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PE�I�IT �OPPLIC�4TION <br />BUILDIIVG/MECHANICAL/PLUM�ING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMI�" SERVICES ����;�-���`_ <br />3200 Cedar St., Everett, WA 98201 425-257-8810 F,qX 425-257-8857 www.everettwa.org <br />SITE ADDRES�• <br />7,Zs ��'��iGl 5� ��j _ ,(�"' <br />LEGAL for new construction: Short PlaUsubdivision <br />�NER ���'�'t�- T �QL�J//�� �L�i <br />ress � ��/�o f �J-�� � <br />PROPERTY TAX # PERMIT <br />��� �/-�� � �a i � � �� j �s � /Ul l � l l — �< <br />Lot No. (attach copy of long legal description) <br />Phone/E-mail ��� ��j �_. �z '� � <br />City/State/Zip ����� ` ���, �j��` �� �� <br />LICANT: L� Otimer _ Owner's Agent _ Contractor _ Contractor's Agent _ Tenant (must Prov�de a iener otconsent4om we ow,er to do work �� tre space; <br />TRACTOR E' �� ( State Lic. # City Bus. Lic. � <br />ddress <br />ENANT BUSINESS NAh9E <br />/ /���`��`���il,� <br />BUILDIIdG PERMIT APPlICATION <br />Existing Use of Building �, <br />Phone/Email <br />'ACT FOR PERMIT���� ���� <br />E-mail ��S . SDd'�: � �� �� �"��.%��C`" ��Of7� <br />� <br />NTRACT PRICE OF WORK c%�. ��m <br />Proposed Use of Building � <br />Building type: V Single Family _ Duplex_Townhouse _ Multi-Family _ Commercial <br />Type of project: _ New _ Addition _ Remodel V Repair _ T.I. _ Sign _Sprinkle <br />DESCRIPTION OF WORK (additional space providec'on the back): <br />C, <���/�� �' <'1/1'! ��/c- �����/�-- � <br />MECHANICAL PERMIT APPLICATlON <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />� A/C - air handlin units <br />Forced air systems <br />� Gas piping <br />� Water heater <br />� Gas fireplace <br />� Gas ran e <br />Clothes d er <br />� Ran e hood <br />Exhaust fan <br />� Heat pump <br />Unit heater <br />3oiler <br />Refrigeration <br />� Woodstove <br />Ductin <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />HEAT SGURCE: <br />Electric �Other <br />�molition_Change of Use <br />Pl.UMBING PERMET APPLtCAT10N <br />Type of Project: _New_Addn _Alteration _Repair <br />Show Number (#) of fixfures <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />`Z Water heater <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />— I Medical Gas <br />IOther: <br />Other: <br />I hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming ihis type of work wili be compl <br />with whether specified herein or noL 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 I a on by t wner of this property to perForm the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296.200A WAC. <br />, �j� . � _�� <br />Uwner/Auth z Agent Signature Date (Revised 9/2014) <br />