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��,� � �r� <br />� C�N�Sor-�"n �� <br />��1�� _�p-9 � <br />r <br />, <br />��! ����� 2�'�'� `�� PERMIT APPLICATION <br />✓ <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: PROPERTY TAX # PFRMIT i1 , <br />1418 MaAle St, Everett WA 98201 00438728002500 R� �,5(�S ���)�- <br />for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />Nick Pavach <br />1418 Maple St, Everett WA 98201 ICity/State/Zip <br />nickpavach@foxinternet.com <br />PLICANT: _ Owner X OwnePs Agent _ Contractor _ Contractor�S A9Bflt _ T2f18f1t (must provide a letter of conseM from the ovmer to do work in the space) <br />NTRACTOR <br />BUILDING PERMIT APPLICATION <br />Lic. # <br />Phone/Email <br />PRICE OF WO <br />Existing Use of Building gFR <br />Proposed Use of Building SFR � <br />Building type: x Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition _ Remodel X Repair _ T.I. _ Sign _Sprinkler _ <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />Replace stair to code; replace existing roof frame <br />same pitch <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />Forced air svstems <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 />Boiler <br />Refrigeration <br />Woodstove <br />� Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />Bus. Lic. # <br />HEAT SOURCE: <br />Electric Other <br />Demolition Change of Use <br />(water damage) at <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Kitchen sink & c <br />Dishwasher <br />Clothes washer <br />Water heater <br />Backflow preventer (inside <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certify that I have read and examined this applicatlon 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 specfied 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 />Thal I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />"�r ,�i <br />�' •� -_ <br />/� . /C �� <br />Signature Date (Revised 4/2015) <br />