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MAY/02/2017/TUE 10: 47 AM North46eek Roofing FAX No, 425 487024 P. 002 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLEPJDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 93201 425-257-8810 FAX 425-257-8857 www_everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: U n PROPERTYTAx# FXMIT# <br /> CJ o -6 <br /> LEGAL for new construction; Short Piet/subdivision Lot No, (attach copy of 10119 legal dasaription) <br /> OWNER .--ter Q Phone/E-mail <br /> Address �1� City/State/Zip V <br /> APPLICANT- owner _owner's Agent IContractor _Contractors Agent //Tenant(mustprovideaietterofwnsentfromtheown�rtoagwoncmmespace) <br /> CONTRACTOR 'C L€I Lic.#t05 COE Bus_Lic.#',6 5V69 <br /> AddressXM , Cik,. �.1-Lcotk)t ��Ix Phone/Ernail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> PhonelE-mail \'T.S-- act R1110 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 7J3 "d-L-J(p. c'o <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 /> T e of project New Addition ernodel Repair_T.I. Sin —Sprinkler Demolition_Change of Use <br /> DESCRIPTION OF WORK(additiona(space provided on the back): %, <br /> a�Cc ts.'s�M� �o o�: Y:�_ ��WV%tI M <br /> Y b . <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 M of fixtures <br /> A/C—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping <br /> Water heater � Lavatory(wash basin) <br /> Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes d sr Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink service/bar/mo /etc. <br /> Haat pum <br /> Unit heifer � Backflow preventer <br /> Urinal <br /> Boiler DrinkingFountain <br /> Refrigeration Floor drain <br /> R W ve Grease trap <br /> Ducting <br /> Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Other; <br /> I hereby certify that I have read and examinled this application and know the same to be We apd wriest,All provisions of laws and ordinances governing this type of work will be complied <br /> with whether speciecd hcrein or not.The granting of a permit does not presume to give authority to violate or Mncel the provision of any other slate or local law regulating constn4cuon <br /> That t am authorized by the owner of this property to perform(ho work for which appllcatton is made and I comply with the State Contractors Law 18.27 RCW and 298.2DOA wAC. <br /> 1101, <br /> 0 or/Authorized Ag Signature Date (Revised 6)2012) <br />