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• • <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS3p./ //J �� PROPERTY TAX# PERMIT#a 01 _0 t 3 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER ZICUe reT 7 4t f ''t rL Phone/E-mail�Z 3 2 2"� <br /> Address ! l ��'j� Ave City/State/Zip <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 /> i <br /> CONTRACTOR - COE Bus. Lic.# <br /> 7 �J <br /> Address ,26- '-1G.(5f Av& �C C. 'P2 5 Phone/Email ��� �� '2 C) <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> .� Phone/E-mail /Zc��J �o .�dvtti�c/<4rtle'.al Lv�?i <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 5 �6- <br /> Existing Use of Building G�.rtf� HEAT SOURCE: <br /> Proposed Use of Building /�`�' lG Gas_ Electri-z 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): t <br /> -7 kat 2 Fq, L-v j U•1 I�f5 y q., <br /> jl��r A7-^e AC-1�> rW 5 <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 j Shower <br /> j Gas fireplace j Kitchen sink &disposal <br /> Gas range Dishwasher <br /> j Clothes dryer Clothes washer <br /> Range hood j Water heater <br /> / Exhaust fan ( Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> j Unit heater ( Urinal <br /> Boiler Drinking Fountain <br /> i Refrigeration j Floor drain <br /> Woodstove ( Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads j 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 theme/r oflthis 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 /> Gam' Cl/ 2,!: <br />