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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES a —8 —( I <br />3200 Cedar St., Everett, WA 98201 - 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APP1 ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM r I I I : I _ I-7 [ J l <br />PROPERTY IAXa P RM <br />/( b %L per,SE „NIr tYc 1Gf1 IL'i� J'L 15 5 D Il4c n ZUV <br />LEGAL for new construction: Shen PleVsubdhAslon N A Lot No._ (attach copy of long legal description) <br />z t l94el • 9vL4; / <br />CAS. LC V" M e I CL' rsT, N Fer <br />OWNER DIiNfr-� - s i r1F PhonelE•mall <br />Address , 4•qj 41, Li1LG 5r- i a Clly/Stairfaip C-V /u..IT t.V.4 of b 2L) -5 <br />CONTRACTOR _ L & I Llc. i) N /�- <br />Phone/Emai1 N;14 <br />Address �..rhtrL <br />III <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT 5TP1'Eg R-V V 2 AK.- <br />Tmifp7AII.Cd LlVif fly, <br />PhonelE-man ZC6.9] 5 431l t+s <br />BUILDING PERMIT APPLICATION <br />C4UTRACT PRICE OFWORK ilSOUO.v1L <br />HEATSOURCE: <br />Existing Use of Building ITLIFyfAcIyG- <br />Proposed Use of Building ,.50l N&I"t- -- — Oas ckd Other <br />Bullding type: Silgle Family _Duplex _XTownhouse _ Mufb-Family —Commercial <br />_ <br />Type of project: _New —Addition N Remodel _ Repalr_ T.I. _ Sign _Sprinkler —Demolition—Change of Use <br />pai <br />i►ISTKk �L <br />Description ofWork (addihonal!Racyprovidedon Me back): k,rc Hcwx Ra mcsc-�, t'�Mc:"-F■1ShMIc4(. FZ err,,:L !,Tf <br />? rr W ALLf jiopN bivrD,N4 W�U OfliW EkN Il1TL1NcN It �IYrN4 <br /><3a-rn4 A1Oa1KAt.Jr LMMS4 <br />$b?M iN .-LACE of l lJt pill WALL. PIIAILjb /vEW rSLVIND L.JrtL.�,LR fl 4"NW e�1./wM&Nb �.WD <br />t L„CC 712f cItLA5 WF C.O..d%I'tily. •N7'7hL rvcW CAfSI N Il C CNIV rL102'".15 SINK 141&,*r imiA ,12ES <br />Al _t7L Z. 7LISN' <br />Have u stAd working without a permit? _YES X NO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: <br />__Addn _y Aneretion _Repair <br />Typo of Project: _New <br />_Addn XAlteralion —Rep"', <br />_New <br />Show <br />Number(e of fixtures <br />Show <br />Number e)of ll Vs <br />A/C - airhandlin units <br />Toilet <br />Bathtub <br />Forced airs stems <br />Lavatorywash basin <br />Gas i in <br />Shower <br />Water healer <br />i <br />Kitchen sink & dis sal __ <br />Gas fire lace <br />Dishwasher <br />Gas range <br />Clothes washer <br />Clothes der <br />Water heater <br />Range hood <br />Sink servitx/bar/mo etc. <br />Exhaust fan <br />Back low Dreventer <br />Heat pump <br />Unnal <br />Unit heater <br />Drinking Fountain <br />Boiler <br />Floor drain <br />Refrigeration <br />Grease rait <br />Woodstove <br />in <br />Roof drains <br />Ductin <br />Medical Gas <br />Other <br />SPRINKLER I SUPPRESSION SYSTEM <br />_ <br />aner <br />Number of Heads <br />I hereby certify that I have read and examined this application and know the same to be true arid correct. All provisions of laws and ordinances governing <br />INS type of work will be complied with whelher specified herein or not. I he granting of a permit does not presume to give authordy to violate or cancel <br />the provision of any other state or local low regulating construction or the performance of construction. That I am authorized by the owner of this property <br />to perform the work for which application Is made and I comply with the State Contractors Lew 18.27 RCW and 298.21)g WAC <br />OwnerlAuthor 13ignsture f l~ D (Revised l2Rgf0) <br />O4uA.M-A5 l.(/✓c L IE /a <br />57ro-,A) rlYD2jlIl <br />