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i <br /> `j� <br /> PERMIT APPLICATIOFJ <br /> BUILDINGIMECNANICALfPLUMBING/SIGN/SPRINKLER/DEMOLI;:�i'� <br /> CITY OF FVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 v!v+w.everettwa.e�a <br /> qPPLICATI0N5 ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> SITEADDRESS`;,ti 7�� � L� PROPERTYTA%tt ' c C P IT# ^ /1��� <br /> (J <br /> LEGAL for new consWction: Shod PlaUsubtlivision Lot No._ (attach copy of ng legal tlescriplion) <br /> OWNER � � � �/�� r;!_ PhonelE�mail � Z T �.� J�'r � ✓��` S`I�`1�' � "Yi'l1�� <br /> ACtliess <br /> ��• `�� �1/�n'LC—1 l itylStatel2iP W ZC In��tn�nt. �;�. <br /> APPLICANT: Owner OvrnefsAgenl Contratlor Contraclor'sAgent Tenan�imosipm;aoaarcroim�semnommeo+mm�oaow�a��nceso�:c1 <br /> CONTRACTOR CN�/kW b . _ . {NG. �s i uo.n Du F G�!C� a— COE Bus.Lic.# <br /> " y ��i <br /> Atltlress � �J( . (/L�( �� Phone/Email � � Z <br /> TENANT BUSINESS NAME ' C TACT FO PERMIT ��,,.�-{+� ' <br /> 11�� � �G�"�2,��i�i11W� '�Z�V' p�l'��>l'`�1 lltl:i-`_ .-�Llil��Cr <br /> {'—V-(E'�L— Iti��-(V�F��-�,I2��� Phone� mail �%j <br /> BUILDING PERMIT APPLICATION CONTRAC7 PRICEOF WORK '�Z S�'��� _ <br /> Ezisling Use of Building wl�✓��1��"�'US� HEAT SOURCE: <br /> Proposed Use of Building w�i2��ItCL�� Gas_ Elearic_ Otner_ <br /> Building lype: _Si��gle Family _Duplez_Townhouse _Multi-Family�Commercial <br /> Type of p���jeck New Addition _Remodel _Repair_T.I._Sign_Sprinkler_DemoCtiun_Change of Use <br /> DESCRIPTION OF WO K(uddi(ional space provitletl on fho 4ack): I� �� <br /> •=•i_;i�i rfc��; ot= �525 �_' Lv�1VLUb'�f��tS-E ` �Ct��'1 �"'� n7Sl. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProJect: _Ne�v_Addn _Alteration_Repair Type of ProJect: _New_Addn _Alteratlon_Repair <br /> Shmv Number(!1)o/qxtures Show Numher(N)ollixturcs <br /> AIC—air handling units Toilet <br /> Porced air systems BachWb <br /> Gas piping Lavatory(wash basin) <br /> Water healer Shower <br /> � Gas fireplace Kitchen sink&disposal <br /> � Gas range Di=_hwasher . <br /> Clothes dryer I Clothes washer <br /> Range hood Water heater <br /> Exhausl fan Sink(service/bar/mopfelc) <br /> Heat pump BackOow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Founlain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducling Roof drains <br /> Other � Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Other. <br /> I hereby ceniry Nal I have read antl examined Ihis appliwlion antl know IAa same te�o we antl cortecl.NI provisiore o/lavrs antl aNinancee goveming I�ia rypo a�vr�rk w.9 Ee cor�plieil <br /> wnh vAm��er specilMtl nerein or nol.T�o B�anlm8 ol a permil Eoes nol presumv lo B�e aul�orry�o violale or wncel ino pro�ison of any oNer stale or lowl bw regulaling conslruc'ion <br /> 7hal I a �onzed by Ihe vner oIIM:proFeM�o perlorm 1�a work fonMic�npplicnlion ia made nnd I compty wlh�ho Slate ConUaclors Lew 1827 RCW antl 248.200A INAC. <br /> ' r'J �L-, ���-ll.� !�`�~ 1.'� �� L U� J l <br /> O w n e r l A u l h o r i z e d A�e n t S i g natur o Dat (Revised 6/20tt) / <br /> Z <br />