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III 11111 <br /> PER LI CATION <br /> BUILDING/MECHANICA /PLUMBIIy,G N/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 DRESS: �+ PROPERTY'567)4/61211 dr G PMS 0 t <br /> . LOCb.061?) 57Q <br /> LEGAL for new construction: Short Plat/subdivision Lot No (attach copy of long legal description) <br /> OWNER �.0,' R,E7 f' (' to (d; file a. Phone/E-mail <br /> Address / City/State/Zip <br /> APPLICANT:_Owner _Owner's Agent ;.t Contractor _Contractor's Agent Tenant(must provide a letter of consent from the owner to do work in the rpau>) <br /> CONTRACTOR (.1f)/07 fj �x <br /> �,/ State Lic.# V /ill ^"s � � <br /> � us Lic( 5/OO_ <br /> Address ( / y 8 „t rv.7 j 1, ' 'fAA j .9 6 33 Phone/Email t,/,,,7:51->r 2 2- z Z315 <br /> TENANT BUSINESS NAME J / CONTACT FOR PERMIT/�j 'toc -7Toa/ss <br /> ,&/, 7/ Phone/E-mail t✓! c, ( -t V (J(v&AG i?3j +'y, e), <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK /3 �) ' eco <br /> Existing Use of Building 6,21.1-7;c--"Fr HEAT SOURCE. <br /> Proposed Use of Building C>/r--F%Ce— Gas `' Electric, Other <br /> Building type: _Single Family Duplex Townhouse _Multi-Family Commercial <br /> Type of project: —New _Addition X Remodel Repair T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> RElc'GI.if a cP1ce , 14-bD C�iAr K ' move-00 b/` o lits. <br /> MECHANICAL PERMIT APPLICATIO. ' *PLUMBING P RMIT APPLICATION <br /> Ty f Project: _New'Addn _Alteration_Re!• r Type of Project: _New YAddn _Alteration_Repair <br /> Show Number(ti)of fixtures Show Number(#)of fixtures <br /> ( A/C—air handling un. Toilet <br /> Forced airs ste : f Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heat= ( Shower _ <br /> as fire•ace / Kitchen sink&disposal <br /> G-. :nge I Dishwasher <br /> CI e •ryer 1 Clothes washer ' <br /> ange hobo, Water heater <br /> /Exhaust fan j Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater � Urinal <br /> ( Boiler \ Drinking Fountain <br /> Refrigeration - Floor drain <br /> _ VVoodstove ( Grease trap <br /> Ducting �, Roof drains <br /> .8Other ' ( ,�;res r Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> a <br /> 1 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 compi <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 slate or local law regulating construction <br /> That I am atitti rized 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 296.200A WAC <br /> V ' -OwnerlArixed nt S gn ura Date (Revised 9/2014) <br />