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. <br />' � � � � i�l `�J `V� 1 LJ� t �- <br />W�(� �-� � <br />PE MIT 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 />ITE <br />for new Construction: Short Pla'Jsubdivision <br />n P�g O�PERTY TAX # PE N T# <br />i� c, t�C �/ 1�0�(I.�'� I DD I 00 � "� r Z" <br />Lot No. (attach copy of long lega! description i <br />l 1 �_ <br />�L ,� � � a.1�i �� . ' '1' - ��T111'ai1CJ�'l��l�i.�i:rt�i `•:��a�r. <br />. • � � � - • ., �'!� � . •. � � ►� <br />♦ ._. �I <br />• � ••- • • • • ''" <br />RACTOR <br />� <br />BUILDING �ERMIT APPUCATION <br />State Lic # ttp [.jF} Wl 5 <br />q� J(�Phone�Email %�� <br />� <br />C�QNTAn i e,r-OR PERM�,„ <br />i �,.,� � <br />��c� � • � <br />PhonelE-mail (►nnn, � h <br />COfVTRACT PRICE OF WORK <br />Existing Use of Building � <br />Proposed Use of Building � <br />Buiiding iype: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />T e of ro ect: New Addition Remodel Re air T.i. Si n S rinkier <br />DESCRIPTION OF WORK (additrona� space provided on the back) : �' <br />C,>� �' a-aS$CX.JC,.lG�.d/ <br />�'� <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repalr <br />Show Number (#) of fixiures <br />A!C — air handiing units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />� Exhaust fan <br />Heat pump <br />Unit heater <br />Hetr�gerauon <br />Woodstove <br />Ductinq <br />G � DCity Bus. Lic #�( )� (� <br />7�� ��� <br />ZOb ZS� �-fS'S� _ � _ <br />aTK <br />.1„!Y�?� <br />HEAT SOURCE: <br />Eiectric Otrer _ <br />emolition Chan e of Use <br />�.� rw.,."� ��1� <br />?�..�-� .. � <br />PLUMBING PERMIT APPLICA'fiON <br />oject: _New _Addn _Alteration _Repair <br />Show Number (#} of fixtures <br />Toilet <br />Bath?ub <br />Lavato (wash basin <br />hower <br />en sink & disposal <br />Dish her <br />Clothes her <br />Water heat <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM Other: � <br />Number of Heads Other: <br />m <br />I h.ereby ce:trfy that 1 have read and exarnined th��s application and know the same ro be true and correct All previsions of laws ar.d ordinances goveminc� this type of work vall he cc:r�;. <br />with ��.�hether speci`ed herein or not Tne granting ef a penml does no; przsume to ive authority !o violate or cancet !ne provis�on of any otner state or local law regulating const!ua o <br />al in authoriz y ie o ner of this pr y to perform the :�ork for rich anp .ation is made and I cempry v�ith the State Contractors Law 1827 RCW and 296200A NlAC <br />O o e A nt gnature te jRevised 9/2014) <br />( �� <br />