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HERMIT APPLICATIO <br /> BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOIITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St, Everett,WA 98201 425-257-8810 FAX 4.25-257-8857 www.evergttwa.org <br /> SITE ADDRESS:,- --- P.ROPERTYTAx# Q ITIS <br /> 3003 ev. CfslNo �a 54-o7r 9$203 �3roft oto-032; <br /> LEGAL for newoonstruction: short Plat(subdivision Lot No. (attach copy of long legal descr"on) <br /> OWNER 16vE.IiV61 Com qrU)( honelE-mall <br /> Address l?d -,�o x Citytstateop S g s`t�-�, -W ell <br /> APPLICANT'':—Owner _Owner's Agent Contractor Contractor's Agent .TTenanl(must aw� a kWo(oansottkamt4aow,wradowwkintho"cei <br /> CONTRACTOR tteic.# AjVMe3`3 City Bus.Lc #. <br /> Address � — . <br /> Q LAC�. W Phon&Emau. .2o&— 3 any —11 40 �b� <br /> TENANT BUSINESS NAME 1 CONTACTFO.RPERMIT �� �l-✓AAiF-7- <br /> wi itis Phone/E-mal Z56-SSO— S'713 jal�arex � ►ei- .. <br /> BUILDING PERMIT APPLICATION. CONTRACT PRICE OF WORK �-LAI&I Z,_O'Lo O <br /> E)dsting Use of Building HEAT SOURCE: <br /> Proposed Use of Building N\�N V Fq cTu� na G Gas Electric . Other <br /> Building type: _Single Family `Duplex Townhouse _Multi-Family-L Commercial <br /> Typeofpmject . New Addition Remodel. Re tr T.I. Sign S rinkler Demolition Chame of:Use <br /> DESCRIPTION OF WORK-�(iaddwonal space provided on the{back)- <br /> - - /o- 2�.a^e o cta� .s vim[_ a^-i•a�wp�" VE�•}•�ta��$y Ce'�l"C . �'�`*�•�` \� �4'�•q� �-�,� - _ <br /> �•�-S•ar- <br /> ✓k.r`,Kaw� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project X New Addn ___ANeration ,Repair Typo of Project: -NewAdds Alteration Repair <br /> Showllfumber # off Tures . -Show Number offfxtures. <br /> �O AUC-&handling units Toilet <br /> Forced air systems Bathtub <br /> l Gas pleinp Lavatory wash basin <br /> Water heater Shower <br /> Gas fire ace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer . <br /> Range hood Water.heater <br /> \LA Exhaust fan Sink servicefbar/mo etc. <br /> Heat pump Backflow preventer <br /> it heater Urinal <br /> Boiler 7C`v L j Drinkin2 Fountain <br /> Refri tion Floor drain <br /> Woodstove. Grease trap <br /> -f o FY Ducting Roof drains <br /> ,2 O Other V AV ,iaoIL Medical Gas <br /> SPRINKLER/,SUPPRESSION.SYSTEM' Other. <br /> Number of Heads Other. . <br /> .1 hereby cattifyt4at I havo road and exambed this appkrcatlon and know the sane to be trite and correct Alt provisions of laws and ord'crancc--goveming this type of wok wiU bG comp' <br /> with whother spocifed herein or not.The granting of a permit does not presume to glue aurtroriiy to violate or cancel the provision of any other stats or iocatlaw regulating cgnstrudion <br /> That Ism authorized by the of th property to perform the woek for w hkh appiKation is made and I comply with the State Contractors Law 1827 RCW and 29620M WAQ. <br /> Owa uthorized ent Sonature Date (Revised 9/2014)_ <br />