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. , � ; <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857—wwv+.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM t AM TO 4 PM <br /> SITE ADDRESS: PROPER7Y TN(� P��T� _ <br /> os , ,� v �v 4s�� <br /> LEGAL fa new consWctbn: Short PWVsubdivision L�t No._ (ettach copy o1 bnp bpa�descri06on) <br /> OYYNER Vi � �O PhonNE-mail <br /> naa�s OS 4✓en. � cibrswcdziv crVOtaU' W A 98X1 f <br /> COHTRACTOR M L&I Lic.N <br /> AOdress —^ SO .H� ` PhonelEmail � _ Z– I <br /> TENANT BUSINESS NAME C NTACT FOR PE I �j j ��s�� - <br /> PhpnNE•mail � �� <br /> BUILDING PERMIT APPLICATION coNrrucr PRICE oF WORK <br /> Existing Use ot Building /�OmC _ HEAT SOURCE: <br /> Proposed Use of" B�uilding Gas Ekctric Other <br /> Building type: �oingle Family _Duplex_Townhouse _Multi•Family _Commercial <br /> Type of projecl: _New _Addition _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> Description of Work(etlditional spece pmviCetl on the backJ: <br /> Have you sGrted working wiUiout a penr,�t7 _YES LilO <br /> MECHANICAL PERMIT'APFIICATION PLUMBING PERMIT APPLICATI N <br /> Type of Pro)ect• _New_Addn _Alleratlon_I`epalr Type of ProJect _New_AdOn _Alteretion_ epalr <br /> Show Number(R o/fixNres Show Number(R)o/fixNres <br /> FVC—air handlina units Toilet <br /> Porced air s stems Bathtub <br /> ' Gas i in Lavato wash basin <br /> Water heater Shower <br /> Gas ive lace Ktchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Waler heater <br /> Ezhaustfan Sink servicebarlmopletc. <br /> Heat um 8acktlow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refri eretion Floordrain <br /> Woodstove Grease tra <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other. <br /> � Number of Heads Oiher. <br /> I herehy cei'�f�ihat I have read and ezamined this application and know the same to be hue and cortect NI provisions o!laxs and adinances goveminp <br /> this rype o1��y� will be wmphed with whether spedfied he2in or nol.The g2ntinp of a permit does nol presume to pive authonty ro vqlate w�an�l <br /> the pmvisior,if any other state or local law repulatin8 constnKtion or the pedomunce�t m�stnxtion.That I am authorized by Ne amer of Nis property <br /> to pertorm tht work fa which app�iwtion is maae anA comp y wIM Ne State Contractors Law 18.27 RCW and 29620�WAC <br /> / ' � �����// Date (ReNseC?/10f7J <br /> lAwnerl� ent Signeture <br />