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wRERMIT APPLICATION <br />'BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 <br />nr rr Arrn <br />425-257-8810 FAX 425-257-8857 <br />e oo Arraoran FRnM a AM TO 4 PM <br />www.everettwa.org <br />_ - <br />SITE ADORE <br />PROPERTYTAX# PCII(X _ <br />__ �C'"STA <br />�, 1 <br />LEGAL for new construction: Short PlaYsubdivision <br />Lot No._ <br />(attach copy of long legal description) <br />1i <br />L(ZT (� ��6 FzX r 3 <br />OWNER \y 0) <br />PhonelE-mail <br />Address U 3c) WA- <br />citylstate/Zip <br />Jr 31-O 3 <br />APPLICANT: —Owner Owner's Agent XConlraclof Contractors Agent _Tenant(musiptoddeeleeerofwmwt(mnmeawnertadoworkinmespamI <br />CONTRACTOR �A- PY U Lt_ = Cd NS <br />L & I Lic. # <br />Bus. Lic. III <br />Address r <br />ooCOE <br />Phnne/Small 9(O 3 o 7 22i'l <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />MkKC <br />Phone/E-mail <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK 7OJ <br />a <br />Existing Use of Building <br />HEAT SOURCE: <br />Proposed Use of Building <br />Gas Electric Other_ <br />Building type: _ Single Family Duplex _Townhouse _ <br />Multi -Family _Commercial <br />Type of project: New Addition _ Remodel — Repair <br />T.I. Sign <br />Sprinkler Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back) <br />: <br />,Lj;�2o'(,-- <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New_Addn _Alteration_Repair <br />- <br />pe of Project: _New _Addn _Alteration_Repair <br />Show Number(if) of fixtures <br />Show Number (#) of fixtures <br />9 <br />C A/C - air handling units <br />Ilk <br />Toilet <br />fe <br />Forced air systems <br />Bathtub <br />k <br />Gas pipingii <br />I Lavato (wash basin) <br />Water heater <br />I Shower <br />It <br />I Gas fireplace <br />Ia.. Kitchen sink 8 disposal <br />IM <br />Gas range <br />- W Dishwasher <br />R <br />Clothes dryer <br />411� Clothes washer <br />Range hood <br />iW Water heater <br />Exhaust fan <br />rIAL Sink (service/bar/mop/etc.) <br />Heat pump <br />Backflow preventer <br />Unit heater <br />Urinal <br />Boiler <br />}S' <br />Drinkin Fountain <br />rRefrigeration <br />Floor drain <br />Woodslove <br />�' <br />Grease trap <br />aa�.Ducting <br />Roof drains <br />Medical Gas <br />'Other <br />[i SPRINKLER <br />I SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />MOP <br />I hereby certify that I have read and examined this application and know the same to be [me and correct. AN provisions of laws and ordinances governing this type of work will be compked <br />with whether specified herein or not. The granting of a permit does not presume to give authority to violate or wnoel 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 Contradora Law 16.27 RCW and 296.200A WAC. <br />xo...a...d cnmm <br />