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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810- FAX 425-257-8857 -www.everettwa.org <br /> qpPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROPERN TAX p PERMIT N <br /> SITE ADDRESS: ��Q -CCJL <br /> / <br /> LEGAL lor new conslruction: Shor1 PlaVsubdivision Lot No._ (attach copy of long legal description) <br /> OWNER J L`J L PhonNE-mail jt/��L✓, J�� lL v � /� � � `�' <br /> EL� 5 T /VL- Cily/StatelZiP !91 2 s J �-� -- <br /> Addras5 z2�-J ' L <br /> CONTRACTOR L&I Lic.# <br /> Address -- PhonelEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> PhonelE-mail <br /> BUILDING PERMIT APPLICATION CON7RACr PRICe oF woRK <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric_ Otner_ <br /> Dudding type: _Single Family ✓ Duplex_Townhouse _Alulti-Family _Commercial <br /> Type of projecl: _New _Addition _Remodel _Repair_T.1._Sign_Sprinkler_Demolition_Change of Use <br /> Descriplion of Work(addrtional spaca providad on the OacF): <br /> Have you started working without a pennit7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of ProJoct: _New_Addn _Alloration_Repair Typo ot ProJect: _Now_Addn _Alloration_Ropair <br /> Show Numbcr(NJ ol lixtures Show Number(Jq ol/7xtures <br /> � A/C-air handling umis I Toilet <br /> � Forced air sysiems I BathWb <br /> Gas piping I Lavatory(wash basin) <br /> � VJater heater � Shower <br /> � Gas freplace Kitchen sink 8 disposal <br /> � Gas range � Dishwasher <br /> � Clothes dryer � Clolhes washer <br /> � Range hood I Water heater <br /> � Exhaust fan � Sink(servicelbarlmop/etcJ <br /> � Heat pump I Backflow preventer <br /> � Unit healer I Urinal <br /> Boiler � Drinkinq Fountain <br /> � Refrig?ration � Ploordrain <br /> � Woodslove � Grease lrap <br /> � Ducting � Roof drains <br /> � Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I Other: <br /> � Number of Heads I Other: <br /> 1 here�y cetlify that I have read and examined this applicalion antl know Ihe same to be Irue and co«ec�.All provisions of laws and ordinances goveming <br /> Ihis type ol emrk vnll be compP.ed wilh rihether speciled herein or noL Tha granting of a permit does nol presume to give authori�y lo violate or wncel <br /> Itie pwvision of any olher sin�e or local law regulaling conslruction or Ihe pertormanca of constructioa Tha�I am aulhorized 6y Ihe ovmer ol this property <br /> lo pedonn Ihe vmrY,for v�hich applicalion is mada and I comply wilh ihe SIaIe Contrectors Law 1827 RCW and 296.200 WAC <br /> i�l as, �°�� rRa��S�a�o,,, <br /> OwnodAuthorized Agent Signaturo Date <br />