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' *RMIT 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: IL(ZD '154A S4-. 5W <br />PROPERTY TAX # <br />P RMIT # ` <br />1 <br />Evert 4- <br />G'.'-21-. & <br />LEGAL for new construction: Short Plat/subdivision <br />Lot No. (attach copy of long legal description) <br />OWNER FL0 Vf- CC,- o✓-A- op`, <br />Phone/E-mail Kz 5 —CoW— 2-391 <br />Address &q Zo SeGI ,v,-t , B L UL) <br />City/State/Zip <br />APPLICANT: Owner Owner's Agent X Contractor Contractor's Agent Tenant (must provide a letter of consent from the owner to do work In the space) <br />CONTRACTOR T'S F t4eCGot J <br />L & I Lic. # 09CVZCOE Bus. Lic. # 05007 0 <br />Address q3 Z Z Lf +- �. S PGL'�/`e- <br />Phone/Email ZD & — FZ (.p — 35; 7 ip <br />TENANT BUSINESS NAME <br />CONTACT FOR PE MIT / / _ / yy,l,arSl,�n,�h® <br />l M C7�i YS�1 �,Gt / � Ps n.PA co <br />Phone/E-mail 2-o&—gZ(p�3''rr�j%(O <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK 1 4 , 6et.. <br />Existing Use of Building <br />HEAT SOURCE: <br />Proposed Use of Building <br />- <br />Gas--X—Electric_ Other <br />Building type: _ Single Family _ Duplex _Townhouse _ <br />Multi -Family X Commercial <br />Type of project: New Addition Remodel Repair <br />_ T.I. Sign _Sprinkler _Demolition_Change of Use <br />DESCRIPTION OF WORK (additional space provided o the back): <br />' I <br />�eplA6'e �xI --1*) A()->� 0,p <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Type of Project: New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Show Number (#) of fixtures <br />A/C - air handling units <br />Toilet <br />Forced air systems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink & disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink (service/bar/mop/etc.) <br />Heat pump <br />Backflow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />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 authorized 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 />2 <br />Owner/Authorized Agent Signature Date (Revised 612012) <br />