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OPERMIT APPUCATAI <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 08201 425-257-8810 FAX 425-257-8857 wvvw.everettwa.org <br /> SITE ADDRESS: cu,, ,r PROPERTY TAX# MIT# <br /> CIL—CHI <br /> LEGAL for new construction: Short Plla�ttsubdivision Lot No. (attach copy of Ibng legal description) <br /> OWNER VV� 1-V�o�� t <br /> Phone/E-mail "Z•5.• <br /> C.�:EtllT'5� <br /> Address 31 Z( 7-0t- City/State/zlp <br /> APPLICANT: Owner —Owner's Agent _4—contractor —contractor's Agent _Tenant(must provide a letter of consent from the owner to dp work In the space) <br /> CONTRACTOR �sf �- TAS &Zum- State Lic.# WE-tC55 0ZZC'l City Bus. Lic.# 00-7'1 <br /> Address 2.120 A(.-tk(- k)C- j_�V LVA DI Phone/Email 4 <br /> TENANT BUSIRI799-IT= CONTACT FOR PERMIT <br /> th,5-Z3/14 <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building f) Lir HEAT SOURCE: <br /> Proposed Use of Building2VD Gas Electric - Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family k Commercial <br /> Type of project: _New _Addition —Remodel jL Repair_T.I. Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> A00 v -TCS 7 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New_AddnAlteration, Repair Type of Project: _New_Addn _Alteration rRepair <br /> Show Numb er(#)of fixtures Show Number(#)offixtures <br /> A/C-air handling units Toilet <br /> Forced bir systems Bathtub <br /> Gad piping Lavafory(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(inside bldg) <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting I 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.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 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 298.200A WAC. <br /> 4 id-lie <br /> OvOlWAuthorized a tSignature Date (Revised4 <br /> �lZ <br />