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c <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAUPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.go <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM c(fetf - 11 <br />SITE ADDRESS: Cj / p A Nb v� <br />I lJf�`+ <br />PROPERTYTAXR <br />PERMITN <br />l — <br />LEGAL for new construction Short Plausubdivislon Lot No._ (attach Copy of long legal description) <br />OWNER L'O C3SA N E �/i (Z E <br />Plane/E-mail 4 z.S - $1 7 <br />ddresa -Zabp li fry rj AVE- ^ . - <br />CONTRACTOR S Ki C- E e-I N <br />City/State/Zip 4CV.QJf-a-'�-1 <br />L& I Lic. K <br />PFio mai54 �3 2- <br />Address 19q o 2 AAA Q, Nil- `srA m w bop WA 1%Z <br />TENANT BUSINESS NAME <br />SN tJ S I- J�E' 00 CO r Q <br />CONTA FOR PERMIT 7 <br />Phonel&rnail <br />BUILDING PERMIT APPLICATION <br />O <br />CONTRACT PRICE OF WORK <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Building Gas Electric Other . I <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-FamlI X Commercial <br />Type of project: _--, New _ Addition _ Remodel _ Repair _ T.I.5z Sign _Sprinkler _Demolition_Change of Use <br />Description of Work (additional Space provided on the back): <br />3 SIbNS 2 'i -r11E ctN AMl1rr%LC-Ni Cl"W6 (f=A>T 1`4o(-TH,0P T(fv 6Y �p N6 <br />51ary At3,)Vg- v+ALL- Etv`rli �N oN �LLvMI NA7M)CALL %YEEIIAN�. <br />Have you started working without a permit? _YES X_NO <br />ou� <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _-Alteration _Repair <br />Show Number 0 of fixtures <br />Type of Project: _New _Addn _Aftendlon _Repair <br />show Number of fixtures <br />A/C - air handling units <br />Toilet f <br />Forced airs stems <br />Bathtub <br />Gas piping <br />Lavatory wash basin <br />Water heater <br />Shower <br />Gas fire lace <br />Kitchen sink & disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fen <br />Sink (serviceilbarlmopletc. <br />Heat pump <br />BackBow preventer <br />Unit heater <br />Urinal <br />Boilet <br />Drinking Fountain <br />Re " eration <br />Floor drain <br />Woodstove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />;.:vdical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other <br />I hereby certify that I thieve 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 writ co�lied win whether specified herein or not. The granting of a permit does not presume to give alydanty to violate a cancel <br />the rovision 1 an Cher s tea 1, 1 law regulating constNCtion o the pe ortnance Of con5lruchon. That I am authorized by the owner of this property <br />to perform tf�e wo f rpvh application is made and I comply vntt�he SttaContractors Law 1e.27 RCW and 296.200 WAC <br />(Revrsed 22011) I <br />