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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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ADDRESS: PR6�ERTY"TAX'� P�g MIT,# <br />.''" Z��v T�awe�- S`� GG,t�►��8 i'S i�U ��� �� -.C',� ?� <br />LEGAL for new construction: Short PlaUsubdiv <br />0 Tower S�. <br />Owner � Owner's Agent <br />� C' �.�.�� � 1 ./ ��� I <br />CoIG <br />Contractor _ <br />l.�Vhs 1 r <br />Evecei� Commun�+� Co I 1e,9 <br />BUILDING PERMIT APPLICATION <br />No. (attach copy of long legal description) <br />Phone/E-mail <br />City/State/Zip <br />Contractor�S A92flt _ TBftBfll (must provide a letter of consent from the owner to do work in the space) <br />L&ILic.# <br />Phone/Email <br />-- --- - -- - --- �.�-G <br />Phone/E-mail L�. 624. L11� <br />CONTRACT PRICE OF WORK <br />Existing Use of Building �y <br />Proposed Use of Building Q Gas <br />Building type: _ Single Family _ Duplex _Townhouse _ Muiti-Family �Commercial <br />Type of project: New Addition 1�Remodel Repair _ T.I. _ Sign Sprinkler _DE <br />DESCRIPTION qF WOR (additional sp ce provided n the back) : �. YG ��G A <br />2, Ruw� / Rep►a.ce 2n� Flaer wir�o,,� �,,;��i no�,� �br�rorr� w�naou� 3. RcrodF � <br />y. (149�1� �t% SGlf�lil�C s�pp�� 5► �ar�ejPc�c� Is+�l�r w�c� <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#J of fixtures <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas ranae <br />aust <br />nit heater <br />Ketngeration <br />Woodstove <br />Ducting <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />� Number of Heads <br />COE Bus. Lic. # <br />e�n <br />ma.r�G� sms�e�npr.c'. <br />HEAT SOURCE: <br />Electric Other <br />olition Change of Use <br />' S u�(p wi EIFS GI il� <br />� b�� �`ro �' P�� . <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#J of fixtures <br />� Toilet <br />! Bathtub <br />Lavatory (wash basin <br />Shower <br />Kitchen sink & dispo� <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/mo{ <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />1 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 rype of work will be complied <br />with whether specifed 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 />Thal I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />�r <br />� � ��� � y <br />O er/ uthorized A e Da e (Revised 6/2012) <br />