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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 I? W 12n -1 _ Q(I <br />SITE ADDRESS: 56 & VC—tG r f A ALL WA <br />ge-61V I" 9AZOA <br />t; If <br />PROPERTY TAX s <br />2 <br />PERMIT # <br />LEGAL for new construction: Short Plattsubdivision ' Lot No. (attach copy of long legal description) <br />OWNER Rokle SoN La e e r <br />Phone/E-mail <br />Address (� <br />City/State/Zip ZqI4�ejJO,17alvv <br />APPLICANT: —Owner _ Owner's Agent _Contractor _Contractor's Agent -X Tenant (must provide a letter of consent from the owner to do work in the space) <br />CONTRACTOR I(j . 1 W e#effl <br />L & I Lic. # COE Bus. Lic. # <br />Address <br />Phone/Email <br />TENANT BUSINESS NAME <br />,1U WA� 5Qk\v--r /o6 7`f% 'l > T -S%a <br />CONTACT FOR PERMIT -.k c�4 woods -ye-5 wo i 1 <br />' 'Mg-Y ILL 1 S °YZ6 77.3 0;W9 <br />Phone/E-mail rhK to fdr�►aa �• <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WO <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 />DESCR PTION OF WORK (additional space provided on the back) : 1 /_' <br />t�r, a %� T�f /�•�iL� Gc �ei s� �s�ri A119 5711ac7�a l WaKk d <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Project: _New <br />Show <br />_Addn _Alteration _Repair <br />Number (#) of fixtures <br />Type of Project: _New <br />Show <br />_Addn _Alteration _Repair <br />Number (#) of fixtures <br />A/C — air handling units <br />i Toilet <br />Forced air systems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink & disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink (service/bar/mop/etc.) <br />Heat pump <br />Backflow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease trap <br />Ducting <br />i Roof drains <br />Other <br />Medical Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />i <br />Other: <br />Number of Heads <br />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 specked 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 t e r of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />Owner/Authorize gent Signature Date (Revised 6/2 <br />