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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 /> SITE ADA2��S� t.r CASINO <br /> ,�n �i f�nc� ���`�4'i PROPERTY TAX# PERMIT# <br /> W J 4O AP Ettl 610010- o4* <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Bb�rt t& R Phone/E-mail <br /> PO �.lW IL. <br /> Address f O 3101 MIS Q City/State/Zip c f.41L,E,, WA 11124.-2207 <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 R frf Bt-ID F-{ DL.I/JG State Lic.#60 17$75-72-7 City Bus.tic.# ?4”39 <br /> Address 5 ) / t c tf't' 14 W Y N 10 I id '? 4Q J Phone/Email R S i—33 3—,210 0 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> DP4N EL 4 t5-7,3S-"OM S <br /> Phone/E-mail _Tr-fay. G- DgmeLe. son M <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK Q`� �}5O <br /> Existing Use of Building 14FG HEAT SOURCE: ^ <br /> Proposed Use of Building M f& Gas_ Electric_ Other <br /> Building type: —Single Family Duplex_Townhouse Multi-Family X 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 /> :1J5MUL rRb7•i 0t A VEicria _) PAZ-r3 41AiJi9dcfl5-7", .5-734,94E- SWIMiv -7- <br /> 46-54. I <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_ J 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 j Drinking Fountain <br /> Refrigeration ;- x: .. . ,- — Floordrain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads I 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 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 /> 6/30/tr/ 1 <br /> Owne t or ed Agent Sig ure Date (Revised 3/2013) <br />