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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: <br />/ /� vr' 'r-V <br />PROPERTY TAN II <br />ao 8/ 6W36ov <br />ERMI S <br />LEGAL for new construclion: Short Plat/subdivision Lot No. (attach copy Of long legal description) <br />OWNER /G 1415 10 RO <br />Phone/E-mail y2T.2S`1 /57L pieGkaAdroibynga ms-M.co <br />Address <br />City/State/Zip U fi'G 44 <br />APPLICANT:yowner Owner's gent Contractor's Agent _Tenant (musipmddeawoerofrensentoohnosoentttow we* 0the space) <br />-Contractor <br />CONTRACTOR Ga'fp� r �bl.5i YGrc7 /d <br />SIla/te LL.ic. # City Bus. Lic. # <br />ir"rc �L <br />Address ��� /COGKe7Ce. 1- /+ue- `—ILhlC f AA Phone/Email 'ylS �38 70�6 k� ® GQY c <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT ®y� .{�� Z12 5- <br />�/c A �GS 0 /C O r <br />PhonelE-mail 2 /5 17 <br />BUILDING PERMIT APPLICATION <br />ICONTRACT PRICE OF WORK ) <br />Existing Use of Building__ <br />HEAT SOURCE: <br />/ <br />Proposed Use of Building \ 7 YA aI e- Gas_v Electric_ Other_ <br />Building type. _ Single Family _Duplex _Tmvnhouse _ Mulli-Family Commercial Garbs to J <br />Type of project. New —Addition _ Remodel _ Repair T.I. _Sign _Sprinkler _Oemollion_Change of Use <br />DESCRIPTION OFWORK (additional space prowdedonthe back) : l <br />0Lkx1r� Jew­-g//e 22- X2f/ IvtGI(Adl q paok aJ VNIUIKIWAS Well <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number(M) of fixtures <br />Typo of Project_New_Addn _Alteration _Repair <br />Show Numberf71) of fixtures <br />A/c— airhandlingunits <br />- <br />I Toilet <br />I Forced air systems <br />Bathtub <br />Gas piping <br />Water heater <br />I Lavatory (wash basin) <br />Shower <br />Gas fire lace <br />Kitchen sink & disposal <br />Gas range <br />Dishwasher <br />I Clothes dryer <br />I Clothes washer <br />Range hood <br />I <br />Water heater <br />Sink (service/barlmop/etc) <br />Backflow preventer <br />I Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Exhaust fan <br />Heat pump <br />Boiler <br />Refrigeration <br />Woodstove <br />Ducting <br />Roof drains <br />Othe <br />7Medical <br />Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />I hereby cendy mat I have read and examined this application and know the same to be true and correct. All provisions 0laws and ordinances governing this type ofwork wl be complied <br />with whether speeRed herein or not. The granting of a permit does not presume to give aulhonly to violato or cancel the p:ovislc n of any other slate or )out law regulating construclbn <br />That I am authorised by the owner of this property to pednrm the "rk for which application Is nalie and I comply with the Slate Contractors Law 1827 RCW and 296.200A WAC. I h <br />