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r � <br />ERMIT APPLICATIO� <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 />ADDRESS: .,�� <br />TAX # <br /># <br />-� <br />L <br />LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />OWNER Phone/E-mail <br />Address City/State/Zip <br />APPLICANT: _ Owner _ Owner's Agent _ Contractor _ ContractoPS A9Bflt _ T2f18f1Y (must provide a letter of consent from the owner to do work in the space) <br />CONTRACTOR State Lic. # Citv Bus. Lic. # <br />I Phone/Email <br />NTACT FOR PERMIT <br />Phone/E-mail <br />BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br />Existing Use of Building <br />Proposed Use of Building Ga <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: New Addition Remodel Repair _ T.I. _ Sign _Sprinkler _ <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixiures <br />A/C — air handling units <br />Forced air systems <br />' Gas piping <br />' Water heater <br />' Gas fireplace <br />Gas ranae <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Boiler <br />Refrigeration <br />Woodstove <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />I hereby rtify that I have read and examined this application and know the same to be true an <br />wh her specified herein or not. The granting of a permit does not presume to give autho ' <br />That I a tho ' d by the ner of this property to perform the work for which application is <br />�- �z �z �� <br />Owner/Au rized Agent Signature D e <br />HEAT SOURCE: <br />Electric Other <br />of Use <br />PLUMBING PERMIT APPLICATION <br />�e of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixfures <br />Toilet <br />Bathtub <br />� Lavato wash basin <br />Shower <br />Kitchen sink & dis osal <br />Dishwasher <br />! Clothes washer <br />! Water heater <br />' Sink service/bar/mo /etc. <br />Backflow reventer <br />' Urinal <br />Drinkin Fountain <br />Floor drain <br />! Grease tra <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />d correct. AII provisions of laws and ordinances goveming this type of work will be comp <br />rrty to violate or cancel the provision of any other state or local law regulating construction <br />made and I comply with the State Contractors Law �827 RCW and 296200A WAC. <br />(Revised 9/2014) <br />