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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.ev re twa.4fg <br />LIC/ATIONS ARE ACCEPTED FROM 8 AM TO 4 PM SS <br />APP <br />SITE ADDRESS: PROPERTY TAXX PERMRM _O�1 <br />l 1J-1 <br />1 2 E ESE ALL- IL Slo ZYoS IfruoYu (AM <br />LEGAL for new construction: Short Plal/subdivision Lot No._ (attach copy of long legal description) <br />OWNER STE F & 01 P <br />PhonelE-mail �q ) IS2' DtoD <br />Address 17100 voi N 5!^{TLSDU <br />City/State/Zip Tyco Z IZ <br />APPLICANT: —Omer _Owners Agent Contractor _Contractors Agent _Tenant hnustmWde aiecer of WSW*=the ovmer to dow in the spa") <br />CONTRACTOR FlLti E It ZN <br />L & I Lic. # <br />COE Bus. Lic. # 3 <br />1E <br />Address 9e3o /(% �l iVj Phonemail ZS `n3 <br />TENANT BUSINESS NAME CONTACT FOR PERMIT F1ZS)%3- 9ay X IZ.AS- <br />MI"ACL ATW(NO <br />UTA E✓EtZtT >ti14✓-L <br />PhonelE-mail l2 E T d I <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK.3S Z31(.00 <br />HEAT SOURCE: <br />Existing Use of Building <br />Proposed Use of Building Gas_ Elecldc_ Other_ <br />Building type: Family _ Duplex —Townhouse _Multi -Family X Commercial <br />_Single <br />Type of project: _ New Addition _ Remodel Repair X T.I. _ Sign _Sprinkler __Demolition_Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back): /) Ra0�0 L'A{f Fail <br />61n1f-►�Of.�T E74S7,1I'>T✓b �I)NEW iZopFTnO InN srr W/�tCT a /r4a . <br />�.A"G <br />F,7T 4-r— D/LyirL 0E-X)% <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typoof Project: _Now_Addn _.Alteration —Repair <br />Typeof Projoct: _Now_Addn —Alteration _Repair <br />Show Number p of fixtures <br />Show Number tt of fixtures <br />/ I <br />AIC- airhandlin units <br />Toilet <br />Forced air systems <br />Bathtub <br />Lavatory (wash basin) <br />Gas piping <br />Shower <br />Water healer <br />Kitchen sink & disposal <br />Gas fireplace <br />Dishwasher <br />Gas range <br />I <br />Clothes washer <br />Clothes dryer <br />Water healer <br />Range hood <br />Sink (servicelbarlmo /etc.) <br />Exhaust fan <br />Backflow preventer <br />Heat pump <br />Urinal <br />Unit heater <br />Drinking Fountain <br />Boller <br />drainFIoor <br />Refrigeration <br />Greaseea <br />I Grease <br />r <br />Woodslove <br />Roof drains <br />Ducting <br />Other F VW Ih) <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />I hereby ceniy Thal I have read and examined this application and know the some to be true and correct. AN provisions of laws and ordinances governing this type of work "I be compiled <br />with whether specified herein or not, The granting of a permit does not presume to give aulhordy to violate a cancel the provision of any other stale 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 Lew 1827 RCW and 296 200A WAC. <br />DWnerlAuthorize gent Signature Date (Revised N2012) <br />