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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 www. ver a.org <br /> SI E DD ESS: PROPERTY TAX tt P IT# <br /> t ' <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> OWNER j V1 Phone/E-mail <br /> f i <br /> Address , t ( City/State/Zip �, f <br /> APPLICANT:_Owner _O per's Agent _Contractor _Contractor's Agent _Tenant(must provide a letterof consent from the owner to do work in the space) <br /> CONTRACTOR State Lic.# City Bus. Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT (� <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building V, Y ti HW SOURCE: <br /> Proposed Use of Building Gas_ Electric_ Other <br /> Building type: _Single Family �/ Dupl x Townhouse _Multi-Family Commercial <br /> Type of project _New _Addition Remodel / Repair_T.1._Sign_Sprinkler Demolition —Change of Use <br /> back): <br /> the ded o <br /> ON OF <br /> DESCRIPTION WORK(additional space provin <br /> I` )-7 �s t <br /> nig w cd �� pip <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _NewAddn _Alteration_Repair Type of Project: _New_ ddn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater j Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> i Clothes dryer Clothes washer <br /> i <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> L Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be complied <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other slate or local law regulating construction <br /> That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />