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� <br />• <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 />- C' APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITEADDRESS:,� Hewitt Avenue PROPERnTAx�0064496-8300300 PE IT# , <br />i1-Ul� <br />LEGAL for new construction Short Platlsubdivision EVeC@tt Plat Lot No- (attach copy of long legal descnption) <br />nwNFR 1602 HEWITT LLC Phone+E-mail <br />PO BOX 5267 <br />T: _ Owner _ Owner's Agent _ <br />TORTBD � Yt? i� (i�'� <br />city�state�ziPEVERETT, WA 98206 <br />Contractor _ Contractor's Agent � TBflBflt (must provitle a letler of consent from the rnmer to do �rork in the space) <br />�� IL&ILic � <br />Verizon Wirelesas <br />BUILDING PERMIT APPLICATION <br />COE Bus Lic # <br />IPhonerEmail <br />FOR PERMIT <br />Sarah Telschow <br />PhonelE-mail <br />CONTRACT PRICE OF WORK $40.000 <br />Existing Use of Bwiding Commercial / Telecom � <br />Proposed Use of Buddmg Teie°°m <br />Bulldmg type: _ Single Farndy _ Duplex _Townhouse _ MuIU-Famdy ❑✓ Cornmeroial <br />Type of project: _ New Addition n Remodel Repair _ T.I. _ Sign _Sprinkle <br />DESCRIPTION OF WORK (additional space p�ovrded on the back) <br />Upgrade/replace eight (8) antennas and add auxiliary equipment. <br />MECHANICAL PERMIT APPLICATION <br />Type oi Project: _New _Addn _Alteration _Repair <br />Show IYumber (*) of �xtures <br />A�C - air handhng unds <br />Forced air systems <br />Gas piping <br />Water heater <br />' Ges fireplace <br />Gas range <br />Clothes dryer <br />' Range hood <br />Refrigeration <br />WOOdS�OVP. <br />Other <br />SPRINKLER / SUPPRESSION SYS <br />� Number of Heads <br />HEAT SOURCE <br />Eleclric Other <br />of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Projeet: _New _Addn _Alteration _Repair <br />Show Number (MJ of fixfures <br />Toilet <br />� Ba�htub <br />I Lavatory (wash basin) <br />Kitchen sink & c <br />Dishwasher <br />Clothes washer <br />Water heater <br />Floor drain <br />' Grease trap <br />; Roof drains <br />' Medical Gas <br />i <br />Other. <br />Other: <br />I hereby certify that I have read and ezamined tlifs application and knaw the same to be true and correct Atl provislons o1 la�as and ordinances governing Ihls rype o( work wlll he complied <br />wAh whether specified hersir or not The grenting of a permft does not presume to give authority to violate or cancel the provision of any other state or local law regulaGng construction <br />That I%am authorized bySq2pw�erof thispcQperty to periorm the work for ti:�hich application is made and I comply with the State Contractors Lavr 18 27 RCW and 296 200A WAC <br />3 <br />(Revised 6/2012) <br />