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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRIN K,LER/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 />rE-TED <br />FROM a eM Tn <br />d PM / / — /,-a , <br />_ <br />AYYLH.Ar <br />_ <br />SITE ADDRESS: PROPER TA%# P RMIT Ii <br />t4o2 SE cvts� 1- �1w, WC,2��sra�oyo�e� z � -OOZ <br />LEGAL for new construction'. Shod PlaVsubdivision Lot No._ (attach copy of long legal descripticn) <br />OWNERS _eue'�' I S(�T Eve`'^ ' C' Phone/E-mail 491'- G23 -�d <br />Address (i3 1,00 VAM 1 u(A '��'� r Sit e 5CX) City1Slate/Zip (-Ity 1 N �14- 9 261 ;2� <br />APPLICANT:_ Owner _Owner's Agent X- Contractor1_ Contractors Agent _Tenant t--etoe�,M amreo crosemnwnmoovner to do xO,k �mmesnacd <br />CONTRACTOR <br />pf� -es St • k� R J- +'." L & I Lic. # <br />�CD E -LiSrTO Q COE Bus. Lic# <br />AddressE%t'-I l� � SOl1T�'L� '��8z�� Phone/Ematl3&,y2I(-(3�s bill`}. u_L��& <br />TENANT BUSINESS NAM 1CON�GTI IOfj P ERMIT 36UULL r <br />L Yt Phone/6mail �r�I tA`Y-"� -C'V <br />BUILDING PERMIT APPLICATI ON CONTRACT PRICE OF WORK Iatcioo r <br />HEAT SOURCE: <br />Existing Use of Building <br />Proposed Use of Building Gas_. Electric_ Other_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi -Family Commercial <br />Type of project: ew _ Addition _ Remodel _ Repair _ T.I. _Sign- Sprinkler Demolition Change of Use <br />DESCRIPTION OF WORK (additional space providedonthe back) : ��J-t.v�- L.J' /i Strav� <br />`MII5�r 54fe�Fo-,-T O.-Lkk 51Otis <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />rotect: _New_Addn _Alteration _Repair <br />Typo of Project: _New _Addn _.Alteration _Repair Typo of P <br />Show Number (#) of fixtures Show Number (#10l fixtures <br />A/C- air handling units Toilet <br />Forced airs stems I Balmub <br />Gas piping Lavatory (wash basin) <br />Water heater VOther: <br />er <br />Gas (replace en sink 8 disposalGas range asherCothes dryer es washerRange hood r heaterExhaust fan (service/bar/moptetc.)Heal pump flow clevererUnit healer lBoiler ing FountainRefrigeration r drainWoodslovese trapDueling f drainsOtherical GasSPRINKLER / SUPPRESSION SYSTEM r:NumberofHeads r: <br />I hereby cendy that I have read and examined this applx.Wn and know the same la be We end correct. All provisions of laws and ordinances goveming this type of woik w O be compM1ed <br />w.th wiener specified herein of not. The rimming of a permit does not presume to give authority to violate or cancel the Provisbn of any other state or local law regulating Construction <br />Thal I am authorized by the owner of this preperty to perform the wcA for miich apphcadon is made and I comptywth the State contractors Law 16.27 RCW and 296.200A WAC. <br />OwnerlAulhorized Agent SI alure Date <br />-OIA A <br />(Revised 612012) 1( <br />IL <br />I hereby cendy that I have read and examined this applx.Wn and know the same la be We end correct. All provisions of laws and ordinances goveming this type of woik w O be compM1ed <br />w.th wiener specified herein of not. The rimming of a permit does not presume to give authority to violate or cancel the Provisbn of any other state or local law regulating Construction <br />Thal I am authorized by the owner of this preperty to perform the wcA for miich apphcadon is made and I comptywth the State contractors Law 16.27 RCW and 296.200A WAC. <br />OwnerlAulhorized Agent SI alure Date <br />-OIA A <br />(Revised 612012) 1( <br />IL <br />