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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 />Aoot ICATInuc ARP ACCEPTED FROM 8 AM TO 4 PM 1/ `' / 5 —/ Z— <br />S <br />.... �. _.. <br />TE ADDRESS: <br />`ybZ <br />PROPERTY TA%# <br />PERMIT <br />�/lJ <br />S@ Cl/F nnhLi WtE , 11 <br />z tsc a c <br />LEGAL for new construction: Short Plattsubdivision Lot No._ (attach copy of long legal description) <br />OWNER STEAbP11S— u41. P/Lu F E <br />Phone/E-mail <br />Address N0b 000 14J4AvMi­" SW Ee— OD <br />City/Slate/Zip D—VIML 617- <br />APPLICANT:_Owner _Owner'sAgent Contractor _ Contractor's Agent _�nTenant (must provide a letter ofeansentfrmn me oxnerlo do vmde mthe Spare) <br />CONTRACTOR �^ - -1 l ' <br />L & I Lic. # Irll= '—Wh yp-3QW<1c COE Bus. Lic. # I 36 <br />A �'- nn^^--T <br />Address �tzo IJ�� 1VF i11�''ovV{) �� D]'Z Phone/Email ZS p&3477 <br />TENANT BUSINESS NAME <br />CONTACT FQqR PERMIT <br />Tl'I I CI+AEI- ATWCuD <br />2 <br />Phone/E-mai 2C 3^r12Z4 X 171oS' n TTWa7D AIEr1f AfECNA01 rC 4L-S(o <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK f-LJj N9y-NVi9al4177P! W,Pr,a(, <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building Gas_ Eleclric_ Other_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi -Family --A- Commercial <br />T peofproject: _-Remodel Repair -)LT.I._Sign. —Sprinkler _Derrolilion_ Change of Use <br />_New _Addition <br />DESCRIPTION OF WORK (additional space provided on the back): SrithaLL (1)tiVW 0o4ti7Y 14CNT <br />1'40, i>trCrL4�uc F}N /�CLkhB/Nla �v127.L. <br />Same P16thS a5 M 12 <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typo of Project: _Now _Addn _Alteration _Repair <br />Typo of Project: _Now _Addn _Alteration _Repair <br />Show Number (#) of Iixfures <br />Show Number (#) of fixtures <br />III A/C-airhandling urnts <br />I <br />Toilet <br />Forced air systems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />Water healer <br />Shower <br />Gas fireplace <br />Kitchen sink & disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />I. <br />Water heater <br />Exhaust fan <br />1 <br />Sink (service/barlmop/etc.) <br />') <br />Heat pump <br />Backilow preventer <br />Unit heater <br />Urinal <br />Boiler <br />I <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other: ENr <br />Number of Heads <br />I <br />Other: L • I <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 slate 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 16.27 RCW and 296.200A WAC. <br />I/ <br />(Revised 62012) <br />