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• PE MIS' .PPU ATFN <br /> UiLD NG/MECHA ICALiPLUMB1 0/SIGN/SPR N/ LER/DE *LIMN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> .(jib7-.4 2O /S <br /> PROPERTY TAX SITE ADDRESS:` pr PROPX#�� I pF� .D��� <br /> - tel 'Y/ l,v ` pt ; E/ t -it 01 / 20 17/0 z 70 0 <br /> i 1 <br /> LEGAL for new construction: Short Plat/subdivision Lot No, (attach copy of long legal description) • <br /> . i . <br /> OWNER .. 1` I1/1eve�" Ku t ace Phone/E-mail k)1C:t —G\01'`o1-YY.v 11 Co, vv\ . •.. <br /> P f <br /> Address 'Z(� l'01,1/4. S4 j '7 City/State/Zip C.-y ---Sr. i"1 �G�Z ag <br /> APPLICANT:_Owner kr-Owner's Agent Contractor _Contractor's Agent Tenant(must provide a letter of consent from the owner to dp work In the space) <br /> CONTRACTORS 6:4Y/16 0//1 itf4T/'j`/o,i/l-CC State Lie.# s."ekr7 b4 S g2 C City Bus. Lic.# <br /> `"` Phone/Email�2.1`�D/-6 0iSD/tt/DMz S e_N477C <br /> Address ��f /� - c-;-.c-;-. �e �'4L--y�� ! `�� �g�i I <br /> TENANT BUSINESS NAME ' t I CONTACT FOR PERMIT NWA.0 r_ <br /> 5-64.(1 Ave. w —,_78..,::.;,/,4,-, kAnti- ,78026 <br /> Maher-Vela:,- G lI\ ,Cows }Phone/Email.la so _ /-/6-s: a M, £-, <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 0591 e7LI e t. hal <br /> Existing Use of Building \I 6� v,k- g:Js-r HEAT SOURCE: _ - <br /> Proposed Use a : • - GasElectric Other <br /> Building ty'e: ,)-6,_Single Family, DuplexTownhouse _Multi-Family Commercial <br /> Type of proje `ew Addition —Remodel _Repair_T.I.__Sign_Sprinkler_Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> MEIN ,S -/ - k4-TrigaY b <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 fixturesShow Number(#)of fixtures <br /> NC-air handling units `3 • Toilet <br /> . Forced air systems I I Bathtub <br /> Gas piping '-. Lavatory(wash basin). <br /> 1 J Water heater. 1 J Shower <br /> J Gas fireplace ( Kitchen sink&disposal <br /> Gas range t Dishwasher <br /> Clothes dryer Clothes washer <br /> I Range hood Water heater <br /> Exhaust fan J Sink(service/bar/mop/etc.) <br /> J Backflow preventer(inside bldg) <br /> S Heat pump <br /> Unit heater Urinal <br /> J Boiler _ J Drinking Fountain <br /> I Refrigeration Floor drain _ <br /> J Woodstove J Grease trap <br /> Ducting Roof drain's _ <br /> I Other • Medical Gas <br /> i. SPRINKLER /SUPPRESSION SYSTEM • Other: . <br /> Number of Heads Other: <br /> I herepy 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 specified herein or riot.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 WAG. <br /> —2%7 / 7(liZ°/5 1 <br /> • owner/Author - -Agent icSignature Date (Revised 4/2015) <br />