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Or <br /> QV <br /> 4 a�Ja((``�Y eJoe <br /> PERMIT APPLICATION w 1710 — 001 <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425- 7- 1� FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE fCCEPlVD FROM 8 AM TO 4 PM w <br /> SITE ADDRESS: — PROP TY TAX# P.[�2MIT# <br /> _ L)� <br /> LEGAL for new construction: Short Plat/subdivision _L No. (attach copy of long leai description) <br /> OWNER Phone/E- it <br /> A dress / ity/Stat ip <br /> 'ter <br /> APPLICANT: Owner _Owner's Agent _ContractorContract A nt —Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR L I Lic.# COE Bus. Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT e 2\ y <br /> /�i 1 r i2 j c'�r i'l j� g A c&J'P e�15�—�� 3 - ' I <br /> Phone/E-mail u , a12� r —41 <br /> BUILDING PtRMIT A PLICA ION CONTRACT PRICE OF <br /> Exist\type: i HEAT SOURCE: <br /> Propin Gas_ Electric other_ <br /> BuildFamily _Duplex_Townhouse _Multi-Family ercialType _Addition _Remodel _Repair_T.I. _Sprinkler_Demolition <br /> _Change of Use <br /> DESCRIPTION W K(additional space provided on the back): <br /> 33 y -ec�r '.5 cl2i-1 're_r� 6cc�L�I�cznCV 40 <br /> D,15 <br /> MECHANICAL PERMIT AP PLICATIO14 PLUMBING PERMIT APPLICATISIP <br /> Type of Project: _New_Addn _Alteration_Rep 4of Project: _New_Addn _Alteration_Fair <br /> Show Number(#)of fixtures Show Number(#)of fixtures 1+ <br /> A/C–air handling unit Toilet <br /> Forced air syste Bathtub <br /> Gas piping I All, Lavatory(wa sin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range NL washer <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <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 complied <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 of this 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, <br /> r/ uthorizec� a Sf nature Date (Revised 6/2012) <br />