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� � <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 />SITE ADDRESS: 6232 Berkshire Dr. Everett, WA 98203 <br />LEGAL for new construction: Short PlaUsubdivi <br />OWNER ANITA WELLS <br />6232 Berkshire Dr. <br />TAX tt <br />No <br />(attach copy of long legal description) <br />Phone/E-mai I 3603483224 <br />City/State/Zip Everett, WA 98203 <br />APPUCANT: _ Owner _ Owner's Agent X Contractor _ Contractor�S AgBflt _ T@f18�Y (must provide a letter of consent from the owner to tlo work �� me SPace� <br />CONTRACTOR Sound Mind LLC <br />address 11742 15th Ave NE, Seattle WA 98125 <br />TENANT BUSINESS NAME <br />BUILDING PERMIT APPLICATION <br />state �ic. # soundmc887rd City Bus. �ic. �'endi <br />Phone/Email 206.306.9397/BrianL(c�soundmind. <br />)R PERMIT <br />Phone/E-mail <br />CONTRACT PRICE OF WORK <br />Existing Use of Building � <br />Proposed Use of Building <br />Building type: �� Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition Remodel _ Repair _ T.I. _ Sign _Sprinkler <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />MECHANICAL PERMIT APPLICATION <br />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 />Gas range <br />Clothes dryer <br />Range hood <br />i Exhaustfan <br />I Heat pump <br />; Unit heater <br />1 Boiler <br />Woodstove <br />Ductinq <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />HEAT SOURCE: <br />Other <br />molition Chanqe of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration X Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />x <br />Lavatory (wash basi <br />Shower <br />Kitchen sink & dispc <br />Dishwasher <br />Clothes washer <br />Water heater <br />Backflow preventer (inside bldg) <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: Repipe missing supply lines <br />Other: Supply line and crawl space lines <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 goveming this type of work will be comp� <br />with whether specifed herein or not. The granting of a permit does not presume to give aulhonty to violate or cancel the provision of any other state or local law regulating construction <br />That I am authonzed by the owner of this propeRy to perform the work for which application is made and I comply with the State Coniractors Law 1827 RCW and 296200A WAC <br />--�— 7ulv 16, 2015 <br />Owner/Authorized Agent Signature Date (Revised 4/2015) <br />