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r. <br />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 />ITEADDRESS: PROPERTYTAX# pF nn�T« <br />300� �r/�ST �'.�}S��O.�o�lJ � � � � � - ��� <br />EGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />WNER������� L�!//?9�r,�Gi4!_ Phone/E-mail <br />�j lil��s/ C�.SIh�i� ���,�J ICity/State/ZiP r�/�"'�t- / � � L'tL1"✓ ✓(/ �OJ <br />Owner _ Owner's Agent Jl COn(l�GfOf _ COf1If8C�Of�S A9@fli _ TBf78�( (must provide a letter of consent from the owner to do work in the space) <br />7 __+' <br />NTRACTOR �f,�/S 7` f�/4�Il�G " <br />res�%,[� � 'S'���G7r /�G✓ %�l/�G <br />130��..�(, �0 -S? Ch�l�.E�2 <br />8!ilGQ J�C 6 <br />BUILDING PERMIT APPLICATION <br />State Lic. # GrHR���'[0 '�L[-� Cit� u-8 s_ Lic. #�J�Z�Z+ <br />'iT//�`�%��Q,% Phone/Email Z53�3S-33 � �a <br />CONTACT FOR PERMIT �J3��jZ���3� <br />�BYP�-J�t-�-��_S' <br />Phone/E-mail�%�/�1�/��.5 �Y7y �CO <br />CONTRACT PRICE OF WORK 20D�OOO <br />Existing Use of Building �'�f`f HEAT SOURCE: <br />Proposed Use of Building G���''—iJ�- ����,��� Gas� Electric� other <br />Building type: Single Family _ Duplex _Townhouse _ Multi-Family �Commercial <br />Type of project: �New Addition Remodel Repair T.I. Si n Sprinkler Demolition Chanqe of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />GriE .�.�'.� 7�,c' �vAG —l�� c U�`-r, 2�K �'d,z d w�GL �3c' ��rrs" r.q1�.i�.-G <br />Dt/LTwo�K �SsrrU���Ow�7.y 3 �Gus, � .�.s�u � � E'� ��T <br />�,�-�.S . � w��c. fit.So ���ir�Tyl..u� cx���Lav�.c,�f <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIO <br />Type of Project: �New _Addn _Alteration _Repair <br />Show Number # of fixtures <br />A/C — air handlin units G <br />Forced air s stems <br />Gas i in <br />Water heater <br />Gas fire lace <br />Gas ran e <br />Clothes dr er <br />Ran e hood <br />Exhaust fan <br />Unit heater <br />Boiler <br />Refrigeratic <br />Woodstove <br />Ductinq S <br />PPI <br />-E <br />er of <br />EM <br />New Addn Alteration <br />Show Num6er (#) of fixfures <br />Toilet <br />Bathtub <br />Lavatorv (wash b sin <br />Shower <br />itchen si & d <br />Di was er <br />er <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <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 compi <br />with whether specified herein or not. The nting 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 au ized by the owner f�roperty to rform the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296200A WAC. <br />.'��LC�- � /Z-� �5� <br />O Authorized Ag t Signatu ate (Revised 9/2014) <br />����p..Q.�v6� �o�--�Z3-Z.zs O `�C2� <br />