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PERPIIT 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 />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />SITE ADDRESS: — 6-5yezo r <br />�r <br />PROPERTY TP%a <br />LEGAL for nn,vconstmctton Short Plat/subdivision Lot No._ (attach copy of long legal descripl!on) <br />OWNER !/ / <br />PhoneyEmail (�l 513 — 9 Dg, <br />Address <br />Cdy/Sla!e2ip E(/ <br />APPLICANT:_Owner _Owner's Agent _Contrauor _Conlrxtoes Agent Tenant lma!pevke•kner el ro.+mnl lraniM owarrm lo.wlln Ne yam) <br />CONTRACTOR GVcR G 6"" $TgTE ,SNE[T ML`TAt_ L 8 I Lic. a EVCP-GSS 07 zoT COE Bus. Llc. If CO 55 <br />Address 2t2U ?O?Ctrl� At -EVE WA 98201 Phore/Emad qZS 252-91IV <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />PhonefE-mail _ <br />M <br />BUILDING PEHr,11T APPLICATION CnlJTRACTPRICEOFWORK <br />Existing Use of at,, . ; _ __ HEAT SOURCE: <br />Proposed Use of Budding_ Gas Eler hic� amity <br />Building type: �[SingleFarndy _D�plr,r_f2;:rh�.;;e __LiulliTamily _Commercial <br />T e of ro ect: New Addition Remodel Re air T.I. Sign Sprinkler Demolition Change of Use <br />DESCRIPTION OF WORK (oddrtibnsi spaco provided on rho bscld : <br />.I-w�S!•qCl- �rlc-KQ55 �{�'lA-i �'""td �5T7�va'L <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typeot Pro)ect:_New_Addn ___Alteration ___Repair <br />Show Number qof Rxturas _ <br />Type of Project: _Ncw_Addn_Alteration _Repair <br />Show Number k affixfums _ <br />A/C — Airhandli units <br />Toilet <br />Forced airs stems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin <br />Water heater <br />Shower <br />Gas lire lace <br />Kitchen sink A disposal <br />Gas ran a <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water healer <br />Exhaust (an <br />Sink (serviceibar/mo etc. <br />Heat pump <br />Backflow proventer <br />Unit healer <br />Urinal <br />Better <br />Drinking Fountain <br />Refrt erellon <br />Floordrain <br />Woodslove _ _ ___-- <br />_ Duchn _ <br />Other _ <br />Grease trap <br />I <br />Roof drains <br />Medical Gas <br />SPRINKLER / SUPPRESSION SYSTERI <br />Other: <br />Numher of Heads <br />Other: <br />I hrreby ced,fy that t have road and examined this appacation and know the same to be Wo and carrect. An provisions of laws and ordmanos govarning its type ofwork W1a a plled <br />with whether spectred hemp m not The gnntbg of a Permit does rot prowme to gNa authority to vblate or cancel the provlslon of any other Yale or beat 4w r"Nbd;hg construction <br />That lama <br />therRed by the ownar Id opatty to perform the wmkk roc which appkatlon h made and l comply with the Slate Contractors Law to 27 RCWand 205 200A WAC. <br />Owns lhorized Agent Signature Date (Revised NTUIT) r <br />a / <br />