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�ERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBIN G/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 4e,, -257.8810 FAX 425-257-8857 www.everellwa.org <br />SITE ADDRESS <br />Eve,✓O g1sw3 <br />PROPERTY PROPERTY TAX a <br />Ulot <br />PE <br />I <br />a <br />0 <br />LEGAL for now c0115ilucbon Shot HaVsuL-d won— 1 of No �. (allach copy of long legal deSCrotion) <br />OWNER <br />PhonelE-mad -T�S- (pO i e 0 t�• <br />Address 151 <br />CltylSlalelZip 1:1 0 11 <br />APPLICANT: ..Owner _s Ov.ner-s Age•ra 4 Contractor _ Contractor's Agent _ Ten3nt(muarcvJ, rrr. o.-.e•u r,•n roc o+r+r�e-+o^,erne+p.«1 <br />CONTRACTOR I1.'Q, <br />II <br />Slate Lic. 0 Vi%A VAV 3 �n City Bus Llc. ARP <br />'Al1 W <br />Address t� Z�^J s `l.�" aPhonClEmai 4-ZjU-IapL4 rc <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />�(�A'1fTJ�1l�.�� �v$vwr.K4wewnwrT.u� <br />ItIrcre'r' rnal <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />Existing Use of Budding _ _ --__ I HEAT SOURCE: <br />Proposed Use of Building _______ I Gas._ Electric , Other <br />Building type- 41' Single Family _ Duplex _Townhouse _ Multi -Family _ Commercial <br />Type of project _ New Addition Remodel Repair T.1 Sin Sprinkler Demolition Chan a of Use <br />DESCRIPTION OF WORK (additional space provided ontire t:: r <br />�C(Y�0 2xr`>�FK � 9aiage. <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typo of Project. _New _Addn __Alteration -_Repair <br />Show Number(Al) of fixtures <br />Type of PrOJITT __Now _Add" _Alteration _Repair <br />Show Numberfa) of firfures <br />A/C — air handling units <br />Toilet <br />Forced airs stems <br />Battlub <br />Gas piping <br />Lavatory (wash basin <br />_ <br />Water heater <br />Shower <br />Gas fire lace <br />Kitchen sink 8 disposal <br />Ges ran a <br />Dishwasher <br />I Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink servicelbarlmo letc <br />Heat pump <br />Backllow preventer <br />Unit healer <br />Urinal <br />Boiler - <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />_ _ <br />Woodstove <br />_ <br />Grease IT <br />Ducting <br />Rooldrains <br />Other__ <br />Medical Gas <br />SPRINKLER <br />I SUPPRESSION SYSTEM <br />_ <br />Other: <br />Number of Heads <br />Other. <br />I hereby cene.y that l have mad and examined this app'cotron and know The same to be Iron and correct All provisions of laws and ordinances governing this IM of work wit be complied <br />wan whether specified herein or nut The gnnwg of a permit does not presume to give authority to violate or cancel the provision of ant omen slate of local law regulating COnelNCNin <br />Thai I am tuthcrued by The miner of edit property to perform the work la whxh apptw Idth Is made and I comply with the Stele Canndors Law lady RC W and 996 200A WAC. <br />Ow rived "Signature Dale <br />I Revised 312013) <br />