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, <br />RMIT 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 />ADDRESS: <br />/�C;1 Z 7� <br />- S �, <br />PROPERTY TAX # <br />� <br />4L for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />IER �L(T_� ( �� �� Phone/E-mail � — 3���-•�y.� % <br />�ss /�>C=�� Z 7''=� y4cJ� 5 c City/State/Zip � lJz.72�� C�•�- `� � ZC�, <br />_ICANT: _ Owner _ Owner's Agent �Contractor _ ContractoPS A92fll _ T@Il21lt (must provide a letter of consent from the owner to do work in the space) <br />TRACTOR � �E: �/� � LI CJt�2 State Lic. #� t-L.��: w cs �c y CzC��ty B�S. ���. � 500.�: <br />Phone/Email <br />1 CrvHrv I 6UJIrvGJ� rvH C I:VN IAI; I hVK YtKMI I <br />�)L� _ � � . _�,`�� .� . � � li l-� <br />�-� ; �c Z� - i'y/ - •z� �- 7 <br />'� — c, v � Lt� 5 L-LC_. Phone/E-mail _ j v i.��l cZl j-1-G� <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF Wt�RK <br />U LL t,b12 <br />�L3 (..Unc..�� �=r4-TC�� i %:. <br />Existing Use of Building l��=S� Dt�l T(✓'-�L HEAT SOURCE: <br />ProposedUseofBuilding_�'1(�iZ.��t(�c /�(�1�lTIc�/`l Gas Eiectric <br />Building type: � Singie Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New � Addition Remodel Repair _ T.I. _ Sign _Sprinkler _Demolition Char <br />DESCRIPTION OF WORK (additional space provided on the back) : \ <br />��i��! S l l�- �.� � Z' C) �yG C.�yL t'Z t'-F-G2i�-CZ� �/a-�T✓�--l�t� � <br />�7 rti.( (� ,S ` G r c��f � SP��� � c� t�( <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 />j Range hood <br />I Exhaustfan <br />I Heat pump <br />Unit heater <br />Boiler <br />i Ducting <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />i Number of Heads <br />� �,2�%-�`Z� r2 c <br />Other <br />of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />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 />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby ceAify 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 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 b owner of this property to perform the work for which application is made and I comply with the State Contractors Law 1827 RCW and 296.200A WAC. <br />% Z /( / � J � <br />OwnedAuthorize ent Signature Date (Revised 9/2014) <br />