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� <br />PERMIT <br />APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 /C'edar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 �nnNw.everettwa.org <br />//� �� l_/1 I(N Y VJ� r <br />TAX # <br />IT # <br />for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />ER <br />Phone/E-mail <br />City/State/Zip <br />f <br />PLICANT: _ Owner _ Owner's Agent X Contractor _ Contractor�S A9Bn� _ Tef18f1� (must provide a letter of consent from �he owner to do work in the space) <br />�NTRa,croR WOLFE FIRE PROTECTION state �ic. # WOLFEFP906DD �itv Bus. �ic. #�5i� ��_q <br />17321 TYE ST SE, SUITE B, MONROE, WA 98272 �Pno�e/Ernai� 360-794-7926 <br />HERALD BLDG 2 STORY TI <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building <br />4Z5-22O-%75S/ ALEXB@WOLFEFIREPROTECTION.COM <br />'hone/E-mail <br />PRice oF woRKT&M NOTTO EXCEED $35 <br />Propased Use of Building � <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition Remodel _ Repair _ T.I. _ Sign _Sprinkle <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />MECHANICAL PERMIT APPLICATION <br />Type of ProJect: _New XAddn _Altera[lon _Repair <br />Show Number (#) of fixtures <br />( A/C — air handling units <br />I Forced air systems <br />Gas i in <br />Water heater <br />f Gas fireplace <br />Gas ran e <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />� rtetngerauon <br /># Woodstove <br />Ducting <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />72 Number of Heads <br />HEAT SOURCE: <br />> Electric Other <br />Demolition Chanqe of Use <br />PLUMBING PERMIT APPLICATION <br />Type of ProJect: _New_Addn _Alteration_Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />Shower <br />Kitchen sink & disp <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/m <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 />eb <br />I hereby certify that I have read and examined lhis application and know the same to be true and correct. All provisions of laws and ordinances governing this type ot work will be comp <br />wi�h whether specifed herein or not, he granting o( a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br />Tha I a autho � � e o of t is property to perform the work for which application is made and I comply with Ihe State Contractors Law 18.27 RCW and 296200A W�C. <br />� � \ <br />�'`' > 7/27/2015 <br />Ow ! oriz � igna ure Date (Revised =t/2015) <br />�(� <br />