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ERMIT APPLICATIOmt <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 /> SITE ADDRESS' PROP RTY TAX# PERMIT# <br /> Cb l c 5 &y- ,�r .5� Com- �I (O�,oci daces G t I I- n er1 <br /> LEGAL for new construction: Short Plat/subdivision ] Lot No. (attach copy of long legal description) <br /> OWNER V C4Y-< .._,S i Lole\, - caiL Phone/E-mail <br /> Address 951 0-1 Dr SE_ ' City/State/Zip Ever tVvA �i`b OT <br /> APPLICANT: Owner Owners Agent Cont)ractor V Contractor s Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR � �L 5�. Sp�+nb��•c State Lic. # Q &LCS`69(31(3City Bus. Lic.4).41 <br /> Address) \A)O�ih j) \.J Ql (s-`a, Phone/Email -•‘S <br /> TENANT BUSINESS NAME CONTACT FlioR PE MIT <br /> Phone/E-mail bShriTI1A <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK1),D0b <br /> Existing Use of Building �T'R HEAT SOURCE: <br /> Proposed Use of Building SP Gas Electric .)c Other <br /> Building type: )( Single Family Duplex_Townhouse _Multi-Family Commercial <br /> Type of project: New Addition X Remodel _Repair_T.I._Sign_Sprinkler Demolitionx Change of Use <br /> DESCRIPTION GamOF WORK(additional spaceArovided on the back):/ � �coy�V e-4 I C�ctYate. S Ge- k c, L1Sabto-- <br /> P <br /> S c' -♦ [ 1 <br /> 1% 5Cb r N3'QNv %PLO 0,eRYtiW\1 • LL F,1)6,;\ <br /> i Us a � i►• d- ►��v,-c�v,�£.nY.► _�sf�•Ls tv�, ,LL bt- acQdt Cad� <br /> r-Q.cbvn c o‘k-- 'to b reAN,s1A yA Y . <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New_Addn Alteration Repair Type of Project: New_Addn Alteration Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C-air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer(inside bldg) <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I 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 this type of work will be comp <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That I am authorized by the owner o is property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. f <br /> ..- A IIDatea15' <br /> Owner/Author g nt Signature (Revised 4/2015) <br />