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PERMIT APPLICATI�N <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 +25-257-8810 FAX 425-257-8857 www.everettwa.org <br /> ApPLICATI0N5 A�2E ACCEPTED PROM 8 AM TO 4 PM �o� �'`�—! � <br /> SITE ADDRESS: ��,�� Wr{ PftOPERN TAX H P RMIT# O <br /> /OG� SC tv�7'¢h�r+'Jttl/G✓AY! 98ao6 02- lZ <br /> LEGAL fer new conslruction: Shorl Plat/subdivision Lot No._ (altach copy of long legal description) <br /> OW NER Phone/E-mail <br /> Address Ci�y/SfatelZip <br /> APPLICANT:_Owner Owner'sAgent ContractorxConlrac�or'sAgent _ Tenant(mos�c�or�ao�i�nero�mns��uro�mu+ooH��ri>oowox�i�aspaw) <br /> CONTRACTOR /TO Y Y IU/YI�71 IhL� L&I Lic.# �00,3"'I.?�'"3�S^ COE Bus. Lic.# IQo v �I <br /> p 1 �f, �� .Z33-&93-o(il.Z <br /> Address ����0 �9��� .Sr' � C7✓u'hkiYN W/� �d/ Phone/Emai; SdOihlnRoc?�rQHotmp�� •CerN <br /> TENANT BUSINESS NAME ��'r CONTACT FOR PERMIT ,TApi��IQ, ROc.Y��'" <br /> 7 �,sa-a93 -oe+2 <br /> C�1lobal l.3usir�-�ss 5olu�'i�n5 PhonelE-mail �c.cliv�2Y�roek�(J 1-mai •C.o+v� <br /> SUILDING PERMIT APPLICATION CON7RACT PRICE oF woRK�,�� •�'' <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Eiectric_ Other_ <br /> Building type: _Single Family _,Duplex_Townhouse _Multi-Family �Commercial <br /> Type of pro'ect: New Addilion _Remodel _Repair T.I._Sign_5 rinkler_Demolilion_Change of Use <br /> DESCRIPTION OF WORK(addifional spacepmvided on the back): <br /> p�oo�i1� I S�:�k � 1 O�S�wusher� 1 -=CE tw�\can,� � ' DY1 fk.v�vwd 1�'Fwwkr'Ti�wilC�urtd.uLCa r� <br /> MECHANICAL PERMIT APPLICATIOtd PLUMBING PERMIT APPlICA710N <br /> Typo of ProJeet: _New_Addn _Altoration_Repair Typo of ProJect: _Nuw_Addn _Alleration_,Ropair <br /> Show Number pl)o�/ixfures Show Namber(M)ol fixtures <br /> A/C—air handiing units Toilet <br /> Forced air systems Bathtub <br /> Gas pipin Lavatory(wash basin) <br /> Waler healer Shower <br /> Gas fireplace •S��w Kitchen sink&disposal <br /> Gas range �_D..a• Dishwasher <br /> Clothes dryer Clolhes washer <br /> Ranqe hood I-��^'°�'d Water heater <br /> Exhaust fan Sink(servicelhadmop/elc.) <br /> Heat pump � Back(low preventer <br /> Unit hea�er Uriral <br /> Boiier I Drinking Fountain <br /> Refriyeration F!oor drain <br /> Woodstove Grease lrap <br /> Ducting Roof drains <br /> Olher Medical Gas <br /> � SPRINKLER I SUPPRESSION SYSTEM l • L�G i Other: T� Y��1(1�/-' <br /> ,` <br /> Number of Heads � Other: ' <br /> I I•,e�eby certAy Ihat I have read antl eaamined lhis application antl kno�,v Ihe same�o be irue end wrretl.All pmvisions o1 laws antl ortliranc^s goveming Ihis type ot work wdl be mmplletl <br /> sah•.nhelher specifieE herein or noL T�e g ranling uf a permit tloes not Fresuma lo give aut�ori�y to vioiate or<anrel the previsicn o f any mher stale or Iccal law requlating con<.tmn�on <br /> Th�i I am autM1od2ed by Ihe awnef ol�his property to peAortn the waB fo�w�lch epplicatlan is made ani I cerrply�s1�:he Stale Co.T.ractors L a'�v 18 27 RO!'and 2Pfi POOA VJAC. <br /> ��_:�—�- ��as�a°�3 <br /> - La�c :r,,:,,uea E�zo,:i <br /> OwnodAuthorizod r�gont Signaturo <br />