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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 wwvv.everettvva.org <br />APPI CATIONS ARF !ACCEPTED FROM 8 AM TO 4 PM 3 - ac? — ) 3 <br />SITE ADDRESS: fZV% <br />4 (puo' t,h a o <br />PROPERTYTAX# <br />P MI� _O-Z& <br />LEGAL for new construction. Short Plat/subdivision --Lot No._ (attach copy of long legal description) <br />/,, I,y� ' l <br />OWNER AP-�I�' /I).,, V1`Q `VR(*(U. I' <br />Phone/E-mail SS( <br />,qI() <br />ndtliess ILL K[ <br />I lam ` Y <br />rO <br />I1 /7�p0 <br />City/State/Zip t 1/+- W,il Q U () <br />\ <br />APPLICANT:-Kowner Owner's Agent Contractor Contractor's Agent Tenant(must proms. tenerecomem koriths er to do w A In in. space) <br />CONTRACTOR <br />L 8 I Lic. if COE Bus. Lic. # <br />Address Phone/Emml <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />lPhcne(E-mrdl <br />BUILDING PERMIT APPLICATION <br />1CONTRACT PRICE OF WORK Z O0 <br />Existing Use of Building -FYIY l QQ Sid Qr< Q HEAT SOURCE: <br />Proposed Use of Building Gases Electric_ Other_ <br />Building type: K Single Family _ Duplex _Townhouse _ Multi -Family _ Commercial <br />Type of project: New Addition Remodel ' Repair T.I. Sin Sprinkler _Demolition Change of Use <br />r <br />DESCRIPTION OF WORK (addamnaf space provided on the back). h UI � I re <br />(i1(�f�ra�k � ° F� tl q I <br />re.moJ� ID0.cS 1 jPt� ?(lR corwil <br />b0.�v 80C ( <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New_Addn —Alteration _Repair <br />Show Number (#) of fixtures <br />Type of Project: _New_Addn _Alteration_Rapair <br />Show Number (#) of fixtures <br />A)C - air handling units <br />Forced airs stems <br />Toilet <br />Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />Water heater <br />I Shower <br />Gas fireplace <br />IKitchen sink 8 disposal <br />I Dishwasher <br />Gas range <br />Clothes dryer <br />Clothes washer <br />Ran a hood <br />Water heater <br />Exhaust fan <br />Sink (service/badmoplelc.) <br />Heat pump <br />BackRow preventer <br />Unit heater <br />Urinal A <br />Boiler <br />Dnnkin Fbunlain <br />Refrigeration <br />Floor drain \ <br />Woodstove, <br />Grease trap <br />Ducting <br />Roof drains <br />Other_ <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />I hereby cedey that I have read and examined this application and know the same to be We and correct. An provisions of laws and ordnances governing this type of work wia be centered <br />with who speGbed herein or not. The grant) f a penal does not presume to give authority to vl dale or cancel me prevision of any other stale or local taw regulating construction <br />Thal( me died by mefpwneryQlmbp ery)o perform the work far which application is made and l comply with the State Contractors Law 18.27 RCW and 29e.200A WAC. <br />(Revised 6/2012) 1 / i <br />/n <br />