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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.evee�rettwa.org <br />nuc ARE ACCEPTFra r1M FRR AM TO J PM J -/' <br />"1 —1 <br />PROPERTY TAX II P RMIT 3 <br />SITE ADDRESS: 3 _00% - <br />t `-1 t L1 Lifirk,-1CLI 5T.1= e 2e Let . <br />LEGAL for new construction: Shod Plat/subdivislon Lot No._ (attach copy of long legal description) <br />OWNER EL14eQeIkLx 136,1-Lil•idil <br />Phone/E-mail <br />Address 31 — <br />City/State/Zip L:'%)6 1F ll1 <br />APPLICANT:_ Owner Owner's Agent Ae6onlraclor _ Contractor's Agent _Tenant tmust provide aleler efeomem from the Owner to do work In W space <br />CONTRACTOR f lbf'r b e Retfar—G4t4t1gJ Sri <br />L B/II Lic. # ALiU"-0RS (('Li,QL- COE Bus. Lic. #6(61 ab4 <br />Address 3 yUL. �(�L( tc /-kite. C-O �- UAI ggb?Ot Phone/Email Lt Z5- U ILO <br />_ <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT I-s���:--..ti. <br />Ti/Yl 17�� <br />(C liA <br />Phone/E-mail Li -?- <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />Existing Use of Building ��� 1 TJ1-I !�-r?i/%cat `f HEAT SOURCE: <br />Proposed Use of Building -kaC c=L%Gas_ X ElectricOther_ <br />Building type: Single Family _ Duplex _Townhouse _ Multi -Family ff Commercial <br />_ <br />Type of project: SWew Remodel _Repair_T.I._ Sign ._ Sprinkler_Demolition_Change of Use <br />_Addition <br />DESCRIPTION OF WORK (additional space provided onthe back):—J.�'PVw rl}S <br />rJG/usAyUc oh cnTiu�J P/GJL[M� 6hsprp,Xl� a4s!-Cues Li%t!e dLvu� Value <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _Now_Addn —Alteration _Repair <br />Typoof Project: _New_Addn __Alteration _Repair <br />Show Number ni) of fixtures <br />Show Number iM of fixtures <br />A/C - airhandlingunits <br />I Toilet <br />Forced airs stems <br />Bathtub <br />Lavatory (wash basin) <br />Gas piping <br />Water heater <br />( Shower <br />Kitchen sink & dis osal <br />Gas fireplace <br />Dishwasher <br />Gas range <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink (service/bar/mop/etc.) <br />Heat pump <br />Backflow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refri Oration <br />Floor drain <br />Woodslova <br />Grease trap <br />Ducting <br />I Roof drains <br />Other <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />I hereby caddy that I have read and examined this application and know the some to ba free and coned. Ali provisions of laws and ordinances governing this type of work will be complied <br />with 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 state or local law regulating construction <br />Thal I am authorized by the owner of this property to perform the work for wh¢h application is male and I comply %ith the Slate COnlradors Law 19.27 RCW and 296.200A WAC. <br />