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��Aen�.��� Exs,.sv�.�s P�R��ds i <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGNISP�INKi.ER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810-FAX 425-257-8857-www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE�ODRESS: � � �` ��1�Q� PflOPERN TAX p qER%�� /�/„ <br /> � (�v �l <br /> LEGAL lor new consWclion: Short Plat/su�tllvisic�s��'/ L�Lot No� (aUach copy o�long legal desaiption)PlJ�� '8 r, <br /> OWNER /� /,y�/ � .1✓�4 Phone/E-mail — y8-/yy o <br /> Address ,/S�� S(/ik F Cily/Slate/Zip � (1V 7 0�7� <br /> CONTRACTOR / ' N L&I Lic.# E C 9107 V G <br /> Address !� Phone/Email,,,?S 8ya �yy0 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT /� S y.�SS �IG�y/AS <br /> Phone/E�mail�nE/QQ / �Y • <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electdc_ Other_ <br /> 8uilding lype:�Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: _New _Addition _Remodel _Repair_T.I._Sign_Sprinkier_Demolilion_Change of Use <br /> Descrip�ion of Work(addifional space pmvided on fhe backJ: <br /> �� �°9 <br /> Havo you started working without a pertnit7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of ProJect: _Naw_Addn _Altoratlon_Repalr Typo of ProJech _New_Addn _Altarallon_Repalr <br /> Show Number(p)a/flxturos Show Num6er(pJ o/flxtures <br /> AIC—airhandlingunils � Toilet <br /> / Forced air s stems !'' Bathlub <br /> Gas piping � Lavatory(wash basin) <br /> Waler heater / Shower <br /> Gas iireplace Kitchen sink&disposal <br /> Gas range / Dishwasher <br /> / Clolhes dryer Clothes washer <br /> j Range hood Water heater <br /> �� Exhausl fan Sink(servicelbar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit healer Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Gucting Roof drains <br /> Olher Medical Gas <br /> SPRINKLBR/ SUPPRESSIOPf SYSTEM other: <br /> Number of Heads Other. � <br /> 1 hereby certi(y that I have read antl examined Ihis application and know Ihe same to be true and wrrect.All provisions of lav.s and ordinances governing <br /> Ihis type ol work vnll be cnmplied vnth whether specifed herein or nol.The granting ol a permit dces not presume lo give authorily la vio�ate or cancel <br /> the provision ol any olher slate or local law reaulaling construclion or Ihe peAormance ol construction.That I am authorized by the owner of this property <br /> to pedorm Ihe v.or or wh� ap licalion is made d 1 c mply vntli the Slat Contraclors Law 1827 RCW and 296.200 WAC � . <br /> `4 � /I � � <br /> OwnerlA h Izod nl5lgna uro ale' (Revised"U1017J <br /> / <br />