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( <br /> P�RMIT APPLICATION 7-b�--l� <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/D�Mt�LI"tION <br /> CITY OF EVERETT PERMIT SERVICES �� p 7 `G/ 3 <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857—www•everemNa.org <br /> APPLICATIONS ARE AGCEPTED FROM 8 AM TO 4 PM �� I O � OC�3 <br /> SITEADDRESS: vnovEniY7AXp 0O468F)ZZZOZSOO PE�MITII <br /> 1118 Hoyt Ave o� ' <br /> LEGAL for new constr�ction: Short PlaVsubdivision Lot Na._ (atlach wpy of long legal descriplion) <br /> owNeR Brett & Elisabeth Lee Pno�e�e-mai� 206-979-3475/ b12B_95@yahoO.Com <br /> Address 1118 Hoyt Ave ciry�state2ip EvefCit, WA 98201 � <br /> t;GNTRAGTOR Ow�e�perfOfnl2d wOfk L&I Lic.# <br /> Add,es51118 Hoyt Ave - Everett, WA 98201 Pnone�emai� 206-979-3475 I blee_95@yahoo.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> N/A Brelt Lee 206•97934751 blee_95@yahoo.com <br /> PhonelE-mail <br /> BU!LDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exist�ng Use of Building Detached Garege HEAT SOURCE: <br /> Proposed Use of Building Detached Garage Gas_ Eiectric_ Other_ <br /> Building type: Q✓ Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type ot projecl: Q✓ New _Addition _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DescriptionofWork(addifionalspaceprovidedontheback/: nJeW (Jg(aCh2d g8f0g2 t0 b2 COIIStNCtBd t0 <br /> replace old detached garage. <br /> Have you staAed working wilhout a permit7 _YES X NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProJect: _Nnw_Addn _Alteratlon_Rapalr Type oi ProJect: _New_Addn _Alteretlon_Repalr <br /> Show Number(#)ol lixtures Show Number(N/ol lixtures <br /> A/C—air handlin units 'foilet <br /> Forcedairs slems Bathtub <br /> Gas pipin Lavato (wash basin) <br /> Wa�er heater Shower <br /> Gas fireplace Kitchen sink 8 disposal <br /> Gas ran e Dishwzsher <br /> Cblhes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust(an Sink(service/bar/mop/elc.) <br /> Heal pump BackFlow preventer <br /> Unil heater - Urinal <br /> Boiler Drinkin Fountain <br /> Refri eration Floordrain <br /> Woodstove Grease trap <br /> Duclin Roof drains <br /> Other Medical Gas <br /> SPRINIQLER 1 SUPPRESSION SYSTEM Other: <br /> Number of Heads Olher: <br /> I hereby certiy Nal I have read antl eaamined this application and know�he same lo be�me and correcL All provisions of lavrs and ordinances goveming <br /> Ihis lype f work will be complietl with whelher specified herein or noL The 9renting of a pertnit does not presume to give authonry to violale or cancel <br /> Ihe prov`� ny other state or local law regulating construction or the peAortnance of conswclion.That I am aulhoriced by Ihe owner of Ihis propetly <br /> lo pedor e ork or which appliwtion is made and I comply vnth the Stale Contractors Law 1827 RCW and 296200 WAC <br /> ��� 651NIt <br /> OwnorlAutho ' ndAgentSignaturo Dale (Revised7R0U) <br /> � IZ <br /> � <br />