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PERMIT 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 /> SITE ADDRESS: S PROPERTY TAX# PERMIT# f L <br /> ' 7< 9' Sf cv ,j t303—��-1 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER .\/1i/S3 ?roper-03 Lt-- Phone/E-mail t10c 70 <br /> Address , PLy SL1�j City/State/Zip 51/0L /A 981040 <br /> APPLICANT:_Owner _Owner's Agent _Contractor _Contractor's Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR 30\flek6),, fitAu,s dr,ipecbe3 J�� L& I Lic.# I �AJ J1 QJ( L COE Bus. Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMITr <br /> Cct, e_ 6 '} �w e Phone/E-mail " -tf /N 9_V‘v 7o <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORT ,;1CI,OD <br /> Existing Use of Building LL(tic we��f, c. �C 1l`f HEAT SOURCE: <br /> Proposed Use of Building Gas _ Electric_ Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family X.Commercial <br /> Type of project: New Addition Remodel _Repair XT.I. Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): /� <br /> .4177.6..0,✓� Ct c cel fi �kt�✓�x n� corren4 M e zzco ii ie tit' l`o i 645 bin$ v /►lC✓P <br /> Pl' k,#- over exisfr' 'lure 19ccc I, Ir"tQs <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> ( A/C—air handling units j Toilet <br /> Forced air systems Bathtub <br /> Gas piping I Lavatory(wash basin) <br /> Water heater j Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range I Dishwasher <br /> Clothes dryer j Clothes washer <br /> Range hood Water heater <br /> Exhaust fan i Sink(service/bar/mop/etc.) <br /> Heat pump I Backflow preventer <br /> Unit heater Urinal <br /> Boiler I Drinking Fountain <br /> Refrigeration ( Floor drain <br /> Woodstove I Grease trap <br /> Ducting I Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads 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 this type of work will be complied_' <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 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 /> wner/Autkrtirized Agent Signature Date (Revised 3/2013) <br />