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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/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 />PLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />AP <br />ADDRESS' n <br />PROPERTY TAX # RMI 9 / 0��7 <br />C_ <br />SITE <br />3yIk /�vckdT Ile! U <br />0oy�4aa' <br />Lol turn (attach copy of long legal description) <br />LEGAL for new construction: Short Plat/subdivision <br />PhonelE-mail qZ,5 2-5 <br />OWNER; <br />Address 12d <br />CitylStatelZip 6t,012 <br />APPLICANT: �Cwner _Owner's Agent -_Contractor _Contractor's Agent _Tenant lmusl PloYaeal .--of from ma owner to dawo:xmme IT -CO <br />L & I Lic. # COE Bus. Lic. # <br />CONTRACTOR <br />Phone/Email <br />Address <br />CONTACT FOR PERMIT <br />TENANT BUSINESS NAME <br />PhonelE-mail <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK _ <br />HEAT SOURCE: <br />Existing Use of Building -Ia F-d/Llt�. <br />Gas - Elecldc_ Other_ <br />Proposed Use of Building_ -- <br />-A <br />Building type: / Single Family ,_ Duplex _Townhouse _ <br />Multi -Family _ Commercial <br />of Use <br />Type of project: New _Addition _Remodel _ Repair <br />_ T.I. _ Sign _Sprinkler _Demolition_Change <br />DESCRIPTION OF WORK (additional space pmvided on the back): <br />I'4UM6i&% tee (A'.o <br />PLUMBING PERMIT APPLICATION <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _Alteration,_Repair <br />Typo of Project: _New _Addn _Alteration _Repair <br />_Now _Addn <br />Show Number (#) of fixtures <br />Show Number (#) of fixtures <br />Toilet <br />A/C — air handling units <br />Bathtub <br />Forced air systems <br />i Lavatory (wash basin) <br />I Gas piping <br />Shower <br />Water healer <br />Kitchen sink & disposal <br />Gas fireplace <br />Dishwasher <br />Clothes washer <br />Gas range <br />Clothes dryer <br />C <br />Water healer <br />Range hood <br />Sink (service/bar/mopirelc.) <br />Exhaust fan <br />BackBow preventer <br />Heat pump <br />Urinal <br />Unit heater <br />Drinking Fountain <br />Boiler <br />Floor drain <br />Refrigeration <br />Grease trap <br />Woodslove <br />Roof drains <br />Ducting <br />Medical Gas <br />Other_ _ <br />I SUPPRESSION SYSTEM <br />Other: <br />SPRINKLER <br />Number of Heads <br />Other: <br />I hereby teddy that I have read and examined this applicalion and know the some to be two and correct. All provisions of laws and ordinances govemieg this lips of workwil be eompfed <br />with vMelher specified herein or not. The granting of a Permit not presume to give authority to violate or cancel the provision or any other stale or local law regulating construction <br />t817 RCW and 296206A WAC. <br />That I am authorized by the owner of this property to perform the work for which application Is made and I comply with the Stale Contractors Lew <br />/On..innA F/II1x71 <br />