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' PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98701 -425-257-8810— FAX 475-257-8t357—v,nvv�.everettwa.org <br /> APPLICATIONS ARE ACCHPTED FROiA 8 Ah1 TO 4 Phi <br /> SITE A D SS: PROP[RN TA%Y P- 11T�� _O <br /> LU[�2����J 1.,� <br /> LEGAL fer ne:veonslmr.iien: Shod Pla:/subGrvi;ion Lol No. _ (at��ch eo�y of long le;::l Cu,crip;ien) <br /> OWNER (J{V D � O� �ve�L'Cr1 Pho�c,G�mai 'zs�3 > I ' �{ 'ZS'j <br /> ndd��,s �-{ Q�(�4} �U� G W cry;siaicrz��, EV�✓1 R 4.zo2 <br /> CONTRACTOR L��i�P-1=���aT��c �iIGZ>T �-"li-� �e,ii.��.a L=v�'P-6�55�zzo; �oc= ��•-tqs5- <br /> nddress ZIZll '�GIGtL �U � Ui:R�+ITG/�R41�e1 ft�ono:Emall ��-�-L'72'71�'F <br /> TEtJA1JT BUSIVE55 NAh7E � CONTACT FQZ PC-Ri.11T <br /> �� UNp Df �JG�,�'jj' PiiaMqm �L�rG�M.vA-Ecw <br /> 42S-z�5z-'�ry <br /> BUILDING PERMIT APPLICA710N CONTRACT PRICE OF lvoarc 1 l, oW <br /> Exisling Usc of fiuil�in,y__�O C����GC ____ _ IiEA'f SOURCE: <br /> Prcposed Use of Bui!ding NO �-'�t��� Ga; [iectrc Oiher <br /> Ouilding type. __Single Famiiy _L'uplez__To:vnheuse _Ciulti-family �_Ccmmerci�l <br /> Type of projecC _New __Addition _Remodel K Rep.:ir_T.L__Sign_Sprnkler_Ozrr.o!ilion_Chanye of Use <br /> Descri�p-�/io�n, of VJork{.�idA�linrtal s,nca piv�iQeJcn Ihe bacAJ: A "� d/ <br /> 2�%1(�-L�L� ��1.��' AlL �.L'I GAS �JI�N�� rV" n !� C_ <br /> Have you started working without a permit7 _YES �NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeoiFrc;ect: _Ilr:�_Addn _Alteralion�Repair TypeofProjzcl: _New_A'dUn _Alteralion_Repair <br /> Slww tlumbcr(;!J o/fiHwes Show 7Jurn6cr(t:)al/ixlures <br /> NC-a�r hand!ing uo!is Toile! <br /> � Fcrccdairsyslems I Dalhfub <br /> � Ga;pipinq I.avalery(wash basin) <br /> Waler heater � Showar <br /> Gas fireplaw Kitchen=_ink 8 disposal <br /> G�s iange � D��sh�vasl�er <br /> � Clolhesdryr.r � � Clothes�:ashcr <br /> � Ronqc hoo�i I V�lnlr.rhe�fer <br /> � L�hausl fun � Sink(<_civic?Iharhnop/efc.) — <br /> i Heat pump � �acnllmv prnventer <br /> � Unil hcatcr � Ur'nal <br /> � I3oiler � Drinkieg Founfain <br /> Rr.frigcration � Ploor dian <br /> � NJoadsinvc � Gie�se Ir:�p _ <br /> L]uding � Raof dnins <br /> Other � �!edicalGa; <br /> SPRINKLER I SUPPRESSION SYSTEM I O�her: <br /> IPtum6er of Hca.ds I Olher: <br /> I h_nrtby certify Ihat I hm�e read and examined this.pp'�icalion nnA know Ihe same lo Ae Ima antl curtr.ct.All provie!mis cf lans and ordinances�ovr,;nln9 <br /> Ihis iqpe of:•.vr'n v.i!I bn complied v.ilh�NielCer speuf eA herein ar no(.Tha granling of a permil dnes nnt�.resumn fo give aulherity to cielate or cancel <br /> Ihe prm�isbn of any n:h=r;tato or lowl Imv m�ulaling canslmction or Ihe pedormance of eon,lruclion.l hat I am aulhon:ed 6y tho o�.:ner of lhis pmpetly <br /> lo P/ert}�)m Ih��a:mk Wr v.fi�ch applicallcn i,made arA I mmplyuilh�hc Sla;c Cr.��;r.wor,:Law 1927 RCUV and'26d.2G0 WAC <br /> W�c v/ /1 �� � �� <br /> �fh^.fi21'IAulhori A�cnl Si9naiure Dr�4� (Reviict1712017J <br /> �� <br />