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Feb. 12. 2014 12:48PM EVERGREEN STATE BEAT & AC No.0022 P. 1 <br />• <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-267-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />SITE ADDRESS: PROPERTY TAX p PERMIT d <br />�7LL+ 6(= A� bt2tVC Yn I Ll ZU35 <br />LEGAL for new construction: Shon Plat/subdlvhlon Lol No._ (ailach copy of long legal dosenplion) <br />OWNER Wt i,,jl 1 Phonee/E•mall <br />Address /) Vt 1 f\ J/U LAP— CllylSlale2tp <br />CONTRACT OR eta —" 1 L & 1 Llc. fi ON 556:;?-? "- <br />Address ZIZD ��t lii PhonetEmad //� <br />TENANT USINESS NAME CONTACT FOR <br />i <br />Phcoo/E-mail --i <br />BUILDING PERMIT APPLICATION ICONTRACTPRICEOF WORK—,., 7 . <br />Eldsling Use of Building HEAT SOURCE: <br />Proposed Use of Building Gas EledAc Olher_ <br />Buildinglype: _SingleFamily _1%iplex_Townhous0 _,Mulll•Ft illy _Commercial <br />Typo of project; _New —Addition _Remodel _ Repair _ T.I. _Sign -_ Apdnkier_Demoiilton_Change of Use <br />Description of Work (additional space provided on the back): <br />Have you started working without a permit? _YES IND <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Pro)eel; _Now_Addn _ 11orallon Ropalr Typo of Project: _New_Addn _Alteration _Repair <br />Show Numberp olrlxturoe Show Number(#) or rrxrurea <br />A/C— airhandlin units Toilet <br />Forced airs stems Bathtub <br />Gas piping Lavatory wash basln <br />Water heater Shower <br />Gas fireplace Kitchen sink & dls osat <br />Ges range Dishwasher <br />Clothes dryer Clothes washer <br />Ran a hoad Water healer <br />Exhaust fan Sink sorvice/bar/m /etc. <br />Hoot um Backfiow preventer <br />Unit healer Urinal <br />Boller Dlinkln Founlain <br />Refrl ereliorl Floor draln <br />Woodstove Grease free <br />Dueling Roof drains <br />Other Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM Other: <br />Number of Heeds Other: <br />I hereby certify that I have toed and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing <br />this type of Mork will be compiled wdlh whether specified herein or not. The granting of a permit does net presume to give authority to violate or cancel <br />the provioIon I any other slate I law regulaling construction or the Performance arconslruclion. That l am authorized by the owner of [his property <br />to pedor I o work for Oil 1 appse Ion to made and I comply wlih the Stale Contractors Law 19.27 RCW and 296.20D WAC <br />OwnerlAulhorizedAgentSlgnetura Dat _ (Revised2/20fi) ' <br />