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PERMITAPPLICA1 iioN11 <br /> f3 ki I U)IN G/MFICHAN CAL/P1 A)M BIN(11))/S 10 NISP M NKLF-,R/DFM0L111Q N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., .Everett, WA 98201 425-2578810 FAX425-257-8857 wvvw.c-vorettwo.org <br /> P i�()-P F kiy—TTi—w— RMIT# <br /> SITE ADDRESS: <br /> 2--lot v\)T---TfK0a-6 N,-r-- -thok E-t&-IT TpoK-1419 <br /> LEGAL for new construction: Short Lot No._ (attach copy of Ibng legal description) <br /> Phone/E-mail OWNER KbgN� <br /> �r- fboo2) <br /> Address L-6-v4- C-1ty/St`te/z'p <br /> owner to dp work In the space) <br /> APPLICANT: owner owners Agent Ve.1tr..tor Contractor's Agent Tenant(roust provide a letter of collsBol from the <br /> City Bus, Lio.# <br /> -rf�E <br /> state Lic,# PhANP&P=q V7 "S <br /> CONTRACTOR ul t�— — <br /> -Sorv,w-&CL-WYL-et <br /> Address55` Phone/Frnail q-2-5-2-50(-'6V?b 10 <br /> PERMIT CONTACT rN11 A C TITF R P E R M I'l <br /> TENANT BU,9IRM:%,-RT1Wr I <br /> P�T loop- LCk:5LfL Srtzi4k-f-s L-(—(— Phone/E-mail LA <br /> I <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEAT SOURCE: <br /> Gas Electric Other— <br /> Proposed Use of Building <br /> -���Dup ex Townhouse Multi,-Fam ily Commercial <br /> Building type: _Single Family M <br /> Type of project! __New __Addition Remodel _Repair,Y T.I.___Sign_Sprinkler__Demolition_—Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back)' <br /> l Cpm <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> 'Type of Project: <br /> N.,. Addn -Alteration Repair <br /> Type of Project: _New_-_Addn _Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C-air handling units 1,01let <br /> Force 'air systems Bathtub <br /> Gas piping <br /> Lavatory(wash basin). <br /> Water heater ShowerTirip—lace Kitchen sink&disposal <br /> - <br /> Gas <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Water heater <br /> Range hood <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump _N Backflow P'revbrit r(inside bldg) <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> —-------------- Refrigeration Floor drain <br /> Grease trap <br /> wood!;tnvo Ducting Roof drains <br /> T <br /> btlier Medical Gas <br /> - <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Hends.— Other; <br /> trim and correct.All provisions of laws and ordinance' f wmPlie <br /> I hereby certify that I have read and examined this application and know the same to be s governing this type 0 work <br /> with whetherupecit erein 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 /> . ie ate Contractors Law 18.27 RGW and 296.200A WAG, <br /> TIIEW-M" thon 'eithe owner of this property to porforrn the work for which application in made and I comply with the St, <br /> ;-ow (Revised 412015) <br />