp /RP.vi.cer1.1/2n1m <br />