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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/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 />/- 7-13 <br />SITE DRESS: <br />PROPERTY TAX it <br />P MITd <br />- <br />LEGAL for new construction: Short Plattsubdivision Lot No._ (allach copy of long legal description) <br />OWNER <br />Phone/E-mail <br />Address t <br />Cily/State/Zip Q <br />APPLICANT: —Owner ZOwnefs Agent Contractor _Contractor's Agent Tenant (Must pmrdo a lener of consent from the owner to do won, in the space) <br />CONTRACTOR O t,,n^,to o/d S <br />Slate Lic. # eC f City Bus. Lic. # <br />t <br />Address17 (� l Y( re /121Lea, <br />Q l ', <br />Phone/Email <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />r r <br />PhoncIE-mail, e �' x <br />BUIL ING PERMIT APPLICATION <br />CONTRACT PRICE OF' <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building Gas_ Electric_ _ Other_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi -Family LZ Commercial <br />Tvpe of project: _ New _ Addition _ Remodel _ Repair _- T.I. _ Sign _Sprinkler _Demolilion_Change of Use <br />DESCRIPTION OF WORK(adcfaronalspacoprovidedo theback): <br />y <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typo of Project: Now _Addn _Alteration _Repair <br />Show Number (N) of fixtures <br />Typ of Project: _Now _Addn _Alteration Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />II Toilet <br />I Forced air systems <br />Bathtub <br />Gas piping <br />I Lavatory (wa basin) <br />ter <br />Wahealer <br />I Shower <br />Gas fireplace <br />Kitchen k & d"Mol <br />Gas range <br />Dishw her <br />Clothes dryer <br />Clo es washer <br />Range hood <br />ter healer <br />Exhaust fan <br />ink (service/bar/mop/etc.) <br />Heat pump <br />I Backgow prevenler <br />Unit heater <br />Vrinal <br />Boller <br />Anking Fountain <br />Refrigeration <br />141 <br />I Flokr drain <br />Woodslove <br />I <br />Grea to Irap <br />Ducting <br />I <br />Roof ains <br />Other_ <br />I <br />Medica Gas <br />PRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />I <br />Olher. <br />I hereby toothily that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work wll be complied <br />vain whether specified hernia or nor. The granting of a petard does nor presume le give au:horily to violate or cancel the provision of any other state of local lawregulaling construction <br />That I am nulhorized by the owner of this property to perform the work for which appliwllon Is Made and I comply wnh the Slate Contractors Law 1827 RCW and 296 200A WAC. 1I <br />