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PERMIT APPLICATION <br />BUILDING/MECHANICAUPLUMBING/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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM S ' 3 — t I <br />SITE ADDRESS: M <br />PROPERTY TAX <br />oorl3S' -( 01-1o/ <br />P MTN <br />- <br />LEGAL for new construction: Short Plagsubdivision Lot No. (attach copy of long legal description) <br />OWNER _ - ? �f <br />Phone/E-mail 4-J ),q-rib��;�� )�E�l p1a1L ,CAa'I <br />Address Z, _ _/ o <br />City/Stale/Zip P(5M�S7bV L <br />CONTRACTOR `r r\JA <br />L 8 I Lic. N <br />Address Phone/Email <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />/- �J<�-'fx <br />PhoneIC-mail � C � i!J ! r 9'o <br />BUILDING PERMIT APPLICATION <br />ICONTRACT PRICE OF WORK J " <br />Existing Use of Building 5 %�% HEAT SOURCE: <br />f <br />Propo�cd Use of Building��_ . --Gas-x Electric_ Other_ <br />Building type: X Single Family _ Duplex _Townhouse —Multi-Family _ Commerciel <br />Type of project: _ New _ Addi!ion X Remodel _ Repair _ T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Description of Work (additional space previtl/eJtl/on the back): / - /i 0,, — r N A <br />Have you started Yvorking without a permit? _YES _Z_NO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typo of Project: _New _Addn XAlterallon _Repair <br />Show Number (N) of fixtures <br />Typo of Project: _New _Addn XAheration _Repair <br />Show Number(N) of fixtures <br />A/C- 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 ran a <br />Dishwasher <br />Clothes d er <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink (service.'bar/mop/etc.) <br />Heat pump <br />Backflow preventer <br />i Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease trap <br />_ <br />Ducting <br />Roof drains <br />j <br />other <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />I <br />Other: <br />I hereby certify that I have read and examined this application and know the same to be two and correct. All provisions of laws and ordinances governing <br />this type of work will be complied with whether spdci49d herein or not. Th3 granting of a permit does not presume to give authority to violate or cancel <br />the provision of of other state or Io. w rKullatinn consbuction or the performance of construction. That I am authorized by the owner of [his property <br />to perform the sY k for which applic i nnmada fr d I comply wish the Slate Cwtlradors Law 18.27 RCW and 296.200 WAC <br />(Revised 22011) <br />