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PERMIT APPLICATION <br /> BUIL.DINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 -A25-257-8810 - FAX 42'0-257-8857 -www.everetlwa.org <br /> Sr.-vc -L APPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM �-IS�- I <br /> SITEADDRESS: PROPERIYTA%N PERMIT _ __„�. <br /> ID9Z �o�N ST 5f. E��'RETT �Jft 9Q?� �n5 OOI�GIO ���� <br /> i�:.a <br /> LEGAL lor new conslmclion� Shnrt PleVsubdrvision_rll�_ Lnt 40__ _ (N�nch coDY��long IeGnl deScnD��on) <br /> OWNER �i(, fJK 1�'�'r-�:�J R �-i(lf�l Phonn.E-mait ,tZZ y�u r'y a 5on J bi�nK� [�n^� <br /> nnd��ss (00� IDQ'R� E N �'W�5'"'"iz'n $ LI.EVUF_- t�.1 9800�-I <br /> CONTRACTOR -TB ��JLG� <br /> Phmv�lEm2il <br /> AAdreSs <br /> TENANTBUSINC-SSNAME CONTACTFORPERMIT y�_�23 _4lay� <br /> -r�c: Y�aNY <br /> Y C`i'�3A��I`' rn����e.ma�i • oe . ✓��� v �o..11 i so�n . ccw� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 5 4'� O�U <br /> Fxislmg Use ol Building �(j.�J1_______— HEAT SOURCE� <br /> Proposed Use of Building B(1(�1� _ _— . Gas Eiectnc Other <br /> Building type: _Single Fnmily _Duplex_Townhouse _Mi:Ili�Fam�ly r_Cnmmercial <br /> Type al projecl: _New _Addition _Remodel _Repair�T.L_Sign___Sprinklei_Demoldion_Change ol Use <br /> DeSC�ip�i0n ol W ork(anddional spnr.e pmvided nn(he bacN): fl, i K , W��/� ��L L U��7 <br /> �tNRNT tr�PRr;v(,r�E ��i of �1N EX��T1rJ(r s',�ANGW � <br /> F1GN-riTl�-«C�tlAk'.nl f'�t�"IITlUN�7 i FIrJI�iHE-�� �'lAQN1T(A.�E � hiJU RE�1/fjTLC> �LE'C��-IL�L WG{'-Y,. <br /> SIt�l. Wcp.K I�� LIM t'Ii,D Tt� rJ�inJ �c� `'1 �l,E PAEK�IN(r /1r11, nl�t.1 I�CGF`751 RLf Cf1MP. <br /> Have you sterted working wilhout a permlt9 _Y_S �NO <br /> MECHANICAL PERMIT APPUCATION N(/� PLUMBING PERMIT APPLICATION �1/f� <br /> 7ype ol ProJecP. _New_.Addn __Allerellon _ Repalr Type ol Pm�act: _ New_Addn _Alteretlon_Repeh <br /> Show Number(N)ol Ii+fures Shaw NumGer(N/ol/ixfuree <br /> � NC-au handhnr um�s ' Trnlel <br /> '� ParcrA art s sir,ms B�Ih�ub <br /> G�s pipin Lavalo wash basin <br /> Water he�ter � Shower <br /> fns firuplacr. Kdchen sink 8 di5 sal <br /> -- Gas ran�rr � Disltwashn� <br /> � Clo�hes Aryer Clalhes washer <br /> � Range hnod Water healer <br /> � E+hnusl l�n Smk(SerncelNAdmo letC. <br /> Ile:it um Rackllow revenler <br /> Unit he�ter Unnal <br /> 6o�lrr Dnnkin Fountain <br /> Ruln r,r[�hon Flan drain <br /> Woudslrne Greasr, Va� <br /> 1lurin,y ' Rcwl drains <br /> illhrr Medicel GFls <br /> SPRINKLER I SUPPRESSION SYSTEM I Other. <br /> Nu��d���� u1 Ilna�ls O�hF.�: <br /> I h�ar6y cetlily Ihnl I havn rnaA nnA e.ammnl Uus pppl��c,ibon enA hnow the exme lo hu Ime nnd cortect All provisi�ns ol law�nnd nrdmances qoveming <br /> ua�.iyqw ol v.vrk wdl M�mmplied w�lb whAthcr s�mctlMA hercin or nol ihe granunq ol a pnrmll dcee not presume lo grve nidhomy lo v.olete or c;mrri <br /> ❑�,�pravislon ai any nlhr� slNe nr local law mgulqting conSWclron or Ihe pednrtnance o�conslrucbon ThO�I nm aulhonzcti hy I�e uWner ol I�is prn�mny <br /> p,p,�rin.rn Ihn vn�rM Inr Mfiirn nppOraunn is mnde Nnd I eomply N/lh U�e Slale CanraUors l rw 1 P 27 RCW anA 29fl 200 WA�i <br /> ��\�, � .�_ - -'[ i �,�'�� � ?/ <br /> OwnerlAulk� � peniSign ure I�.ib• fFevised:r'1011� <br /> 7or�. 1'-L N N'f <br />