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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVEREW PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 — FAX 425-257-8857 — www.everettwa.Or <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C 1 02--0 t <br />SITE ADDRESS: vl' ilia <br />PROPERTY TAXa <br />P T2 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />OWNER y r 6tdvey <br />Phone/E-mail -UNW6 -T-O.H'61395 0AY Aid' <br />City/Stale/Zip <br />Address viv-jaiinAire <br />CONTRACTOR ) , r.7 , 'r <br />LLo & I Lic. # G G <br />Adtlress, (- 4 i.v r C � - CO L Phone/Email <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT I l� <br />Phone/E-mail 72ju <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />HEAT SOURCE: <br />Existing Use of Building _. <br />Proposed Use of Building Gas_ Electric_ Other_ <br />Building type: _ Sing!e Family 4 Duplex _Townhouse _ Multi -Family _-Commercial <br />Type of project: _New —Addition XRemodel _K Repair _ T.I. _Sic n _Sprinkler_Demolition_Change of Use <br />Description of Work (additional space pmvidedontthe back): C <br />5)IC'Y 1 VOC%C �(Yl Ll ci YCY rLt I Jet Oi C rv- J-�Ra I(114rI\�1c f�I�C�1�VI 14]CiTIIL ROLII <br />Have you started writ king without a permit? _YES _NO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typo of Project-'71�_New_Addn _Alteration Repair <br />Show Number (A) of fixtures <br />Type or ProlaeC _Now_Addn _Alteration _Repair <br />Show Number (N) of flxfures <br />A/C - air handling units <br />Forced air systems <br />_L <br />I Toilet <br />Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />Water healer <br />Shower <br />Gas fireplace <br />f <br />Kitchen sink 8.dtsposal <br />Dishwasher <br />Gas range <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink (servicelbarlmopletc.) <br />Heat pump <br />I Backflow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease trap <br />Ducting <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other: <br />Number of Heads <br />Other: <br />! hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing <br />this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel <br />the provision of any other stale or local law regulating construction or the pedennance of construction. That I am authorized by the owner of this property <br />to perform the work for which application is made and I comply with the Sldle Contractors Law 18.27 RCW and 290.200 WAC <br />Owner/ utho ' ed Age t Signature Date (Revised 22011) <br />