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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: PROPERTY TAX# <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER 4 <br /> 1 Phone/E-mail 'Z,LS :45 <br /> AddressD// %,_ '�;-_� City/State/Zip <br /> APPLICANT: 1,--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 L& I Lic.# COE Bus. Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> LSI AIJP C��<1 1�GcJ <br /> Phone/E-mai ev,: <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK t/ <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building /tri r�L]l ✓" -/f% - !fw �'jl ,ter Sy y�G rU' Gas_ Electric_—Other_ <br /> Building type: Single Family _Duplex_Townhouse _Multi-Family _Commercial _ <br /> Type of project: New --Addition Remodel Repair_T.I._Sign_SprinklerDemolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Add, _Alteration_Repair Type of Project: _New Addn _Alteration_Repair <br /> Show Number(#)of fi res Show Number(#)of fixtures <br /> A/C-ajt ndling units Toili <br /> Fod air systems Bathtub <br /> Gas piping Lavatory(wa h basin) <br /> j Water heater { Shower <br /> Gas fireplace Kitchen siZ&disposal <br /> Gas range Dishwas er <br /> % Clothes dryer Cloth washer <br /> Range hood Wa r heater <br /> Exhaust fan`\ S' k(service/bar/mop/etc.) <br /> Heat pump ackflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigerafion Floor drain <br /> Woodstove Grease trap <br /> )Dlucting Roof drains <br /> Other Medical Gas <br /> SPRINKLER /SUPPRESSION SYSTEM i Other: <br /> Number of Heads 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(teor <br /> verning this type of work will be complied: <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 st local law regulating construction <br /> That 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 />