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9ERMIT APPLICATI09 <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 wvnv.everettwa.org <br />SITE ADDRESS: PROPLR11Y TAX a PPPMrT+ <br />- � Eden r w� �; PI5O5 -o 10 <br />LEGAL for new construction. Short PPllailsubdwlsion_ Lot No#�— (attach copy of long legal description) <br />OWNER C-il, 1 t?k /- Az� <br />Phone/E-mail <br />Ajowcs Q SF C' (,� 47 / I/v <br />.may `� <br />CnylState/zip�/e-rr ' k7r"-� <br />APPLICANT: _Owner O:vners Anent— Contractor's Agent _Tenant must ao:,aealenerctcansen:wneerrienr eu»s�r-:--I <br />// //Contractor <br />CONTRACTOR Jr_ r' eaS rn(,4Lit.K pkryi�;nl <br />State UcCLKH City Bus Li4. I rya' <br />•,;, �.;.; <br />C( <br />Phone/[mail S /V <br />S(t `w,- <br />CONTACT FOR PERMIT <br />PhonelE-mad 361 b� <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK _� 3CX�• QL� __ <br />Existing Use of Budding Lot jiln=i /='�L HEAT SOURCE: <br />Proposed Use of Building Gas_-. - Electric_ _ Other-__ <br />Building type. _ Single Family _ Duplex _Townhouse _ Multi -Family &Commercial <br />Type of project _ New _ Addition Remodel _ Repair I. _. Sign _Spnnkfer _Demolition_Change of Use <br />DESCRIPTION OF WORK (additional space providedon the back): <br />71^6 '�'Jry/t~roO $JTIO.s <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _ _New _Addn _Alteration _Repair <br />Show Number(#) of fixtures <br />Type of Project: _New _Addn _Alteration __Repair <br />Show Number(#) of fixtures <br />A/C — air handling units <br />Toilet <br />Forced airs stems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />Gas range <br />Dishwasher <br />Clothes d er <br />Clothes washer <br />i <br />Range hood <br />Water heater <br />Exhaust fan <br />Sihk (servicelbar/mop/etc. <br />Heat pump <br />Backllow preventer (inside bldg) <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floordrain _ <br />Woodstove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other S%tAr GO tGtro/ <br />Number of Heads <br />Other. <br />I hereby certify that I have read and examined this application and know the some to be true and comes. All provisions of laws and ordinances governing this type of work will to complied <br />wth whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any other slate or local law regulating construction <br />That I,a�f ulhonzed by the o er of this property o perform the work for which application is made and I comply with the State CorJadors Low 19.27 RCW and 296.200A WAC <br />// �1� l��,� <br />Owner/Aujiforized Agent Signature Uulc (Revised 42015) <br />