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�ERMIT APPLICATI� <br /> BUILDINGIMECHANICAL/PLUMBINGlSIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evere�twa.org <br /> SITE ADDRESS:���� � � ^ i'xOPERTV iA%N P�A��T�� _O( ! <br /> tr.1 I VO <br /> LEGAL lor new tonslrucl�on. ShoA Plal/suhdrvision __,Lot No__ __ (atlaU�copy of Iong legal tlescnphon) <br /> OWNER Phune/L�mail <br /> Atltlress CitylStale/Iip <br /> APPLICANT:_(lwner ___ Owner'sA9cni _Conirar.tor _. Cmilraeior's�gr.nl ,___7enanlim�+irvn��no�renr�cimn+���uiominso.ne�ioaowo��ininrapuce� <br /> CONTRACTOR /�pL/� ���c.i/�• '�r'I Slate L�c #�p�/�/ /�* � ��U Cily tius. Lic #��3$— <br /> nddress�i) �r I?Yv' r_ �"e�o ��- liQ� ��4C� F'nonc�[mai� y/J {`- 7�0 �3 G c� <br /> CONTAGI FON PERMIT <br /> Phnne/E�mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK_____ ___ ____ <br /> Eaistiny Use ol Budding__._________ —__— HEAT SOURCE _ <br /> Proposetl USC 01 E3WIUIng_._. Gas __ Fir.clnc _ Ulher. ,__ <br /> - . .__.__'—_—._._ ' _ — <br /> duiWmg type ___ Sin91e Famdy ___ Duplex__Townhouse ___.�dulli�Famtly ___ Commerr.ial <br /> Type ol pro7eU __.New ____ Addition ____. Remodcl __ Repau _._ 1 I .Siqn _ Spnnkter_ _ Ue�r�oinion Chanyc ol Usc <br /> DESCRIPTION OF WORK (ada�honai spnr.ep�oviAcd on Ine backi. <br /> Tr�C�Z �� �� `_-'�l �(r� n�ce ��-�-i_r/ <br /> MECHANICAL PERMIT APPLICATION PLUM6ING PERMIT APPLICATION <br /> Type ol Pro�ecl: _ New_Atldn _Alleration_Repair Typn ol Projecl: __New_Addn _Alteration__Repair <br /> ShawNumbCr(q)ofNrturCs _ ShowNumbcr(q�oUitfurrs <br /> NC- [af h.ndhnq umts lodCt ____ <br /> ForGetl air 5yslnrn�, Ba�hlub <br /> -.—___. —' _—'__ _.—. __—_ .____--_. <br /> (3as p�pinU l avatoiy(wa��h Lasin) _ <br /> �- Waler heater --- tihowcr <br /> - .�— —__—._" <br /> '— _Gas I�replacc ______ _ _ _ Kitchcn;ink 8 Ji;posal <br /> Gas rinqe _ _ Uahwnshcr ___'___ _ <br /> - --- Clolhes dryer - - -- --Clothe;washer __ __ <br /> (tanqe huutl __� W+a�cn c�aler <br /> -- (xh�w.,t lan Smk (servicc/badrnoplrtc ) ___ <br /> �- -------- - -- - -—'-. . _ <br /> Ueal pump ��r� Ifa�kllow prevr.nlei (inside bldy) <br /> Und heatr.i ._ _'_ _--__ -- —_Urui01 —'_-- _ <br /> --Hatle� __- -_-'— _' --__- _ DnnkmqFuuntain _.. <br /> —'� (2l'IliqCfd�iUl� — — —1 loor(Jrdlll � .._ <br /> _" ___'___. ...__.__ _._____._ __ ____ _—_ _."___ <br /> ---- Woutlsluvr. . __._ _.. Greasc iraP _. ._.._ <br /> . _—___. — _ ._ _ — _ ._ _- <br /> �— Uuctin9 Hool drains <br /> _____— .-_._...__—..—. —._.. __. . _—' '_—__. <br /> Ulhcr _—.MediudGas __.'__--_._— <br /> ..._ . - <br /> -- --.. <br /> SPRINKLER I SUPPRESSION SYSTEM �i���� <br /> ---- — --- --- <br /> Number ol Hc�ids Othcr <br /> i I,rr,rUy cerlJy��al I have ren0 anA a.nmme0l��:nppl�.c:�bon nn�Ynow Ihe samr.ta On Ime an0 conetl PII provisiom nl InHs and ordinnnce;quveimnq I!u•,lype ol wmA w,:l Le�.un�y��etl <br /> µ'P�v/14'IhM•.pvOl.pil Ill'�l'n1 O!I�VI 7hC qli�nllnq c(A�IiYln1�OC:P01 O��:uIIM 10�rvl`dN�Ofll�IO vi01�910 O!lAOCCII�IP p�Ovl':IUn OI dny OI�IPI;�Jir OI IOLiII IpN!C(f111dLlI(J[Ontbr[Lul� <br /> rl�.a 1:�m ninnar cJ I�y I�re awnci ul Ii�l•.prepcity lo P�•N���m I�c worA br wlneh app6wlim�n m�Mc Jntl I enmp'Y wd�I�c$lalo COMraetas Law ifl 7!Hf.W antl 796 7UOA W<l�. <br /> J'�''7 �J�_� �--�7-I S� <br /> ---- __ ---- -�,s,,. ��r,.�,�,.,,.�,.�U,r�, <br /> Owncr/Au�tmnreA Ag��nl Si9nalurc <br />