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RMIT APPLICATIO <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 />TE ADDRESS: � s�� � �c.i��`f�'�>r�L �� I :�� '%S % �iG��lv ��"% �� I ��i9 � �il r �'�I <br />:GAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />NNER `- yn �jl 1 Lt ��, �E� i� Phone/E-mail �vZJ�-,�`,2. �' y�j'� �/N� y�C�L y�( X� <br />dress J� %(��-'- �f..�.��`7C�G>..//1�7�% �C� City/State/Zip JAUd?G/irl �S � l/1�� G%�C���%G� <br />� Owner _ Owner's Agent <br />RACTOR �� PU <br />Contractor _ Contractor�5 AgQflt _ T@I12f1Y (must provide a letter of consent from ihe owner to do work in the space) <br />BUILDING PERMIT APPLICATION <br />State Lic. # <br />Bus. Lic. # <br />IPhone/Email <br />DNTACT FOR PERMIT <br />C y��-h ��z (�:�,�/x��� 1' <br />�one/E-mail � a�- 3 3 7� y�yJf <br />PRICE OF WORK �'i �,'_- <br />Existing Use of Building � r � ��` S HEAT SOURCE: <br />Proposed Use of Building 5� i iYi�C� �i M i �/ Gas Electric <br />Building type: � Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New _ Addition X Remodel Repair _ T.I. _ Sign _Sprinkler _Demolition Chan <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />5' i1 c� c� fi` n'�C K� I►15 �� l C� t,u �'1 ��,J , n�'�l�u-3 5�.2 ia ��-�' <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handiing units <br />Forced air systems <br />Gas piping <br />V Water heater <br />Gas range <br />Clothes dry� <br />Range hooc <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Woodstove <br />Ducting <br />Other <br />SPRINKLER 1 SUPPRESSION SYSTEM <br />Number of Heads <br />Other <br />of Use <br />PLUMBING PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink 8� disposal <br />Dishwasher <br />Clothes washer <br />Water heater <br />' Sink (servicelbar/mop/etc.) <br />Backflow preventer <br />Urinal <br />' Drinking Fountain <br />' Floor drain <br />Grease trap <br />Roof drains <br />' Medical Gas <br />' Other: <br />I hereby ceRrfy 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 comp! <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�rra autho�ed by the owner of thi�s property to perform the work for which application is made and I comply v✓ith the State Contractors Law 18.27 RCW and 296200A WAC. <br />f ` f `l� <br />���� ' /� %-/�� <br />Owner/Autho z Agent Signature Date (Revised 9/2014) <br />