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PERMIT 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 WNW.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SIIE AODRESS:I0O - � <br />PROPERTYTAXh <br />p Af V <br />46-7 <br />LEGAL for rew consitmi,on Short PI,aUsubdrvision <br />Lot No._ (attach copy of long legal description) <br />OWNER 1.t✓GG <br />Phone/E•ma 53 f{'7^lf <br />Address _ r <br />A <br />Gly/Slatalb <br />APPLICANT: Owner timers Agent Contractor Contractor's Agent Tenant(mml rmvaes pee. mromeel eernthe aawnoao r..n hero sWe) <br />CONTRACTOR e:IERGPt,W:MTE'SrScr Me,TAt_ It. <br />8ILic.a E.VEOSSS0Z,26T COEBus .Llc.a 00 <br />Address ZI2D ?AClr(C-A)f—EVE (JA 98201 PhonelEmail lZO zsZ-31/t% <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />i�tJ (425) 251 -3 i <br />Phone/E-mail .5mw&- (GNt <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK_ <br />6.�spr.g Lu cf Lui i r y _ HEAT SOURCE: _ <br />Proposed Use of Building_ Gas _ Eleclfg� Other_ - <br />Building type: Single Family _ Duplex _Townhouse _- Mulli-Family _Commercial <br />Type of p.o'ect New Addition model Re air T.I. Sin S rink _ Demblilion_Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back): <br />FURWIS(t f- ,.05TALL l)LoteSS ke*T <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typeof Project: _New_Addn __Alteration _Repair <br />Show Number a of rixdures <br />Type of Project: _t:o:r _ _Addn _Alleratl�n_Rnpair <br />Show Number a of fixtures <br />A)C- airhandlin units <br />_ <br />Toilet <br />Forced airs stems <br />Bathtub <br />Uas piping <br />_ <br />Lavatory wash basin <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink & disposal <br />Gas ran e <br />I Dishwasher <br />otlles d CIer <br />Clothes washer <br />Range hood <br />Water healer <br />Exhaust fan <br />Sink servicelbarlmo etc. <br />Heat plump <br />Backflow preventor <br />Unit healer <br />Urinal <br />Boller <br />Drinking Fountain <br />Refrigeration <br />Floordrain <br />Woodslove <br />Grease Irap <br />Ducting <br />I Roofdrains <br />1 hereby candy that 1 have mad and examined Ihls apnncnlmn and know me some to be Ime end reenact. All provi0ons of laws and ordhenus governing this" otwo k w it be compiled <br />wllhahetherspeoriedhemnornol. Tregrsunin orapormIt does not presume m give authority to violate or, oral the pmhsbn of any other stele of bud taw regulating CCnalNCken <br />That l ems �tlodx by ins per of mperty le perform the work for which epplica'Ion is made and l comply seen the State Contradicts Law 1e.27 RCW and 211e260A WAC. <br />f <br />OwnorlAl Ihod:ed Agent Slgl a Date (Revised G20r?) / 2 <br />