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s,s. '/ ,.J <br /> ' .s "��I�.,a4��s , F C.�S-a�' ¢,�' 1�`I�"�,C �S�' <br /> ,�,� �� � 'n"°`�,� ,�v�..- <br /> PE��I� A �L���a ���� <br /> ,; <br /> �UILDING/MECH�fVICAL/PLUMBING/SIGN/���IN�L��/���VlOLO'� IOtV <br /> CITY OF EVERETT PE�IVIIT SERVI���S <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvwv.everetfwa.org <br /> SITE ADDRESS: PROPERTY I AX tf- PERMIT#, <br /> � � � <br /> � � � �rf/'�. s�'i Vv I'--�. � ���) : <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> OWNER „� � !L <�., / tc��,�,z„�., Phone/E-mail ` 02 .�''l�� <br /> Address ,Z �Q�.jC��,� � �f City/State/Zip �'—�/..��-{ �- <br /> APPLICANT:_Owner _Owner�S A92flt _COf1lf8ClOf _COf1�f8ClOf�S AJBIIl _T0112f1t(must provide a letter of consenl from the owne�lo do work in Ihe space) <br /> CONTRACTOR `�C�/l I(j�0� State Lic.# City Bus. Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT ^ <br /> ���r}""`'/L,y�c�-�m�l-.J �/�'-��- �t��'.�..� <br /> Phone/E-mail �,,,��S`7 " <br /> gl�lleDINC PERIVIIT APPLO�A�I6111 �ONTRACT PR!CE OF WORK <br /> Existing Use of Bu;lding HEAT SOURCE: <br /> Proposed Use of Building ��r-���✓c7✓aL�_�1��i� Gas_ Electric �~--`Dther_ <br /> 13uilding Pyp�:.� _ Si^gle Femily __ L v�ler, ____To�_��nhouse _-�rlii-ran�ih� ___CommPrci�l <br /> Type of project: _ New Addition _Remodel �--�epair_I.I._Sign_SpriN<ler�emolition_Ghange of Use <br /> DESCRlPTION OF WORK(additional space provided on the hack)' <br /> �O O'!r-F��S� /��-IvlO v�¢ � �°a'yG/'.S� � c..c./c—f f�e.�v J�-- l� P`�t t- �/c�-3:_S <br /> ��P/c�c c / v r- <br /> ,S'.rP�;,,f' �-d� srd,',✓ • � �,o�a.�t. �a/d �✓ r.Jc�ou/,'s- a' �- <br /> ���1�•� <br /> G <br /> MECHANICAL PERMIT APPLICATION LlJMBING PERMIT APPLICATION <br /> Type of Nroject: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> � 5how 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 � i Dishwasher <br /> ; . Clothes dryer -�' Clothes washer <br /> ; Range hood i Water heater <br /> � Exfiaust fan � Sink(service/bar/mop/etc.) <br /> � Heat pamp � Backflow preventer <br /> � Unit heater�. I Urinal <br /> � Boiler Drinking Fountain <br /> � Refrigeration ��. � Floor drain <br /> � Woodstove � � Grease trap� • <br /> Ducting \ � Roof drains <br /> � Other � Medical Gas <br /> SPRINKLER / SUPPRESSION SYST�EM � Other: <br /> � \ <br /> Number of Heads I Other: <br /> I hereby certi(y lhat I have read and examined lhis application and know the same to be true and correct.All provisions of laws and ordinarces governing ihis type of work will be complied <br /> wilh whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provision of any olher state or Iocal law regulating construction <br /> ThatNQrri"authorized b��e owner of this property to perform ihe work for which application is made and I comply with the State Contractors Law 18.27 RC W and 296.200A WAC. <br /> c_��-,���i , 6'r <br /> ��"�'-�.--��'�-�_- � __ .�.._ '` '���� _ . ._.__._. <br />