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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 wvwv.everetiwa.org <br />SITE ADDRESS: PROPERTY TAX # PERMIT #, <br />�%'�� y G� � NQ A�� i�.1 I� C <br />LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />OWNER Phone/E-mail <br />PLICANT: _ Owner _ Owner's Agent �Contractor <br />RACTOR �/-'v �,='� <br />ress / �j�./ � �Q "i N <br />a <br />BUILDING PERMIT APPLICATION <br />City/State/Zip <br />Contractor�S Ag211Y _ T0f18f1t (must provide a letter of consent from the owner to do work in the <br />State Lic. # "y/�ij' ' � City Bus. Lic. # D/ <br />2,5'3 f�: � - 7d � Z <br />— � � • ` Phone/Email _ � <br />CONTACT FOR PERMIT �j�qy,,,c CU.CN��� L <br />2S�-g%'Z- �.:ry'z <br />Phone/E-mail N" J ^ y <br />CONTRACT PRICE OF WORK �. G� �G' _ l��-� <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building Gas Electric_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family � Commercial <br />Type of project: New Addition l� Remodel Repair _ T.I. _ Sign _Sprinkler Demolition Char <br />DESCRIPTION OF WORK additional space provided on the back : � � <br />� � � ��' ,�eF�C2G��fl�Zo�. ��sE6 <br />/ O C0.2�,�� �'"51/v� l.� �vl !� CG'..✓,/.�ci✓y�} � E C�'✓N� C i% <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fiztures <br />A/C – air handling units <br />Forced air s stems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas ran e <br />Clothes dryer <br />Range hood <br />� Exhaustfan <br />Unit heater <br />Boiler <br />tterri eration <br />Woodstove <br />� Ducting <br />—� Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />Other <br />U <br />PLUMBING PERMIT APPLICATION <br />of Project: _New_Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />Lavatory (wash basin <br />Shower <br />Kitchen sink & dispos <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/moK <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other. C��,,�,�j�,v: <br />Other: <br />I hereby cerlify that I have read and examined this application and know lhe same to be true and correct. All provisions of laws and ordinances goveming lhis lype of work will be compl <br />with whether specified herein or nol. The granting of a permit does not presume to give authority lo violate or cancel the provision o( any other state or local law regulating construction <br />T am uthoriz by the owner of this property to perform the work forwhich application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />% � - ?, - J ;_ - � '6L <br />�� - <br />er/Authorized Agent Signature Date (Revised 9/2014) <br />