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lEJ\1T I PPM�M,ATI i <br /> BUIL®ING/ IECHAHICAL/PLUMBING/SIG N/SPRINKLE, /DE •LIMN <br /> CITY OF EVERETT PERMlf11T SERVICES <br /> 3200 Cedar St, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.Org <br /> = /I' OF S <br /> SITE ADDRESS: . tr PROPERTYTAXif PERMIT tt • <br /> 0037120 o(oZ700 676to. dot`( <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ' <br /> OWNER .n)tWA-e± Ku 1,0_%, Phone/E-mail KV lace_c e kQTwve,. 1 I.CJI" <br /> 20 S 1'�D <br /> Address l 1 k S-1- se (M P._�O'''-" City/State/Zip -renr1 \ t,J)4 5f' .z o <br /> _ ! <br /> APPLICANT: Owner AZ-Owner's Agent Contractor _Contractor's Agent _,Tenant(must provide a letter of consent from the owner to dp wark In the space) <br /> CONTRACTOR 504//L C e) r?P/1If 07747 mi tix State Lie.# e4- -5 4; 82 C.f City Bus. L.ic.# <br /> `, IPhone/Email 2 /"^6�i 1-i/ 509414/ /I S )414 <br /> Address �Ge'1.r f�� 1...;', �� ��! �-� "� !�`��_'_ `I��� � � �_ <br /> TENANTBUSINESS NAME • CONTACT FOR PERMIT mckiier-weLa-`,p2 <br /> IPhone/E-mail15516 56`x+ Ave, IN �ovt41,-; wA- ggoZ <br /> MaheerAtfefe.%eN6Vv.0,4I ,covin lVs 5U4"Azi,/'1614 0 C Mei , c.-n r.-, <br /> • <br /> BUILDING PERMIT APPLICATION • CONTRACT PRICE OF WORK 11,W)/ g'714 ea_ b/ <br /> Existing Use of Building V ac�.v,-- \N-VJ3-e HEAT SOURCE: <br /> Proposed Use o oGas_ Electric Other <br /> Building ty•e: ,g..Single Family _Duplex Townhouse _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 /> Al Eli 5F, - f i7 1.) <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 /> NC-air handling units `?' • Toilet <br /> . Forced air systems I I • Bathtub <br /> Gas piping 4- lavatory(wash basin). <br /> I J Water heater. I I Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range •( Dishwasher <br /> • <br /> I Clothes dryer t Clothes washer <br /> Range hood Water heater <br /> 4 Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump <br /> Backflow preventer(inside bldg) _ <br /> Unit heater Urinal . <br /> Boiler . Drinking Fountain <br /> { Refrigeration Floor drain <br /> Woodstove j Grease trap <br /> Ducting I Roof drains <br /> • I Other Medical Gas <br /> C SPRINKLER /SUPPRESSION SYSTEM Other: <br /> INumber 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 aiork will be complied <br /> with whether specified 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 296.200A WAC. <br /> eV-7(Z° c <br /> - ` Date (Revised 4/2095) <br /> �wnerlAuthor A-•- gent Signature <br /> / ze„,,,, <br /> . <br />