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6J1Lw10(z pawl <br /> PERMIT PLCATIA <br /> Bull®INN/MECHA NICALIPLUMSINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-881.0 FAQ 425-?57-8857 www.everettwa.org <br /> SITE ADDRESS: T PROPERTYI"AX#' PERMIT# <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER46i/ ! hone/E-mail C Q ( 0 <br /> .. <br /> Address _@/ City/StatefZip <br /> APPLICANT: Owner _Owner's Ment —Contractor _Contractor's Agent XTenant(must provide a letter of consent from the owner to Op work In the space) <br /> CONTRACTOR <br /> State Lic.# City Sus. Lic.# <br /> �/''(,� - <br /> Address Phone/Email <br /> YESS NTE CONTACT+QR PERMIT <br /> // , Oay L. m CA x / N%ck MC-&CWC'n <br /> Phone/E-mail `y`ZS' 3`(3-27 Y1 44Z5­30 21-7316 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building £� r, HEAT SOU CE: <br /> Proposed Use of Building d��!S' P Gas_ Electric Other_ <br /> Building type: _Single Family _Duple _Townhouse _ mily X Commercial <br /> TEANT 13U <br /> Type of project: —New —Addition Remodel _Repair—T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> J <br /> -MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alteration_Repair Type of Prvjeti �le�w_Addn Alteration'_Repair <br /> Show Number(#)of fixtures how Number(#)of fixtures <br /> A/C—air handling units Toilet <br /> Forced air systems 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 pumpBackflow preventer(inside bldg) <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 complied <br /> with whether specified herein or not. he 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 on by a is property to perform the work for which app. atiion is made and I comply with the State Contractors Law 16.27 RCW and 296.200A WAC. <br /> er/Authori ed genl Siginafure Date (Revised 4/2015) <br />