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0 • <br /> 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.everettwa.org <br /> SITE ADDRESS' � PROPERTY TAX# PERMIT.t _ Uc) <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal lddescription) <br /> OWNER Phone/E-mail <br /> Address City/State/Zip <br /> APPLICANT: Owner Owner's Agent $Contractor Contractor's Agent Tenant(must Provide a letter of consent from the owner to do work in the space) <br /> 1 <br /> CONTRACTOR .f State Lic.# f ILLCity Bus.Lic.# <br /> Address X mynA e ,� O Phone/Email '(Q@C( - <br /> TENANT BUSINESS NAME CONTACT FOR PER CQn <br /> Phone/E-mail YQ� �,C�� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �' 1 <br /> 77177— <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building] Gas Electric, Other <br /> Building type: _Single Family Duplex_Townhouse _Multi-Family Commercial <br /> Type ofproject: New Addition XRemodel Repair T.1. Sin S rinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> M& C2c,-) -E )n y-\-r Yv­C&S <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number # of fixtures Show Number # of fixtures <br /> A/C—air handling units Toilet <br /> Forced airs stems Bathtub <br /> Gas piping Lavatory wash basin <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <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 /> 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 comp <br /> W. hether specified 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 /> T at I authorized by,theowner o roperty 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 /> } <br /> O ner/A rized Agent Signatur Date ' <br /> tho (Revised 9/2014) <br />