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0 <br />• <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: ,� j' �`�� C' ( _ / <br />J <br />PROPERTY TAX # <br />PF_RMIT # <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />OWNER v <br />Phone/E-mail <br />Address <br />City/State/Zip <br />APPLICANT: 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 �� '� <br />State Lic. # City Bus. Lic. # <br />Address <br />Phone/Email <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />Phone/E-mail <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building �7( Gas Electric_ Other_ <br />Building type: � Single Family _ Duplex _Townhouse _ Multi -Family _ Commercial <br />Type of project New _ Additior,_X_ Remodel _ Repair _ T.I. Sign _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the b ck): <br />j I� <br />IM v e l-o✓' ) tt <br />qdd <br />MECHANICAL PERMIT APPLICA N 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 I 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 i Clothes washer <br />Range hood Water heater <br />Exhaust fan Sink (service/bar/mop/etc.) <br />Heat pump Backflow preventer <br />Unit heater Urinal <br />Boiler j Drinking Fountain <br />Refrigeration Floor drain <br />Woodstove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />I <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />I <br />Other: <br />I nereby 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 authorized by e owner of this property tprpNform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />Owner/Au orized A ent Signature Dat (Revised 312013) <br />