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• <br />• <br />PERMIT APPLICi4TION <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: <br />1J17 tn�f% <br />LEGAL for new construction: Short PlaUsubdivisio <br />OWNER <br />PERTY TAX ii <br />PERMIT # <br />i% i �>% , � <br />No. (attach copy of long legal description) <br />Phone/E-mail <br />City/State/Zip <br />APPLICANT: _ Owner _ Owner's Agent Contractor _ Contractor�S A92lll _ T2f18f1t (must provide a letter of consent from the owner lo do work in the space) <br />CONTRACTOR State Lic. # City Bus. Lic. # <br />1 /,./ � �fZS GS� -OSOO <br />Address O 5�,.,J 3'�%�"Y� ,s-(' $�wi'f'�i (' (i✓fr Phone/Email <br />TENANT BUSINESS NAME CONTACT FOR PER <br />�i`�odd , 5rn;�G a� Nat'b�. Go.�? �� GS,G - psoo <br />Phone/E-mail <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building <br />CONTRACT PRICE OF WQRK <br />Proposed Use of B ilding c7G[✓►7G' <br />Building type: �Single Family _ Duplex _Townho_u/se _ Multi-Family <br />Type of project� New Addition Remodel 1� Repair T.I. _ Sig <br />DESCRIPTION OF WORK (additiona/ space provided on the back) : ����� <br />h'IG►�6r�W�s do�,/n Tq S-�'��5� Sea; � S�Ok� <br />(�p � µ'"� b 1.� Inp �� S-hrv�c-i-v►t2 •�2 � r► S,� 1 a� <br />u.rMa KSS .�•�+ 1�iG $ �. �i'G'r► <br />ME ANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />� A/C — air handling units <br />I Forced air systems <br />; Gas piping <br />j Water heater <br />Gas fireplace <br />vas range <br />Clothes drye <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />� Woodstove <br />Ducting <br />( Other <br />NKLER / SUPPRESSION S <br />Number of Heads <br />HEAT SOU <br />Electric 7t Other <br />_ Commercial <br />n _Sprinkler _Demolition_Change of Use <br />A u �y�� J� �hd �; r�c, ti'�, <br />�d µc/s� eeYO°d• P�2w;1-e`� <br />� R,��. Pep�,r <br />4�. ra� �h� r S-h,� � <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Bathtub <br />Lavatory (wash basin <br />Shower <br />Kitchen sink & dispos <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/moF <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certify that I have read and examined lhis 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 s ified 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 orized by the o ner of this prop o pertor e work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />� �v � <br />Own Aut orized Agent Signature D te (Revised 3/2013) <br />