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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 />PROPERTY TAX If PERMIT*, <br />SITE ADDRESS: • 's <br />z-7o2 4DYT h co93411aL3o-LBoo <br />LEGAL for new construction Shen PlaVsubdivision Lot No._ (attach r 7y of long legal descbpbon) <br />honelEmad V50K6ket e.dd'nAr+L&A• 01/ <br />OWNER(' ( OFTggq A--v- AUL%TIElcity/Statelzip <br />Address 3101 LG01+tL STQTFET 2f1 r wTt w f9 Q26 <br />APPLICANT: _owner 14 Owne-sAgent _Contractor —Contractor's Agent _ Tenant (muapmwda rener armmem rmm fie mvmno ea wow , mo,p,:e1 <br />t� 1 �•- L State Lic. M city Bus. Lica if oo <br />CONTRACTOR <br />PhonerEmed <br />ddress <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT 1 <br />{lUgBN SAh) i f'7, 2S�- �85 V <br />I <br />LI [O}a <br />Phone/E-mad �('ifaysclke2 °ee`t'�e,1,"RLJel , 0✓ <br />BUILDING PERMIT APPLICATION <br />CONTRA CT PRICE OF WORK ES 26 oO° 2 <br />Existing Use of Building HEATSOURCE <br />Gas Electric _ Other__ <br />Proposed Use of Building <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi -Family _ Commercial <br />Change of Use <br />Type of project _ New _ Audition _ Remodel Repair T.I. Sin Sprinkler _Demolition <br />DESCRIPTION OF WORK (additional spaceprovidedonrheback): A Ir�Tb2tpL T-�h/ IrjS TALL IlJ6W 1A* F <br />hnE <br />PIoSE� ks To Aanw sI LfLTE� aide <br />n+E.+.On�+r�F aJE2Exts'TI�� yAoF• <br />PLUMBING PERMIT APPLICATION <br />MECHANICAL PERMIT APPLICATION <br />Typo or Projece _Addn _Alteration _Repair <br />Typo of Project: _Now _Addn _Alteration _Repair <br />_New <br />Show Number(p) of fixtures <br />Show NumberW of fixtures <br />A/C - air handling units <br />Toilet <br />Forced airs stems <br />Bathtub <br />Lavatory (wash basin) <br />Gas piping <br />Shower <br />Water heater <br />Kitchen sink & disposal <br />Gas fireplace <br />Dishwasher <br />Gas range <br />Clothes washer <br />Clothes d er <br />j Water heater <br />Ran a hood <br />Sink servicelbar/mop/etc ) <br />Exhaust Ian <br />I Bacli revenler <br />Heat Dump <br />Urinal <br />Unit heater <br />Drinking FauntaFountainBoiler <br />I <br />Floor drain <br />I <br />Refri eralion <br />Grease trap <br />Woodstove <br />Roof drains <br />Utiving <br />Medcal Gas <br />Other <br />SPRINKLER if SUPPRESSION SYSTEM <br />Other. <br />Number of Heads <br />Other. <br />1 hereby candy thal I have read and examined Ind appkcatmn and know tM $=a IO be bua and coned Al pfevh e,, of Was and oldinances gavoming t1i IYpo of work 'A be comPied <br />wnhwhether speotied herem or not The gmnlmg of a permit does not Prew"to 9" otdhaay to wlate or canal the provision of a,f Ober state or local law regulalmg WnstructM <br />That I am aRhanxed by rho owner of this prepery 13 pedann the wark for which 11PPIcatmm 25 made and I comply with the State Contractors Law 18 27 RC W and 296200A VAC <br />