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PERMIT APPLICATION <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 /> S E ADDR PROPERTY TAX# P RMIT# <br /> QQ <br /> LEGAL for new construction: Short Plat/subdivision Lot No, (:attach copy of long legal descrlptlon) <br /> OWNER Q— Phone/E-mail <br /> Address �3 \.J�l)Q V City/state/zip <br /> APPLICANT: Owner Owner's Agent -)[Gontractor _Contractor'a Agent /� Tenant(must provide a letter of consent from wsomer(o do work In ma App -) <br /> CONTRACTOR�j� State Lic.#�]QrN � q ii 1CMcity Bus, Llc.# <br /> Address n 1%'co aV <br /> TENANT l3USINES5 NAME NTACT FOR PERMIT <br /> rj \e Phone/E-mall uo d1\ <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORtt <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building _ Gas Electric Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family ____C0111merClal <br /> Type of ro ect: New Addition Remodel Repair T.I. Sin Sprinkler Demolition Chane of Ilse <br /> DESCRIPTION OF WORK(additional space provided an the back) <br /> uaC e O 13�r <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project _New Addn _Alteration_Repair Typo of Project: New Addn _Altoration_Repair <br /> Shaw Number # of fixtures Show Number ;x of fixtures <br /> A/C–air handling units Toilet <br /> Forced airs stems Bathtub <br /> Gas ipkping 1-avato wash basin <br /> Water heater Shower <br /> Gas fire lace Kitchen sink&dls osal <br /> Gas rancle Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink (Service/bar/mop/etc) <br /> Heat pump Backflow reventer Inside bldg), <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I hnvn rngd and oxgminrd this application and know the emmn to hr trun gnd correct.All provision&of Inws and ordingncns governing this type of work will becompi <br /> Wfh whether epecifled herein or not.The granting of n prrmft doe*not presume to give authorlty to vlotntn yr cancel the provision of any otter state or local law rag,.rlating conitr ection <br /> l I am nufhort�nd by the ownor of this property to perform the work for whfrh gppllcgtlon is made and I comply Will the Stntn Contrncfum Law 18.27 RCW and 295.200A WAC. <br /> tJwner/Authorizod Agent signature Dete (Revised 4/2015) <br />