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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNlSPRINKLER/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 />TAX p <br />-�I� <br /># <br />for new construcHon: Short Platlsubdivisfon Lot No. (atlach copy of long legal description) <br />_ Owner _ Owners Agent <br />BUILDING PERMIT APPLICATION <br />0 <br />' �, 15. -'`i . J�O � l� <br />_ Contf2Ctor5 Agent _ Ten8n1 (must provitle e lattar ol cansent hom the owner Io do wwk in the spece) <br />I State Lic. #[��,�.� �Q�-� IG�I City Bus. Lic. #(� of $ d � <br />ACT FOR <br />PRICE OF WORK <br />Existing Use of Building c�r" \�—� � <br />Proposed Use of Buildin <br />Building type: _ ingle Family _ Duplex _Townhouse _ Mutti-F mily _ Commerclal <br />Tvoe of oroiect: New Addition Remodel Reoair T.I. Sictn Sprinkle <br />DE CRI TION OF WORK (additio pace provided on the back) : <br />�. �.�i ct c.e.. C� � s �� r r�.a �,c.._. <br />MECHANICAL PERM <br />of ProJect: _New _Addn � <br />Show Number # of 11� <br />AIC — air ha <br />Forced air s <br />Gas i fn <br />Water heate <br />Gas fire lac <br />Gas ran e <br />Clothes d i <br />Ran e hooc <br />Exhaust fan <br />CATION <br />_Repeir <br />/ SUPPRESSION SYSTEM <br />Number of Heads <br />� .a � g . -�.� od <br />m� t �� <br />PLUMBING PERMIT APPLICATION <br />of Projeet: _Naw _Addn _Alteration _Repair <br />Show Number f#) 01 /►xtures <br />Bathtub <br />Sink <br />Medical Gas <br />Other: <br />Other: <br />I hereby certify that 1 heve read and examined lhis applieation and knaw lha sema to be true artd eortecl. All provisions o1 Isws and ordinenees goveming this rypa of work wdl be comp <br />' whether specified harein or not. The granting o( a permit does nol presume to gh/a suthorfty to vlolate or cancel lha p�ovlsion of eny olher state or local lew ragulall�g conslruction <br />Tha I am authorized by the awn r of this propeAy ta per(orm Ihe work lor ich ap icatbn is made end I comply wilh lhe Stale ConVaclors Law 18.27 RCW and 296.200A WAC. <br />nerlAuthor sed Agerrt Signature <br />� a� � (Revrsed 9/2014) <br />