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qv, 0 1c1 <br /> PERMIT APPLICATION <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: PROPERTY TAX# PERMIT# <br /> 311 to I .PLA,3t AVE aoy3 3i,o0 0o6o3 o2 C i i2--0(7 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER -.1Ess e J. J �R.P��i�� Phone/E-mail 2-0(0-9 is---7580 JESSElemoaseia3vrtiq,�.corn <br /> Address 371 ko JP A/Jt A-v City/State/Zip Ev6 Z.. -rt- JA q 67_03 <br /> APPLICANT:X 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 OL )A)G.P., 11c.kt Lt€tL--- State Lic.# /MA City Bus.Lic.# /V/r4 <br /> Address 3-1 kg u1/4iPtA'JD AVE / Wft- Phone/Email-9/S----'75-80 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> - <br /> Phone/E-mail 221 , 335. 06 <br /> BILDING PERMIT APPLICATION CONTRACT PRICE OF WORK - o0 <br /> Existing Use of Building Ni�C- N'T / rJ.OHEAT SOURCE: <br /> Proposed Use of Building S I N 6 Foti.-M t L'( R_ZS I c>✓t`XE Gas X Electric_ Other_ <br /> Building type: )4 Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: 4g,New _Addition. _Remodel _Repair_T.I._Sign_Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> B%AALT> NES St' 4-L �rA ►t--`f o - <br /> Me") CON Stn- -TZ'013 R.e-pI.AG/3(-' ca>ci s-n — t+0./U4€ <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 air systems 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 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 296.200A WAC. <br /> .YLtL� /2/Da/4 <br /> Own uthorize gent gnature (Revised 9/2014) <br />