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( ?ERMIT APPLICAT16.4 <br />BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — ww.v.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM )- ._ a�5 —4 ( <br />O <br />_ <br />O <br />LEGAL for new construction: Short PlaVwbdlvlNon Lot No._ (attach copy of long legal description) <br />OWNER khFffWPhonelE-maN <br />Z -2- <br />Address D ' <br />CRY/Stale/zipZy <br />CONTRACTOR <br />L d I Lie. M <br />Address WL1tIL I Phons/Em.g Z - 3 3 -T1 ZZ <br />TENANT BUSINES NAME <br />ONTAr dn� .��b <br />Pnwb/F-mas <br />BUILDING PERMIT APPLICATION <br />ICONTRACT PRICE OF WORK <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of I Building Gait Electric Osier <br />Building type: Single Family _ Duplex Townhouse _ Multi -Family _ Commercial <br />7- <br />Type of project: _ New _ Addition Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Changs of Use <br />Description of Work (additional space provided on the back) : <br />Have you started working without a permit? _YES XNO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Altandon _Repair <br />SAow Number of Nxtlum <br />Type of Project: _New__Addn ,1�fAlOeratlon _Repair <br />SAow Number Offlxtures <br />A/C - airhandlin units <br />Toilet <br />Forced air systems <br />Bathtub <br />Gas piping <br />(wash basin <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />Gasrange <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink serviosibar/ etc. <br />Heat pump <br />Baddlow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinkin Fountain <br />Refrigeration <br />Floordr itn <br />Woodstove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />I hereby certify that I have read and examined this application and know the same to be Ina and correct. AN provisions of laws and ordinances govemi it <br />this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to ghro authority to violate or uncel <br />the provision of any r stale or local law regulating construction or the performance of construction. That 1 am authorized by the ownw of this property <br />to prkQ the woXforvhlch applicaAn is made and I comply with the Slate Contractors Law 18.27 RCW and 298.200 WAC <br />(Revised 12*010) <br />