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L <br /> 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 /> SITE ADDRESS: Apy4 TAX# PERMIT# <br /> 2522 COLBY AVE 'PROPERTY <br /> 00562456102100 I a f$Cg QQ 7 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER JOHN FAWCETT Phone/E-mail 425-268-0527 <br /> , <br /> Address 2522 COLBY AVE City/State/Zip EVERETT, WA 98201 <br /> APPLICANT:_Owner _Owner's Agent _Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR RAM JACK WEST State Lic.# RAMJAW*852PW city Bus.Lic.# 57547 <br /> Address PO BOX 11701 ,EUGENE, OR 97440 Phone/Email 541-688-7177 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Korey@ ramjackwest.com <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $12,500 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric_ Other <br /> Building type: 1<Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project: New Addition Remodel .) Repair„, T.I._Sign Sprinkler Demolition Change of Use <br /> F <br /> DES <br /> CRIPTION ORK(additional spaceprovided on t back): <br /> ( ) RamJack ` - elical Piers to stabilize <br /> exisiting foundation. <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 /> A/C—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 dryer Clothes washer <br /> _ Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater 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 /> 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 compl <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 /> � ✓� X113 ie <br /> 0wfier u orized Agent Signature / ate (Revised <br /> 9 9 9/2014) 40 <br />