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PERMIT APPLICATION <br /> BUILDI�NGIM�:'�HANICAL/PLUM�INGlSIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-6810 FAX 425-257-8857 v�,:,a�.everettwa org <br /> S!:c'ADDRESS. PqOPERTYTAXp PE T p <br /> IIULI Ii�S� UZ — � 0 <br /> LEG/+L for new cons!rvction: S�en P�aUsubdivis•an Lo�No. (altacn copy ol lonp legal tlesrnption) <br /> OWNER J'��`�r�n �.V�.j PhoneJE�mail <br /> qddress ��CitylState/Zip <br /> APPLICANT:__ �vner Owne�.Agen( Conlr.actor ConlractofsAgenl Tenanl��v.�pmdaovie��mcfcmwmwnUoo..m.�iaawon:�uwow�l <br /> CONfRACTOR Mve.� PIu,,-� ti�'n � s�ateuc.nMoenF�/�-.�-?f�3JU care�5. u�. a053(o3S <br /> ndore=_s l751 c y(�'`"5}- S� Siw vr,�'SG � N 4�Z°rU Prone�Emaii �1�'v 1 <br /> [.n� Nu'��v-��l�w CO� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT " <br /> PhonefE-mail <br /> BUILDING PERMIT APPLfCATION CONI'RACT PRICE OF WORK <br /> Existlr.g Use of Building HEAT SOURCE: <br /> PmpoSed Use of Building Gos Eleclric Othor__ <br /> IElultling ry�,e. _Single Family _Duplex_Townhouse _MWti-Famity _Commercial <br /> T pe of projecP New Addition Remodel Repeir_T I._Sign_Sprink:er.=_Demolilion_ Change of Use <br /> DE?CRIPTION OF WORK(add�6ona�space pro��dedon I�e back). <br /> � MECHAMICAL PERMIT APPLICATION PLUNlSING PERMIT APPLICATION <br /> Type of f'roioct: _New_Addn _Alteratlon_Repair Typo of ProJoct: _Now_Addn _Alloratlon_Ropalr <br /> Show Num6cr(d)ol flrfums Shaw Numbor(M)o//ixNros <br /> A/C—airhandlingumis I Toilet <br /> Ferced air s stems Bath�ub <br /> Gas piping Lavatory pvash heein) <br /> Wa;er heater Shower <br /> Gas fireplece Kitchen sink 8 disposal <br /> Gas range Dishwasher <br /> Ciothrs Aryer Clothes washer <br /> Range hood Watcr healer <br /> Exhaust fan Sink(scrvicePoar/mople�c) <br /> Heal pump BackOow preventer <br /> Unlf hoater Unnal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Greaso lra <br /> Ducting Roo(drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRE3SION SYSTEM Other <br /> Number of Heatls Other. <br /> I�ertEy mrtrty Ihaf 1 have roaC nnE emrmeE I�is appl;ption an7 know If.e eamo lo Oe Uvo nnd conocf.AU 0����9 0l laws onG aNmences qoveminp iMs rypa W vmrk w•1'�a complied <br /> wiAl vAiclher sprq(tea�efein or not.TTe s:onting ol o pefmn tloos nal presumo to gNa a1Mon!y to vioqte a Can�x'INo ploVbkn M any oNer sl�a or IOmI1ax mqWWtg wnf',runlon <br /> Thal I am UUII�ORCE�y NC o.met of Nh.popOrty lo partoml No�wrh fCt w�ICi aDDIiGItio0ls mdCe a101 mmCh N"'-n No$�a:n CcnVaclors law 1fl.77 RCW ana 298.2COA WAC <br /> � � �-¢-- � -/2- i� <br /> OwnudAuthorized Agonl SlgnaWro Dale (Ravisetl.i/I073J <br />