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• <br /> 1E,F,GEHr,,llyi7E10 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERAD11II94T6IN <br /> CITY OF EVERETT PERMIT SERVICES A ,, <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE_34., rE� PROPERTY TAX# E IT# <br /> i ���� / Ave_ O$-rO <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Phone/E-mail <br /> Address City/State/Zip <br /> APPLICANT:_Owner _Owner's Agent X Contractor Contractor's Agent Tenant(must provide a letter of consent from the o er to do work in the space) <br /> CONTRACTOR �'�►..tl't est . , State Lic.# 1 O")'7 AP City Bu .Lic.# 5010 <br /> Address( 8cp( 61,S- '73,,4,i�,,r:e -� tel, Gf�')_'� Phone/Email '20 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT tp, <br /> 03� �r'sr �''E_sByr�t�rq� C►9:.re� � ;�,.��ok.r�g wu� �6U N <br /> Phone/E-mail A�e )104 1-1 a G.M,4, , <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <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 /> socf7 . 5 0,‘,2ss, s(,5 <br /> . ,oma s ortccss,. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT A LICATION <br /> Type of Project: _New_Adds _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 govelVg this type of work will be comp <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\129a1 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 /> N. <br /> Owner/Authorized g- Date N' v (Revised 9/2014) <br />