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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everetl,WA 98201 -425�257-8870-FAX A25-257-8857 -www.ev reitwa.or <br /> APPUCA710N5 ARE ACCEPTED FROM 8 AM TO 4 PM � `-�`-'�u <br /> SITEADORE55: ;� vROPERivTAxp p5{� I � <br /> �'�� Oo73 S2y�OZiDL KI _ � <br /> LEGALIornewconsWa�on S�orIPlaUsubdnis;on LoINo _ (a1lac�coVYa�longlagaiCescnplion) <br /> OWNER �yv1.`lO�c.� ' ��Mn� Jrry�� PhonNFi�maJ <br /> ndmess IXDI Li�.�l Av�- $vJ � I cn�isiri�n,p w1m. WA 0�l' <br /> CONTRACTOR L 8 I Lic.N <br /> naa«:. 11DU S4„- v�- E ,n.•a 9 �/Z PhanMEmtJ�SS-�IZ(G�I ND Ix�Dsr.��}4.f,rc. <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> �.0 Va� S.�i� <br /> L1�0-�— I � Pnonclf:.mal -2yb''ZV4L s �n.;V� i <br /> BUILDING PERMIT APPLICATION LONTRACT PRICE OF WORK TS 2YSy•� <br /> [xubng Usc of�wlding�bqIYTMA HEAT SOURCE� <br /> ProposedUscol6mlding�'�bA}�.Y Gas_. _ Eiccmc_ On+cr_ <br /> r <br /> 9uilaing typr.�. _Smgle FamAy _Duplex_7ownhou;c _1Aulh-Family J( Commeraal <br /> Typc of projr.cl. _New _ Addilion __Remalcl _Repair X T.I._Siqn�(SprmY.lcr__DemoliUon_ Change ol Use <br /> DCSCriplion-olyW,..o,fk(ndd�bnnalspacepiP� tlerlonfhepa[MJ: <br /> i.tWr�— f 'U`h� '$�lr..-1L3 �}� n,U�+ lit hu..� Zia`f..-.7�" <br /> J <br /> Havc you stahed workin�wllhout a permit9 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Pro�ect: _New_Addn _Alleration. Repalr Type al Projecl: _New_AdEn _Alteratlon_Repair <br /> SAow Numbrr(p)ol fiilures Show Number(p)al liilums <br /> NC-art hanAhnp unils � Totlet <br /> Forced nir; slem: [{�ppi��� <br /> Gas piryn Lavatnry�wash basin <br /> Waten c�alcr Shnwr! <br /> Ga;hreDlace Kilcnen;ink&disposal <br /> I Gas nn c D¢hwa;ncr <br /> Clotnes Uryer Clothes washer <br /> Ranqe hond Walt!n c�alcr <br /> � Ezhnu.i Gin Sink(:erv�rsfAar/mop/etc <br /> i fical pumP fJar,kOow l�revr.nle� <br /> i Unil healer Unnal <br /> ' 8oiler Drmkmy(ounlain <br /> Re�nqcralion flnorAr,nn <br /> W nods�ove Grci:C Uop <br /> Duchn9 ftoof drains <br /> Other Mc�irvl Gns <br /> SPRINKLER I SUPPRESSION SYSTEM O�her. <br /> INumbcr ol Hcads Oihcr. <br /> I hcu:by t.ntlJy(ha�1�;�ve wa0 anrl e.aminc0lhis apf�l:wuon anif know I�r;amc lo I�c Iruc antl uvrM.All D�mitions o�laws an�ni�inance:povermnq <br /> Iln:ly{M ol wo�k vnll pn compbetl relh v.lieihe�5pca4e0 hririm m�ol.ihn gr.inhng nl a permA Ooc:not presume lo qnn aulhmity In vmlatc n�r.u�.oJ <br /> I�r pimr,ian ol any n��ni slal�nr lou I law rcyvlaLng ron;Vuclmn ar Il�n�����rmanu•ol mnslmr.bon Ihal I am aulhonictl by ihc o��nrr nl Ihr.p,n,rri/ <br /> lo pedom�Ihc��y Inr vTiU�appli�lion is made ana I mmpl�wim Oie Shle Can�rarloe L�iw 1P?7 Ff.W and 19G20o WAC <br /> �,�t- y Zz/y <br /> nedFuth ix A9enlSigwN�e � Uale �Kcvisra7/JOIiJ <br /> II(i- <br />