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PERMIT 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 />� �'� ►3c� o . - o Z-5 <br />E ADDRESS: PROPERTY TAX # PERMIT # <br />�m� PiR.osodvAy AvE _ EvE�e.ETt WA 9B2.m1 �� s t.r� -- � Z-u, <br />�AL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />'NER �C,pL QEVEI.OPMENT' Phone/E-mail 42g, c,22.59�t3 <br />ress t2m$ '�'Ety<'�1 SS'. Su ►TE 2m1 City/State/Zip S►1oNoM1b� W A 9 829 m <br />�LICANT: _ Owner _ Owner's Agent ✓ Contractor _ Contractor�S A98f1t _ T@fl8fll (must prowde a letter of consent from the owner to do work in the space) <br />�ONTRACTOR SJ 5 M� GHANt Gl�1� SE�RV �c.ES State Lic. # SJSM6M59S1 K 1... City Bus. Lic. # 4 S 1� <br />address 3311 3R� Av6 S. SN�'Cf ttDm, SEATT��, WA 98� Phone/Email 2m(�. "Tt�3.(D334 <br />TENANT BUSINESS NAME CONTACT FOR PERMIT <br />�ND(2.EW MAR� ANO <br />KO Z��/E'(t��'�(' (�pN�N1WN�Z'� G01r1.1GC;6 PhonelE-mail Zm(o. Zlo�j, $ 4-• <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $ a�3, (v1 m. mm <br />Existing Use of Building � <br />Proposed Use of Building Stµc�6NT Kowi�ab foa tyg�x�tt cp�.s. C,c�►.. <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family ✓ Commercial <br />Type of project: ✓ New Addition Remodel Repair _ T.I. _ Sign _Sprinkle <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />S 3tbR�f , 12(D ��T v.ldop FtLAM6D St"wp�aN'C �-4uv�S4N(� ?Ro�EC.�S'. <br />38, c,52. sF c,i,K.oss �v���c.�ac,� kR.�A <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 />Clothes drye <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Woodstove <br />Ducting <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />HEAT SOURCE: <br />✓ Electric <br />of Use <br />PLUMBING PERMIT APPLICATION <br />ofProject: ✓New_Addn _Alteration_Repair <br />Show Number (#) of fixtures <br />yZ,m Toilet <br />(n Bathtub <br />Lavatory (wash basin <br />Shower <br />Kitchen sink & dispo� <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 />Grease trap <br />Medical Gas <br />l Other: ExPANS�oN '(�ANK. <br />Z Other: R.E-�•�RG �atM(�, BDOSC� <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 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 am authorized by the owner of this property to perform lhe work for which application is made and I comply with the State Contracrors Law 18.27 RCW and 296.200A WAC. <br />�-� ' <br />1 <br />. /m/L��L(�1rJ � %i <br />Owner/Aut orized Agent Signature Date (Revised 9/2014) <br />