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r r <br />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.org <br />ADDRESS: 6424 Broadway �. Everett, WA <br />LEGAL for new construction: Short Plat/subdivision <br />WNtK St. Vincent DePaul- Jim Kehoe <br />idress PO Box 2269 <br />PPLICANT: _ Owner X Owner's Agent _ Contractor <br />:NANT BUSINESS I <br />St. Vincent DePaul <br />BUILDING PERMIT APPLICATION <br />PROPERrv ra,x # 00544701501101 � P ir,M� r <br />Lot No. (attach copy of long legal description) <br />Phone/E-mail 425.355.3504 <br />�City/State/Zip Everett, WA 98203 <br />COfItfBCtOf S/�gBflt _ T@fl8ilt (must provide a letter of consent from the owner to do work in the space) <br />State Lic. # (�i,%�'��(l��'i � � p'�'�,�� �City Bus. Lic. # �' .��� I�� ,�) <br />Existing Use of Building Retail <br />Proposed Use of Building Retail <br />Building type: _ Single Family _ Duplex _Townhouse _ <br />Type of project: New Addition Remodel Repair <br />DESCRIPTION OF WORK (additiona/ space provided on the back) : <br />Construction of new walis, windows, and restrooms. <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New_Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handlin units <br />Forced air s stems <br />Gas i in <br />Water heater <br />Gas fire lace <br />Gas ranqe <br />Ran e hood <br />Exhaustfan <br />Heat um <br />Unit heater <br />Boiler <br />Refri eration <br />Woodstove <br />Ductin <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />I Phone/Email <br />CONTACT FOR PERMIT <br />Jesse Wolfe- 2812 Architecture <br />PhoneiE-mail 425.252.2153 jesse@2812architecture.com <br />CONTRACT PRICE OF WORK $25,000 <br />HEAT SOURCE: <br />Gas Electric Other <br />Multi-Family X Commercial <br />X T.I. Sian Sprinkler Demolition Chanae of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New_Addn _Alteretion _Repair <br />Show Number (#) of fixtures <br />� Toilet <br />� Bathtub <br />Lavatory (wash basin <br />Shower <br />Kitchen sink & dispos <br />Dishwasher <br />Water heater <br />Sink (service/bar/m <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certify thal I have read and examined this pplication and know ihe same to be true and correcL All provisions of laws and ordinances governing this type of work will be comp' <br />with whether specified herein or not. The grantin of a permit does not presume to give authorily to violate or cancel the provision of any other state or local law regulaling consWction <br />That �a�n autho zed by the owner of fiisprope y to perform the work forwhich ap lication is ade and I comply with the Slate ConVactors Law 18.27 RCW and 296200A WAC. <br />f <br />� :-v-- � �� � j�L�'� ,� , �- <br />, <br />�yaYer/Authorized Agent Signatuy� / D�Ye (Revised 9/2014) <br />/ � <br />