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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRIN KLER/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 />cool IrnTrnuc APP Arr.FPTFn FROM A AM TO 4 PM / a 3 —13 <br />SITE ADDRESS:. <br />;93 fvw n l er � <br />PROPERTY TAX# <br />P IT <br />- <br />LEGAL for new construction:: short Plausubdivision Lot No._ (attach copy of long legal description) <br />OWNER { C I rrPO ///'rU so-T <br />PhomiE-mail 2125-� <br />Address 3/ tia r n t.0 /yripe— <br />` <br />Gitylstale2ita (' r^P/Ae- -/(1 <br />APPLICANT: —Omer _Owmars A/g+ont _Contractor ntrxetors Agent Tenant,m,vpoadeale,eofcmwtn neamxrodo.mn.,ne W." <br />CONTRACTOR Ch-e l; G'X)rf1T /. <br />L 8I Lic. #C({��RG9ZW� COE Bus. Lic. <br />(�I <br />Address"o3U/ 75/ �,/ { 4 Phone/Email <br />TENANT USINESS NAME <br />CONTACT FOR PERMIT <br />,�rnG/a .i DrIFS <br />PMneIE•mail <br />BUILDING PERMIT APPLICATION <br />ICONTRACT PRICE OF WORK 21 XS(,'-�"U <br />Existing Use of Building <br />HEAT SOURCE: <br />Proposed Use of Building I Gas_ Electric_ Other -- <br />Building type: Single Family _ Duplex _Townhouse _ Multi -Family _ Commercial <br />Type of project: New Addition Remodel Repair T.I Sin S nnkler Demolition Change of Use <br />DESCRIPTION OF WORK (eddrtanalspaceprovdedwthis back): r e'w WrfiJh/Z)Z }h O'Cj/`U <br />GCoclunf./� /n1'lc. / / A ruhdn SGrtrq/+PJ'� GJ/ur AO 4c+/ `TVCf jhq. cjr6 y f / <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT/ APPLICATION <br />Type of Project: _New_Addn —Alteration _Repair <br />Typeof Project: _New_Addn —Alteration _Repair <br />Show Number (#) of fixtures <br />Show Number (0) of fixtures <br />AIC - air handling units <br />Toilet <br />Forced airs stems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink & disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink (servicelbar/mop/etc.) <br />Backgow, nrpventer <br />Heat Pump <br />Unit heater <br />Urinal <br />Boiler <br />DirmlitmniFountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease tra <br />Ducting <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />I h ereby cemfy that l have rea d a no examined this application and know the same to be true and coned AN provisions of laws and oMma noes govem'mg this type 'k w0 be camphed <br />win whether specired herein or not. The granting of a permit does not presume tog" eumoray to violate or cancel the provision of any other state or local Law regulatng construction <br />That I am euthor¢ed by the ownerof this pmpeM to pedorm the work for which apocahon is made and I comply %An the State Contractors Law 1827 RCW and 2962DDA WAC. <br />r <br />OvmerlAuthorized Date (Revised flr20 f2) <br />