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' ' I'�F�l11lI I A1'1'L!(�A i i(�IV <br /> SUIL�lNG/MECI-l�►NIGAL/PLUl11lSlN�lSlGN/SPF�If��K�LEl�/DEMOLlT101V <br /> CITY OF E�/ERETT ��RM{� SERWICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 F/1X 425-257-8857 www.everettwa.org <br /> �:iii�iiiJ13PCL.`i:i 'riSl3i`ttCiY i'r1i(,3 T'CMfYili�V _� I � <br /> / �S / � ��-� 0 �'�r � C <br /> LEGAL for new construction: Short PlaUsubdivision �2C2���7-G'-37 Lot No. Z (attach copy of long legal description) <br /> �C��P �R��lo�t/ y� '� 5��' /�� <br /> //xI riCK�c�.C'f'G`P��'1G��d`�`� <br /> OWNER L i��/�� Phone/E-mail Z. . �, �. <br /> Address—_/�--��__=V—�-=Y.:-�7_! ?��_-`... -----_==--=-_---City/State/Zip��1i,_� L�/� '�T'�1�-- -`'�"��O_`�0 �----._.. <br /> APPLICANT: vOwner _Owner's Agent 1/Contractor _Contractor�S A9eflt _T2f12fit(must provide a letter of consent from the ovmer to do work in the space) <br /> CONTRACTOR �/�Tlf!' �,�CfjC/l� State Lic.# ��p��'�3�Ks�/ City Bus. Lic.# r <br /> Address ;5��1'� �S ��jc'���'� PhonelErnail <br /> TENANT BUSiNESS NAME CONTACT FOR PERMIT ��-�j g"-/��L <br /> Phone/E-mail (,V I.c..¢X <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 3Z�� I Zv <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building s'r� Gas � Electric Other_ <br /> �bUiVialii�ty�'I�: V 51ryi2 P-d��iiii '�,�UU(Jicri_i OVvifIiOUSC _7JIUlii-tar�riy _i,or�+rrarciai <br /> Type of ro�ect: �New Addition Remodel Repair_T.1. Si n Sprinkler_Demolition Chan e of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): ��.�` <br /> �_7�� � �1U(,l-S L I V�L�� <br /> ��I 5 �' �.}��!` e <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: '�New_Addn _Alteration_Repair Type of Project:�New_Addn _Alteration_Repair <br /> ahow Number(#)oi fiixtures Show Number(r�)oi rixtures <br /> AlC-air handlin units Toilet <br /> , Forced air s stems �'fc Batniub <br /> ' Gas pipinq m _M � Lavatorv(wash basin) <br /> Water heater � Shower � <br /> ' Gas fre iace ' Kitchen sink&dis osal <br /> Gas ran e ( I Dishwasher <br /> ri..�ti.. �. _ I vi,.+�,. •�✓�S!'@i <br /> ' Ran e hood Water heater <br /> Exhaust fan Sink service/bar/mo /etc.� <br /> Heat um Backflow reventer inside bld <br /> Unii hea'ter ; Urinal <br /> Boiler i Drinkin Fountain <br /> Refri eration ! Floor drain <br /> ' Woodstove i Grease trap <br /> _ _ _- -- - - _ <br /> Ductin Roof drains <br /> Other ! Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � Other: <br /> Number of Heads i Other. <br /> I hereby certify that I r�ave read and examined this apptication and know the sam2 to be tru2 and co7ect.AII�rovisions of laws and crdinances goveming this type of wcrk wili be comp <br /> with whether spec�ed herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That I a 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 /> �; �. `� `rZ <br /> G�%'/ ���. <br /> Owner/Authorized gen ignature Date (Revised 4/2015) <br />