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PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/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 1 '-3-( `� � <br /> PROPERTYTA%7! PERMITt � <br /> SITE QD�t3 5: � ^ �, : 7 �" <br /> f�5 /•�✓e - � <br /> LEGAL lor new conslruction: Shod PlaUsuhGivision Lot No._ (altach copy ol long legel descdption) <br /> OWNER PhonelE-mail <br /> Addmss City/SlalelZip <br /> APPLICANT: Owner _Owner'sAgent �Conlraclor ContractorsAgent _TenaM�m.�siv����eeier.erww�s�r.ir,omv,e�Mrioao»�xnine.vac�) <br /> CONTRACTOR SM� �e� L 8 I Lic.# S� IT C,�OE Bus.Lic.# <br /> Address F�� (o V(��f�,� a UL1 �� �"�/T �0 1'�� PhonefEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT I��,c I N(Urp47 <br /> 3 G�-3$4-� v3 �� a <br /> PeV les C�vL'L PhonelE-mail � � � � <br /> BUILDING PERMIT APPLICATION CONiRACTPRICE WORK Z � <br /> Exisling Use af Building (��ccc �f- HEAT SOURCE: <br /> Proposed Use of Building �o �� Ges Eiecfric omer <br /> Building type: _Single Family _Duplex_Townhouse _Multi•Femily �Commercial <br /> T e of ro'ect: New Addilion Remodel Re air T.I. Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(additiona�space provided on tne back): <br /> ��-,�w�- v�� �c.{' c.Jo�� 4- �hS1+.�� /lw "� /k�w� vtc�..� }cKc,1's <br /> f erU.,;r� ✓-�u,.fii, <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypooiPro�ocl: _Naw_Addn _Altoratlon_Repalr TypeotProJacl: _Now_Addn _Alloratlon_ftepair <br /> 56ow Number(a)o117xfures Show Number(p)of fixtures <br /> A/C-airhandlin uni�s Toilet <br /> Forced air s s�ems Bathtub <br /> Gas pi in Lavato (wash basin) <br /> Water healer Shower <br /> Gas fire lace Kitchen sink&disposal <br /> Gas ran e Dishwasher <br /> Clothes d er � Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink(service/bar;mopietc.) <br /> Heat um �ackflow preventer <br /> Unit hea�er Urinal <br /> Beiler Urinkin fountain <br /> Refri eralion Floordrain <br /> Woodsrove Grease Irap <br /> Duclin Roof drains <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Olher: <br /> I heieby cendy Ihst 1 hava med and examined Ihis applicatlon and know I�e seme to be true end corteQ.AA pmvisions of laws and oMinencee Boveming thia ty0e W work w�ll be wmF��ed <br /> wnh�+��emer speciiie0�arein ornot.7Te B ranlinp ol e pertnn doe�not Oresumeta giva ovlhomy Io ricia;e or cancel me provision o 1 any other state or local IaH reputalin�construcoon <br /> 1nallamaulhvrizetlbythaownefolNi� propertylopeAormlOewnrk(orvAilUapplicatieaisma:feaodlceTplyxnn�he5taleCentratlorsL aw18.17RCWanC2P51WAP[/.C. <br /> �,� ��..��, �(�t(! � <br /> pwnddAuthorized Age Slgi turo Date (Femsetl 6.20121 <br /> / <br />