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SERMIT APPLICATIO <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: 506 Ev ere f-4 /yla# wo PROPERTY TAX# � t T#I O(j— ( 0 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER PF L UE R Eve-rte Phone/E-mail p� <br /> Address �� �/y ph S� S3 00 City/State/Zip 5 ea fele kI R J 9/D/ <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 /> CONTRACTOR P�Gr rf'C �i r Con r O� State Lic.# P11 e I F A(f ).3 0P9 Cityy Bus.Lic.# <br /> Address If le 220 4,1 Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Lo cl2he-r Aµdr/ He e�It itra� <br /> Phone/E-mail 8 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WOW- I Un <br /> Existing Use of Building HEAT SOUR <br /> Proposed Use of Building Gas Electric Other <br /> Building type: _Single Fami y _Duplex_Townhouse _Multi-Family Commercial <br /> Type of project: New Addition Remodel Repair T.1. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> 1 h s-/a 11 a-k'om 'W ow- Z X �au 5 <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 /> with whether 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 /> That I am author' ed by the owner of this property to perform the work for whichh application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> --r <4 <br /> Owner/Authorized Agent Signature I Pate (Revised 91201 1 <br />