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R PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everetl, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITEADDRESS: PROPERTYTAXq P MIT% <br /> �1� W�i'iniGC �VBKcTf Y�. � �US <br /> LEGAL fot nmv conslmclion: ShaA PlaVsu6tlrvlsion lol No._ (atlach copy ol long Icgal dcuriplion) <br /> OWNER Phone/Email '¢2S= 2S� -�JS7 <br /> Address �7�$ w6T'Moa-� c�ryisia;az�� EVrL� w►1-. S�S.Zo1 <br /> APPLICANT: �Owner Owner'sAgent Conliactor Conlractor'sAgent T¢Odf1l(rt�p;p�or�ea'me;o!co�serllrcm;�evnc<rio�awoix��J�es�acr) <br /> CONTRACTOR (�It'Kd PL...+.gi..� Lc-C StateLic.# l��n�e/i�$p3wt CityBus.Lic.NSSl7 5 <br /> Address Pe t5 flx 8�J Sro�c^+ � fN- y.i.�' , 9�'�g/ PhonMEmail �Oli - QO(o - 09�29 <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> Phone/E�mail � (i -4��0' D!Z- I <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Ezisl�ng Use ol Building_ HE�T SOURCE� <br /> Praposed Use of�uilding Gas [lecmc_ Other_ <br /> 6udding type� �Single FamJy _Duplex_ToN�nhouse _Multi-Family _Commercial <br /> Type of project: New Adddion Remodel Repair_TJ _Sign_ Spnnkler_�emoiition Change o(Use <br /> DESCRIPTION OF WORK(.dcmona!space pronticAon;hc tack) <br /> ,?t�son« /j.o�i� i.,w�r.� �oLv� r.. /j.rer..,o�r <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Pro�ect: _New_Addn _Alteration_Repair Type ol Projec�: _New_�ddn _Alleralion_Pepair <br /> Sbow Numbcr(Nl ol lirfures Show Num6cr(p)o/lirfures <br /> NC-air handling unds Todel <br /> Forced air systems f3a1h1ub <br /> � Gas pipmg I Lavalory(wash basin) <br /> � Watcr heater ! Shower <br /> � Gas hreplacc ! Kitchr,n sink E disposal <br /> � Gas�ange i Dishwasl,cr . <br /> � Clothes tlryer i Clalhes wasbcr <br /> Ranye hood Wulr.n c�alcr <br /> [xhousl fam Sink(servicelbadmoplelc) <br /> lical pump I 13ackllow prevcnlcr <br /> Unit heater Urinal <br /> UoJr.� I Drinking I ouMain <br /> I Refrigcralion I Floordrain <br /> Woodslovc � Gieasc Irap <br /> Ducting I Roof drmns <br /> OUier �Aedical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM � otncr: <br /> Number ol f leads � Other: <br /> I hcirl�y cenity ihot I have�cad anJ c.ami0etl I�is appliui'ion.n�{.ww Ihe same In De truc inA cm�cc� All pwm;ion,el laws nnd oiAinnntes gwernin9lh�s lype ol wu�A wAI�c vnmpP.cU <br /> w�p wt¢Iher speaGat I�r.ieui o�nol I�e granting ol:i pertnd does not p�e;ume lo g�c nut�onty lo�ui.�:e m canv�l i�r pionvon ot any otber Slale or bWl law mgulai.n.'�con;imdmn <br /> l�ai I dm aN�onrea by Ilre ownei ol tMs piopeily�o prrtm�n�Le wo�\lor wlreh appb�avon e moae and i coinpry��el�t�c Slah�Qntracto¢�aw IB 7�HC W��d 79G 7G04 N'AC <br /> Ownc�ircd AyeN Signa�ure Uate (l?evised:i/.�01:1) <br />