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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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> d( �h <br /> ' W <br /> SITE ADDRESS: /)01 t "'� L/ 1 i JAe PROPERTY TAX# PERMIT# <br /> I K 100,5 0151 <br /> LEGAL for new construction: Short Plat/subdivision. Lot No3 1 (attach coppy'of long legal description) <br /> OWNER ira hii G Ham, Phone/E-mail 'i25-- ?o 3 .*2p01 <br /> Address 12 0 , Ventig, a1, City/State/Zip v- _ , 020 <br /> APPLICANT:_Owner Owner's Agent Contractor X Contractor's Agent _Tenant(must provide a letter of consent from the ownerto do work In the space) <br /> CONTRACTOR TO VUh(r l inhi IL&I Lic.# hair flPL J 17 L. COE Bus.Lic. <br /> Address <br /> I g22 6 c1 G' c S ohOPhone/Email <br /> I q 3 0 <br /> � � <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> rwfr <br /> Phone/E-mail Ii 1/C. a114 L/bill. Al <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ' C <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family _ Commercial <br /> Type of project: New _Addition _Remodel _Repair_T.I._Sign_Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> f)t, <br /> S1L1pç1(/fr* <br /> tiffir <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 /> AIC—air handling units I 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 I Clothes washer <br /> Range hood Water heater <br /> Exhaust fan I Sink(service/bar/mop/etc.): <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler I Drinking Fountain <br /> Refrigeration I Floor drain <br /> Woodstove Grease trap: <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM Other: <br /> I 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 complied <br /> with whether specfied 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 298.200A WAC. <br /> ("\'''b) <br /> Owner/Author gent naturejl Datee 's <br /> (R vi ed 6/`2092) <br />