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��-�� �'� ' <br />ERMIT APPLICATIO � ;��,� S i �;� � <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />ClTY �F EVERETT PERMlT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ITE ADDRESS: <br />NE VIEW DR. <br />TAX ii <br />PERM(T # <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of lo�g legal description) <br />EVERETT HOSPITALITY <br />PhonelE-mail <br />City/State/Zip <br />4CTOR Shoreline Si n& Awnin L& I Lic. # SHORESA981 JW CO : <br />12101 Huckleberry Ln, Arlington WA 98223 phoneiEmaii 206-498-5327 - kylene@shorelinesign.com <br />GONTAGT FOR PERMIT Kylene Knapp <br />Phone/E-mail 206-498-5327 - kylene@shorelinesign.com <br />BUILDIN6 PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Existing Use of Building _�{�TEL <br />Use of Buildi <br />11,000.00 <br />HEAT SOURCE: <br />Other <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family � Commercial <br />Type of project: _ New _ Addition _ Remodel _ Repair _ T.I. � Sign _Sprinkler _Demolition_Change of Use <br />Description of Wot'k (additional space provided on the back) : <br />Have you started working without a permit? _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handlina units <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 />Woodstove <br />Other <br />SPRINKLER / SUPPRESSlON SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixfures <br />Toilet <br />Bathtub <br />Lavatorv (wash basinl <br />Kitchen sink & <br />Clothes washer <br />Backflow prevent� <br />Urinal <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 application and know the same to be true and correct. All provisions of laws and ordinances governing <br />this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel <br />the provision o any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property <br />to per(orm ti(e ork for which appl' tion is made d I comply wit the Stat Con�rs Law 18.27 RCW and 296.200 WAC <br />�� /�l // l� � l���l/��--� � �� /5 �j� <br />Agent Signature I � ' / Date (Revised 2/2011) <br />-1 � <br />