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PERMITAPPLICATION <br /> BUILDING/MECHANI AL/PLUMBING/ IGNI PRINKLER/DE OLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St,Everett,VVA 98201 425.257-8810 FAX 425-257-8857 www.everettwa org <br /> SITE ADDRESS: e.7PROPERTY TAX# g <br /> i geto Jo i I tZ-00( <br /> 77-4- <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description?. <br /> OWNER CPO,4 ir'et/►. 5 OV'v tl tXV t.r--- Phone/E-mail <br /> 4/- J� (� <br /> Address 226 5 0 v,aJ City/State/Zip ��'f tl1�f , �f 6 <br /> APPLICANT:_Owner _Owner's Agent S"Contractor Contractor's Agent _Tenant(must provide a feserotconsent kene;s ownert.. the specei <br /> CONTRACTOR 5 f vt i -/k LZ l4, State Lie.#51Ct W 7'e `40 6 City SIA.tic.'• 11 <br /> Address S-77-3 fca ) K=/L ` '2 S` I e . ., <br /> f� Ft-PrPhone mrd V t S f' - �te or,r .460 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT "e„ / .- J <br /> Y fi jvvq �}{ ' ... 2. -3-422.-2.ti/ j <br /> { Phone/E mail 1/t‘440)51.,1' <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WO <br /> Existing Use of Budding HEAT SOURCE: <br /> Proposed Use of Building 't-_ s Electric Cher_ <br /> Building type: _Single Family Duplex Townhouse Multi-Family _Commercial <br /> Type of project: New Addition Remodel _Repair T.L . Sprinkler D •itiioon_ Chha I of Use, <br /> DESCRIPTION OF WORK(additional space provided on the hack): 1 riti Z ${ C 1R'E f'fd V�ii�{� j l f J"l S, <br /> 5.41bn 2. 1/44,4(0.4_,4,../ . th5c <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION i' <br /> Type of Project: New_Addn Alteration_Repair 'type of Project New' _Addn ,,,,....Alteration_Repair <br /> Show Number 119 of fixtures Show Number(Vol fixtures <br /> NC—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 dyer Clothes washer <br /> Range hood Water.heater. <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit neater 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 /> hereby certify that t have read and:examined this application and know the same to be true and correct.AN provisions of leas and ordlnanees governing the type of work will he comp. <br /> with whether specified herein or not.The g nting of a permit does not presume to give authority to violate or cancel the provision of any Other stale or local law regulating construction <br /> That i a tho'ed by' a owner of the eft/to perform rhe wank for a tier)is nadide end)comply with the cantrectors Law 1812?RCW and 296200A WAC. <br /> � 11 <br /> 3e> t <br /> Authorized Agent Signature Mite (Revised 9/2014) <br /> —_ i <br />