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PERMIT APPLICATION <br /> BUILD1 NG/MEC HANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLI TION/� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32UO Cedar St., Everett,WA 98201 425-257-8810 FA:'425-257.8857 www.evertiltwo.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS:-�y-�- "T1- C�' PROOPE�TA P t N <br /> LEGAL for new construction. Short PlaPsubdivis;or Y� V __ Lot No._ (attach copy or long legal description) <br /> OWNER Phone/E-mail p <br /> Address q -' City/Slate/Zip 9 <br /> APPLICANT: -Owner _ Owner's Agent Contractor Contractor's Agent _Tenantao+on•+e•rcR•1 <br /> CONTRACTOR L 61 Lic.4 COE Bus.Llc.is <br /> Address Phore/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT t� <br /> Phone/E-mail Z J L C <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORM. '00 <br /> Existing Use of Building S"LV--i r— 'TZ-d HEAT SOURCE: <br /> Proposed Use of Building Gita Electric Omer <br /> Building typo: _V Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: New ✓Addition Remodel Re ale T.I. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> 4cuo o C0 ver <br /> f <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProJecl: iles!New_Addn _Alteration_Repair Typeol Project: _New-_Addn _Alteration_Repair <br /> Sho Number(9)of flxfuros Show Number a of l/xfures <br /> A/C—alf handling units Toilet <br /> arced airs stems Bathtub <br /> 8h i in LByalb wash basin <br /> Waste Baler Shower <br /> Gas fire ce Kitchen sink 6 dis dial <br /> Casten a ishwasher <br /> Clothes d er\ -- <br /> Ihes washer <br /> Range hood We healer <br /> Exhaust fan Sink rvice/bar/md lett. <br /> Backflowhoreventer <br /> Heat pump_ <br /> Unit heater UrinalDrinking Fountqln <br /> Boiler <br /> Refri eration Floor drain <br /> WOdtlatOVe <br /> Grease Ira <br /> Ductin Roof drains <br /> Other__- Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby coney that I have nod end e,amFed this appiknlion and 1 now the same to be Inco and conetl.Al provisions of lave and ordhance•govemhg this type of work nabs compled <br /> with whether speUaed herein dent the granting of a permit does not Presume to She aothonty,to violate or cancel the provision ofany other stets or local lswregulathg consbuceon <br /> that I am authorized by the owner of lhb property Io perform Ina work for which arplcatlon Is made and I complycosh this State Contractors Law its 27 RCW and 798.200A WAC. <br /> (Revised 15,7011) <br /> 0 nerlAulhoN:etl Agent Signature <br />