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PERMIT APPLICATION <br /> • BUILDING/MECHANICAL/PLUM BING/SIGN/SPRINKLER/DEP/IOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everetl, WA 98201 425-257-8810 FAX 425.257-8857 www.everettwa.org <br /> PUOETAX OSITE ADDRESS: 00 R ' LOOT 60 3 <br /> Lol No_ (attach copy of tong legal descaptlon) <br /> LEGAL for new construction Short PlaVsubdiwsion <br /> OWNER EVE Phone1E-mad �}ZS-.�-If�5 <br /> c•adress <br /> Cilyisisterzop 1✓�j&C-77— <br /> .`J <br /> APPLICANT:_iwrner _Owners Agent �Contraclor _Contractor's Agent _�1 Tenant lmni powaurw.er of ra.,xry hcm m.o.rumao.wsMrM—Ia•<q <br /> 41 <br /> CONTRACTOR 0/k(�ITE '�PLJ%l3 vY� Stale Lic # V µ N��Qr'C�it �B/us Lic # QI I <br /> ��Idiess�l:Js(v W L /� w�+/ Phone1Emal 4Z`j--77.5-6q6 <br /> TEfJANTDUSfNESS NAME CONTACT FOR PERMIT Q L0.,1CLJj%j- <br /> PhanelE-mad ZCJ'7O2rJ–�p(�Ir���� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> HEAT SOURCE <br /> Existing Use ofBud:, I <br /> Gas Eleclric 011ier _ <br /> Proposed Use of Bur'c' j__ <br /> Building type &Single Family _Duplex_Townhouse _fdultl-Family _Commercial <br /> T ype of project New Addition _-Remodel Repair T I Sin St:v'er Demollbon Chan c of Use <br /> DESCRIPTION OF WORK faddmonafspace prowdedonthe back) 6f'Y.ACF <br /> /✓EW 6A5 ;51"knE 1W 45A7V(-fZ- ICCA-nanJ ) if)o Vew 6:A-s Plplill <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typool Profect: _New_Addn — Ilerahon_Rcpan TYpeof Pro)eet: New— d , fixtures-Alr. t <br /> how Show bp,rr <br /> SNumber(N)of fixtures Number(VI <br /> or <br /> AJC—air handlin unds et <br /> Bathtub <br /> Forced airs stems Lav <br /> (wash basin) <br /> Gas Piping Shower <br /> -- _ Water heater Showe <br /> -- Gas fireplace Kitchen sink&disposal <br /> ---I Dishwasher <br /> Gas range <br /> Clothes dryer Clothes washer <br /> Ran a hood Water heater <br /> Sink servlceloarymo /etc <br /> —� Exhaust fan <br /> Backflow prevenler <br /> Heat pump Urinal <br /> -- Unit heater Drinkrna Fountain <br /> l3'ider <br /> " Refrigeration Floordraln <br /> -- — Woodslove Grease Ira <br /> - - <br /> Ducting Roof drains <br /> Other. Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other. <br /> Number of Heads Other <br /> l iwrebycendy that l have lead and examined this application and knawthe same to be true and correct All provisions of laws and ordinances governing this type nf work wx be compl,ed <br /> wah whelher spesfied heren at not The graning of a permit does not presume to give aulhwdy 10 violate or cancel the provision of any other stale or local law regulating ccrut—lion <br /> That I am aothorard by rhe owner of INS properly 10 pedmm the wok Ion BArch appltalion is made and I empty emh the Slate contractors 1 aw 1e 71 RCW and 290 2DOA WAC <br /> �l l (Revised 712017) <br /> Owner! torlted Agent gnaluro ale , <br />