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• <br />i <br />PERMIT APPLICA►TION <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: PROPERTY TAX tt P�MIT # <br />�? C>"L� ��= li.-1�1 I N Cz 1 c -- --- __. <br />LEGAL for new construction: Short PlaUsubdivision <br />OWNER L, R-��i �f; -�,� (��l-D <br />Address �j C; �-4� �, v I Lr� \ ��� (� 1 O 1J <br />APPLICANT: _ Owner _ Owner's Agent _ Contracto <br />CONTRACTOR � i L i F� Nl l �G:l N� <br />Address ��-� � ��1 �[ j�(� �Tj'..��1 <br />Lot No. (attach copy of long legal description) <br />Phone/E-mail <br />City/state/zip C�( �'�L � l <br />r_ Contractor�S A9Bflt _ T@f18f1i (musl provide a leqer of consenl from the owner to do work in the space) <br />j'Y�ci/i L& I Lic. # L. I H ��--L '�`��j7n COE Bus. Lic. # <br />$� i � 7 Phone/Email <br />� �%� 1. �-C hJ � 1�. L, L l � C �v Phone/E-mail <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK i4 12t: ``�' <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building 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 />� <br />1����1c�� �.��c:�„1r� ��e,�ivy�i��� �vc�1� �--{-� � � �- <br />_ � � �. t. � ��""-�- C� C. t� <br />� <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />� A/C - air handling units <br />Forced air systems <br />� Gas piping <br />; Water heater <br />� Gas fireplace <br />� Gas range <br />� Clothes dryer <br />� Rangehood <br />� Exhaust fan <br />� Heat pump <br />� Unit heater <br />Boiler <br />� Refrigeration <br />� Woodstove <br />� Ducting <br />I Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />pe of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />� Shower <br />� Kitchen sink & disposal <br />� Dishwasher <br />j Clothes washer <br />� 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 />� Medical Gas <br />jOther: <br />i Other: <br />I hereby certify that I have read and examined this application and know the same to be true and correU. 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 stale or local law regulating construction <br />That I am authcXizgql by the o�vner of this property to peRorm the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />� <br />f2- <br />