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PERMIT APPLICATION <br /> BUILDtN ' MECHANICAL)PLUMBING/SIGN/SPRINKLER/DEMOLIT1ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St, Everett,WA 98201 425-257-8810 FAX 425-257-8857 wVvw_everettwa-org ' <br /> sFiAIXDIel;S3:,2_ _74v1 <br /> l✓ rRFERTYO 5l�i1f�Lli(iC� RMrr?F „)j M a,,;), �,J . . <br /> LEGAL for new construction: Short Piertfsubchvieion Lot No. (attach copy of long legal description) . <br /> f <br /> `OWNER T n5 r ca G, *q r A Phone/E-mail 1A-ZS-3 (, - S W ( . <br /> Address 2. () Z 5'1-1'k 5 cltyrstetoizip Evere N wA q ' <br /> APPLICANT: Owner Otivner's Agent Contractor Contractors Agent Tenant(mud mom a terser orcv,went from era owner to clo,aom lir nue apace) <br /> ,CONTRACTOR Wa6h!f inl giak, /tea, • State LLiic.# fi4JA,si-1 CYOeecity Bus.Uc.# D�33A1 <br /> Address I �U 1�LL.K lit 4.` 1 k A l Itail4J al q100 Phone/Ern gc0-q7d 456 �Et i' dfrac <br /> rc. <br /> T N E _ l`OFI AC F6R PERMIT <br /> Ja.� . <br /> phon, „..ii 7jf 0-4v <br /> ... <br /> ✓ <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK Cti±0 Ci' <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Other <br /> Building type: Single Family Duplex Townhouse _Multi-Family _Commercial <br /> Type of project: New Addition Remodel Rt air. Ti._Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional apace provided on the bead: / ' i� , <br /> i? o - &p/a-a ;._ <br /> Jmar............,„.57_,,.„ ba./-0-- (5'J <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT'APPLICATION <br /> Typo of Project _Now_Addn Alteration J opolr Typo of Project; New 'A/Idn Alteration Repair <br /> Show Number G, of flxWres x t,..®` V.. ". . Show Number(()oft hues <br /> NC—airhandlirngunits _ j Toilet . <br /> Forced airs stems ; Batittt.tb <br /> ' • Lavatory(wash basin <br /> I Water heater I Shower <br /> Gas fireplace � Kitchen sink&disposal _ <br /> Gas ra •1. Dishwasher <br /> Clothes dryer i Clothes washer <br /> Range hood Water heater <br /> Exhaust fan } Sink(servic&lbarrmopfetc,) <br /> ,--- <br /> Heat• • Backflow piventer <br /> Unit heater4( _ Urinal - <br /> , Boiler ! Dtinkin$Fcuritain <br /> Refrl•- Floor drain • <br /> . <br /> WoodStove Grease trap <br /> DuctintRoof drains <br /> i Other 1 Medical Gas <br /> SPRINKLER(SUPPRESSION SYSTEM Other. ' <br /> 1 Number of Heads s Other. <br /> I hereby cetefy that I have read and examined this appkation and know the wine to benne and correct_All prnylalons of laws end antnrlances governing this type of wont wis be nampi <br /> with whether spoked herein or not.The glsating of a permit does not presume to give authority to vielaie or cancel the provision or any ower state or local law regulating construction <br /> That I em efortz�ed by the owner of isle property o perform the work forwhich application is made and I corm.with the Stele Contractors flaw A 8,27 RpW mat 2s0.2aQA WAC. <br /> o/� �'' t ` ) '. �i Pp- <br /> OwnerlAuThorized Agent Slgnatwe- Date );___ <br /> Reviei 9!2014 <br />