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� • <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS: ��� �t��5U/1 1p LU��' PpOPERTV TAX p PER IT ' � <br /> \ <br /> LEGAL lor new construclion Short PlaUsubAivision Lot No_ (altach copy allong legxl descnption) <br /> OWNER PbanelE-mail <br /> �ddress CAy�5latelZ�p <br /> APPUCANT: Owner OwneYsAgent Contractor CoNraclar'sAgen� lenanllm�+�n�o��aesrtu.iotm�senieommao„M�roen.,on�n�noso�ce� <br /> CONTRACTOR 1�u IaNnh�� SlateLic. p /; U� L 1 L CityDus Lic N 3 <br /> AdJress 0 L / ��� A �Q.�1 0 N��one/Emad � Yc�) 3R� - � <br /> iENANT BUSINESS NA E CONTACT FOR PERMIT <br /> PhonNE-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> [x�sling Use of pwtd�ng__ _ _ H[AT SOURCE� <br /> Pwposed Usc of E3mldmg Ga;__ Eiccvic ___ Oincr_ <br /> Buddmg IyOe _Single Famdy _Duplex_Tawnhouse _Multi�Famdy _Commercial <br /> Type of prolecl New _�dddmn Remodel __ Repau__ T I _ S�gn ____Spnnkler_DemolAmn__Change ol Usc <br /> DESCRIPIION OF WORK (,ad�hona�sp��cc N��'iinr.d on Ihe nocw) <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> iypo ol Pro�ect: ,_New_Addn _Alleratiun ._Ropair Typo ol Projoct: _Now_AJdn ._. Alloratlon__Ropair <br /> Show Num6er(N1 0l Gxfwrs Show Number(p)o/Lxlures <br /> NC -au hantll�ng units ioilet <br /> forr,ed an syslems Balhtub <br /> j Gas p�pmg � I avalory(wash b:isin) <br /> I Walcr hCaler Shower <br /> Gas I�replaee I Kdchen sink 8 disposAl <br /> Cas ranye I Dishwasher <br /> ( Gluthcs dryer I Cloihe,washer <br /> Hnnye hood � Walcr heatet <br /> Lxhausl lan Snik(serviee/bar/rnop/el:1 <br /> Hr.al p�mp � � liack0ow prevenler <br /> Umt heuter Unnal <br /> Bmlcr i Dnnkin9 Founlain <br /> � Relnyeial�un � I loor diain <br /> Woodstuve Grcase Irap <br /> � Uucbng Rool diains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I O�ner. <br /> Num�er of Heads I Olher <br /> i nerrAy cemly I�al I�ave u�ad nntl n��mmrq iNs npD'�cnlion now Ihe snmu la Ce Ime nnd canecl All provinons ol iaws nnA o�U�nances 9��vem�ny iMs tyye ol vm�k wAI Ge eumpo�d <br /> w�m wnelner cpermm�nmem nr nnl Ine qramm9 0l a pe A Oo� ol D�esumc'o 9nc amnorJy In wob�e or mnari i�u D�orismn ol any ol�ci sialc nr luuii law�e��u�aunq conslroclron <br /> ir�al l am aWnonre�bY Ilre el ni Iln �m In p lo�m I work br wM[�dpplittllwn is ma�e�nU 1 comply wrih IM1e$Idle f.onlraclor.l a.v 1fl 17 f7f W und]9G 700A WAf. <br /> � �- �7-� ) <br /> Owi uUmrl:eJ Agen ratur � Uate (/7ovrscA 7/?OIJ) <br />