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'�� `\ <br /> � <br /> ��)�����.���, : .� � ��`�' � �I <br /> �n` � <br /> ; �075 �PERMIT APPLICATION <br /> ��, �1 �'� <br /> BUIL,DINGlMF�}�BCAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT. PERMIT SERVICES 6 —/3 — I< <br /> 3200 Cedar St., Everett, WA 9820'I -425-257-8810–FAX 425-25?-8857–www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: PROPERTYTAXM PERMIT , <br /> a _ 4-�� � ..s-.�. a o oy D CY� <br /> LEGAL for new construction: Short PlaVsubdivision Lot No._ (altach copy of long legal descnption) <br /> OWNER � ,Sl 1 .G Phone/E�mail <br /> ndaress ,37i BYc e.S �J � Ciry/State2ip EVE,��TT <br /> CONTRACTOR L L&I Lic.# <!-�M.�cS/� 77 �5 <br /> y a.S3•�Y�3•33d3 x�S <br /> Address 9�9 �..5 • o2p � J�? [".O A Phone/Email�s� �s.iM6�S/ N •C <br /> TENANT BUSINESS NAMF. CONTACT FOR PERMIT <br /> ,? .i AM f f1S ft.Bd +E <br /> ���us ,U�N Phone/[�mail D iY/F FF� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �// /�S.o0 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas _ Electric Other <br /> Buildingrype: _SingleFamily _Duplex_Tovmhouse _Multi•Family _Commercial <br /> Type of project. _New _Addilion _Remodel _,Repair_T.I._Sign_Sprinkler_Demolilion,_,Change of Use <br /> Description of Work(addiFonal space pmvided on tbe back):��¢� Nf+�7 �i2�F> i.� E Y i S"r�^��- 7����°�^'4 <br /> C'c.... L2 l�Y.�o../ S' �L /-�� C E)C C J f Cr� �`-'flt, l_'Nf3.✓.vE�- �-E-TrEiz t.iA-�-� S�G�ui <br /> Cg�LC� CD� NE.tc7 F�HCE� /N <br /> Have you started working without a permit9 _YES �[_NO E �iST i�G �/Q bCT/o a+.9 a- <br /> MECHANICAL PERMIT APFLICATION PLUMBING PERMIT APPLIC/iT10N <br /> 7ypeofProject: _New_Addn _Alteration_Repair 7ypeofProJoct: _New_Atldn _Alteratlon_Repalr <br /> Show Number(S1 0/fixm�as Show Number(#J o/�xtures <br /> � A/C—air hantlling units I Toilel <br /> � Forced air s stems I Bathtub <br /> � Gas i in I Lavato (wash basin) <br /> � Water healer I Shower <br /> I Gas(replace I Kitchen sink&disposal <br /> I Gas ran e I Dishwasher <br /> j Clothes d er I Clothes washer <br /> � Ran e hood I Water heater <br /> I Exhaust fan I Sink(service/badmo /etc.) <br /> � Heat pum I 8ar.kflow reventer <br /> � Unit heater I Urinal <br /> � Boiler I Drinkin Founlain <br /> � Refriaeration I floor drain <br /> I Woodstove I Grease lra <br /> � Ductin I Roof drains <br /> � Olher. � Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I Other: <br /> Number of Heads I Other: <br /> I hereby certiy that I have reatl and examined this application and know tne same to be we and wrrect.All provisions ol laws and artlinances governing <br /> lhis type of work vnl�be wmplied wlln whelher specified herein or noL The grenting of a permit does not presume to give aulhority lo violale or cancel <br /> the p�ovision of any olher SWte or lowl law regulaling wnslmclion or the peAormance of wnSVuction Thal I am authorized by Ihe owner ol this p�operty <br /> to pedorm the wnd:lor which applic2tion is made and I comply with ihe State Contractors Law 18.27 RCW antl 296200 WAC <br /> /�J�> )li /-'�w/� �._�.r .� •/.�/ <br /> `9wner/Authorizod Agent S�4naturn Date (Revised il1017) <br /> L �' G' � I <br /> � v <br />