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• <br /> • <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS:n q PROPERTYobi/ <br /> 3-/4,7 90 2/00 )105- 005 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER nq‘fff Ll119et/CQ far,,iersMarket-LP Phone/E-mail (4/25) - (Jy -/000 <br /> Address Po J. o x /?2-1 / City/State/Zip fL/,' e / 4/4 9 gz O <br /> APPLICANT: <Owner _Owner's Agent <br /> _Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR /-f4 Ido (0 77 S / L LG L& I Lic.''# Ali%7 o�L� ?/j Q GEOE Bus. Lic. # <br /> ! <br /> Address / l'36-1,( /32 6/ 9x-_71,-) tL" <br /> efe ft iy/� Q� Phone/Email f yz 5) 2D 0 - o 3 b / <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Rap,04e Coo p�- <br /> Phone/E-mail C16 d) 722 — 6 9 2-- <br /> BUILDING <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building rat i 1\1 1t Gas Electric Other <br /> Building 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 /> eano o �C�Z� I) Jv <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 Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer j Clothes washer <br /> Range hood I Water heater <br /> Exhaust fan I Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other j Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads j 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 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 am a rized 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 /> tel( <br /> Owne/Authorized gent Signature Date (Revised 6/2012) <br />