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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 wwW.everettwa.00rrg <br />C AMC A rrFOTFn FROM 8 AM TO 4 PM /0—/a—�L <br />s• s <br />SITE ADDRESS: v� <br />PROPERTY TARN �de� <br />. S1, <br />tic 'SAtLot <br />LEGAL for construction Shod PI3Vsubdivision <br />No._(attach copy of lony legal scription) <br />new <br />PhonelE-mail %) - - 7 <br />OWNER E i <br />G v" <br />'1 1 <br />City/statelzip S t <br />Addres t ty -, _� <br />•� ntractors Agent _Tenant )mast Frovidealer.¢r or cons¢m wmfne owner to a, work In the space) <br />Co <br />APPLICANT:_Owner's gent ,_Contractor <br />_Owner <br />gmotsT Di-Cil:, B W COE Bus. Lic. <br />r' PC n <br />CONTRACTOR oc A <br />L 8 1 Lic. N <br />PhonelEmail <br />Address, 3Q`. P �P ICJ' . <br />CONTACTFpPERMIT <br />TENANT BUSINESS NAME <br />PhonelE-mail 4 -N ` - c V ru 1l J f •s: <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />.r ,_ t2 s - s <br />Use <br />HEAT SOURCE: <br />Existing otl'Buitding <br />C <br />Gas Elednclll�Other <br />Proposed Use of Building 'r IZ <br />—' <br />Building type: /Single Family _ Duplex _Townhouse —Multi <br />•Family _Commercial <br />Demolition_ Change of Use <br />Type of project: New Addition _ Remodci ✓ Repair <br />_ T.I. Sign _Sprinkler <br />�Cc��Gom o r1 �zclZ ST f1 <br />DESCRIPTION OF WORK (additional provided onthe back ):t�c�ds4�� <br />oC <br />• RC.•.•—c>vi <br />yspace <br />(`C.mod�i L�K� fc.t�4-vr cV �liVto:AC w%c•.�C. <br />�T,CVQW <br />4.,y PreV\OV.S Gwrn¢r <br />aim {�!• O.ld sl�Pla l.zct <br />pdci SIr Ski' lave. Ccvr.W. w:tl- r.ew 3co b. <br />et; Prpe <br />PLUMB;NG PERMIT APPLICATION <br />MECHANICAL PERMIT APPLICATION <br />✓ Alteration <br />Type of Projoct: _New —Atkin `� Alteration _Repair <br />Type of Project: _Now _Addn _Ropalr <br />Show Number(#) or fixtures <br />Shmv Number (#) of fixtures <br />� Toilet <br />A/C — air handling units <br />f Bathtub <br />Forced airs stems <br />Lavatory (wash basin) <br />Gas piping <br />I Shower <br />1 ! Water heater. <br />I Kitchen sink &disposal <br />Gas fireplace <br />Dishwasher <br />Gas range <br />Clothes washer <br />Clothes dryer <br />r healerExhaust <br />Range hood <br />(service/bar/moplelc) <br />fan <br />preventer <br />Heat pumpflow <br />lt;;;k <br />Unit healer <br />ing FountainRefrigeration <br />drain <br />Grease trap <br />Woodstove <br />Roof drains <br />Ducting <br />Medical Gas <br />Other_ <br />SPRP,NKLER I SUPPRESSION SYSTEM <br />Other: <br />I Number of Heads _ <br />Other: <br />I hereby certify that I have reao and examined this application and know the same lobe true and conect. An provisions of laws and ordinances governing the type of work will be complied <br />with whether specified herein or not. The granting of a permit does not presume to give authority to violate of cancel the provision of any other slate or local law regulating construction 1 <br />That I am authorized by the owner of this property to perform the work for which application is made and I campy with the Slate Contraclors Law IS 27 RCW and 296 200A WAC. <br />Mom^ 9 Cl_ -X 121--7 — 12, <br />