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BEEN <br />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 />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM I " a "' I Z <br />SITE DURE S: <br />PROPERTY TAX <br />I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing <br />this type of work will be complied with whether specified herein or not. The <br />granting of a permit does not presume to give authority to violate or cancel <br />the provision of any other state or to I law regulating cons/ or the performance of construction. That 1 am authorized by the owner of this property <br />pe r the work for which ph on Is mad comply with the <br />State Contractoro law 18.27 RCW and 2g6.200 WAC <br />Owner/Authorized A ent Signature <br />to (Revised 2/2011) <br />PE O _oO <br />LEGAL for new construction ShortPlat/subdivision Lot No._ (attach copy of loop legal description) <br />OWNER L L — J <br />Phone/E-mail 2 �% Z% i <br />i <br />City/State/Zip 1. <br />CONTRACTOR <br />L 8 I Lic. ly <br />Address Phone/Email <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT ( � t <br />Phone/E-mail �r 22 ) <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK — iT - <br />Existing Use o1 Building HEAT SOURCE: <br />Proposed Use of Building L�I__ Gas Electric Other <br />Building type: � Single Family _Duplex _Townhouse _Multi-f•�mily _Commercial <br />Type of project: New _Addition �emodel _Repair _ T.I. _Sign _Sprinkler _Demolition_Change of Use <br />Description of Work (additional space provided an the back) <br />Have you started working without a permit? —YES _NO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Protect: `! New _Addn _Alteration _Repair <br />Show Number (RJ of fixtures <br />Type of Protect: _New _Atldn _Attenpon _Repair <br />Show Number, lM of Rrfuna <br />A/C — air handling units <br />Toile/ <br />Forced airs stems <br />Bathtub <br />� Gas piping <br />Lavatory wash basin <br />I Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink servicelbarlmo left. <br />Heat um <br />BeckRow reveller <br />Unit healer <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease trap <br />I Ductin <br />Roof drains <br />— <br />Medical Gas <br />SPRINKLER I SUPPRESSIOrf SYSTEM <br />other: <br />Number of Heads <br />Other: <br />