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PERMIT APPLICATION <br /> BUILQINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL. Everett,WA 98201 d25-257-8810 FAX 425-257-8857 ewvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM o� �I 9 �—� <br /> SITEADDRESS: 'jy33 COL6YAVE• PROPERiYTAXa PERMITM <br /> �v�R�'iT h• 98201 OOA39 16 25 01300 r f���� I —;�'' '. <br /> LEGAL lor new conslroction: Short PlaUsubdivision Lot No_ (atlacU copy of long legai aescnption) <br /> OWNER A�.G�.� St{�{�C,�l:1 1-��f'11'�Ft'� Pho�'E-mad ^�1 �n,cf (+ihd V1Vt"!� ' �(n'V� <br /> naares. ,z2U /�5N r�UcN�I� c�ir:saie¢�P MtY4`'ySVll-I,E� Wl� •��Z7C/ <br /> APPUCANT: On^ier �O.mer'sAgenl Conlractor ConlraCor'SAgent _TenxMimos�o�w��ea�eae,ncc�,emrmri�eo«�e�ioaon:+�=reu.+:�� <br /> CONTRACTOR �EA�S��N ��n'S(�,UG�1�%N LLh'-���' • L 61 lic.# pG��z�%� 7 ' � (� COE Bus.lic.N <br /> Z(J:31 �h'AtiC�I ST�-` . 6r�LI1�Gti1�'c►'1�WA.�i�'L�'� onone,Emai� <br /> Aedress <br /> T[NANT BUSINESS NAME CONTAGT FOR PERMIT <br /> y�C7� KiL�I SNI'i�l� <br /> 1 y.�����5 �1��1� Phone�Ema�l ✓t�l« — �� F>t:-Ll'�(:kl.blik <br /> BUILDING RERMIT APPLICATION CONTRACT PRICE OF WORK ' 0 ' <br /> Eaisling Use of Building ��' �n��' `�����"�t _ HEAT SOURCE: <br /> Prop�sedUseofBuilding U���Gt ���K� Gas Eiecuic Other <br /> Buildingtype: _SingleFamily _Duplex_Townhouse _MWti-Family �Commercial <br /> T pe oi pro'ect: New Addition Remodel Re air T.I. Si n 5 rinkler Demolition Chan e ot Use <br /> DESCRIPTION OF WORK(addirona�space prov�ded on rho 6ack): <br /> T� Il�, i'l2�li"�.� CCti�,�SSS � i1.7�1"r�(LlC�f2 i:s=i�r\tvT" Ii�IP{�C'��lLl�lv'iS SU Al�,; iXl`��iiv�— <br /> cF=i=lC�+-�' l:.i=t�lt_ ,t'�c`+= 'ir_>tZ /� i'�A�;�� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ot ProJect _New_Addn _Aiterelion_Repalr Type of ProJec�: _New_Addn __AlteraUon_Rnpair <br /> Slrmv Number(k)o!lixtures Show Number(#j o//ixtures <br /> NC—airhandiin umts Toilet <br /> Forced air s slems Oathtub <br /> Gas pipin lavatory(wash basin) <br /> Waler healer Shower <br /> Gas(ireplace Kitchen sink 8 disposal <br /> Gas ran e Dishwasher <br /> Ciolhes A er Clothes washer <br /> Ran e hood Walen c�alcr <br /> Eahaust fan Sink(servicelbadmo Ielc. <br /> Heat pump Backflow preventer <br /> Uni�healer Unnal <br /> Boiler Drinkin Founlain <br /> Relri eralion Floor drain <br /> I Woodstave Greasetrap , <br /> I pi��i� ROof drains ' <br /> I Other Aledical Gas <br /> SPRINKLER I SU!'PRESSION SYSTEM O�he�: <br /> Number of HeaAs Other: <br /> I Imreby cerUly�hal l hava reaE and exammea Ilus applKatan and know Ihe same to Cw":o eiM tmrect.M povabns ol laws en0 dtlmances govcmpp I�b lype ol wark w+�l ba complied <br /> w.������sp¢cifrtyher¢mm�ot Thagrenligolapermndce�rrotpresumetoprvoauthor[y�ovblelaorfanceliheprorkbnolenydherstaleabceilawregulatingwr¢tru:tan <br /> i liat I sm autMrizeO by Ihe ownn ol t1�3 property to peArnm lhe wak�w whkh apP���n^b mede aM I comD�Y���Stale COrnrodas Lew 78.27 RLVJ eM 298.Zo0A WAC. <br /> ��-'�--- r�uks'!�J 3 d, 2� r3 I <br /> OwnP Ir Authodzed Agent Slgnature Dale (ReviSed 6/2012) / <br /> 7 <br />