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PERMIT APPLICATION <br />BUILD ING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITi ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, llVA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />/ -7—J 3 <br />SITE. i,DDIRESS� — e� �, ���� <br />PROPERTY TAX <br />PP <br />IIT.Rj_o�_ <br />LEGAL for new construction: Short Platisubdivision _Lot No._ (allach copy of long legal descripuitri)) <br />OWNER <br />Phone/E-mail <br />Address r,t,� y, <br />I / <br />Cily/State/Zip tv q. Q <br />APPLICANT: —Owner Owner's Agent VContractor _Contractor's Agent —Tenant must pmNce a inner at wnsemfrom No owner to do won, lima spaw) <br />CONTRACTOR,TO �1n 9/ S <br />t <br />State Lic. N e [ City Bus. Lic. # <br />Address 17O ft,113 i2lAug, <br />(,1. lr <br />Phone/Email G L <br />TENANT BUSINESS NAME <br />1 v V- <br />CONTACT FOR PERMIT <br />r t <br />Phone/E-mail, e (' ( , <br />BUIL ING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />Existing Use of Building HEAT SOURCE: <br />Pruposed Use of Building Gas_ Electric__ Other_ <br />Building type: _ Single Family _ Duplex. _Townhouse ! Multi -Family fLCommercial <br />Type of project: New _Addition _ Remodel _Repair_ T.I. _Sign _Sprinkler _Demolition_Change of Use <br />DESCRIPTION OF WO K(add( of space provided on the back): <br />00 <br />f - / . -71 <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number(N) of fixtures <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />T— A)C - air handling units <br />I _ Toilet <br />I Forced air systems <br />Bathtub <br />Gas piping <br />I Lavatory (wash basin) <br />Water healer <br />( Shower <br />Gas rireplace <br />Kitchen sink & disposal <br />Gas range <br />Dishwasher <br />( Clothes dryer <br />Clothes washer <br />I Range hood <br />Water healer <br />Exhaust fan <br />I Sink (service/bar/mop/etc.) <br />Heat pump <br />Backllow prevenler <br />( <br />Unit heater <br />Urinal <br />I <br />Boiler <br />Drinking Fountain <br />( <br />Refrigeration <br />Floor drain <br />Woodstove <br />I <br />Grease trap <br />Ducting <br />I <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />I hereby coldly that I have read and examined this application and know the same to be lme and correct. Pit provisions of laws and ordinances governing this type of work will be complied <br />with whether specified herein or not. The standing of a parmi does not presume to give authority to violate or cancel the provision of any other slate or local law regulating constmgion <br />That I am authorized by Iho owner of this property to per/orm the work for which application Is made and I comply with the State Conlradors Law 18 27 RCW and 290200A WAC. <br />