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PERMIT APPLICATION <br /> BUILDINGIMECl1ANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 v✓ww.everethva.org <br /> SITEADDRESS: PROPEnTviA%p ' PE � <br /> Gt/ - T -U� -0 <br /> LEGAL for new constmct�on� Shor1 PIaVs�bO�visio Lol No _ (atlach copy ol long Iegai descnption) <br /> OWNER Eldcn VVe ` CI PhonelE-mail �'%iiC�� <br /> Adtlress �V Gly/SfatelZip � 7� <br /> APPLICANT: Owner OwneisAgent �onlractor ConlraclorsAgenl Tenamn��v;�a..aoaiev��oi�-.,rr�r�o.,,meo.�e�ioc��cn��mns�+<<-�, <br /> CONTRACTOR �� <br /> ' � , c�p, �_ state uc tt LI71'LGL o city Bus. �ic tt�'j 5Z737 <br /> naa��5s SZ/5- ��/�'sAr/C./U�. �f�r ldi/�G wi4 ��270 PhonelEmail({Z5'.li�—�I/7 <br /> TENANTBUSINESSNAME CONTACTFORPERMIT DUNnQ �,�et� <br /> Lp�/ /_ qts �s� os�� �- d�u..a@Jer� I,�y. <br /> A�;�IfL�lf rVD71t/CGI�XI(LG=!tlK� Pnone'E-mail � ��Ce�Kc1t� fu <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK SZf ovu, � _ <br /> Eslsling Use of�udding�{ /{� PYeVi0u5� �tt' SfD e� HEi�T SOURCE�. <br /> Proposed Use oF Budding Re�a���i�, 5b�e Gas_�_ Electnc �Other__.. <br /> Buitding type. _Single Fam�ly _.D;,plez_Townhouse _Multi•Family ✓ Commercial <br /> Type of prc�ect New Addilion _Remodel Repair T.I. ✓ Sign_Sprinkler_Demo:ition_Change of Use <br /> DESC!�IPTION OF WORK(atlmfional space pmwdedon fhe back): <br /> Bv�ld�nq in�r�vY Wa (IS F�rx R�frc�� 5��� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICA"f10N <br /> Typo ol Pro�ect: _New_,Addn _Alleration_Repalr Typo ol Profoct: _Naw_Addn _Alleration_Ropalr <br /> Show Num6cr(a)ol listures Show Numbcr(Y)ol fixWms <br /> � NC—a�r handlmg units 7odet <br /> i Forced air systems �alhtub <br /> I Gas pipmg I Lava;ory(wash basin) <br /> I Water healer j Sho�rer <br /> Gas fieplace Kitchen sink 8 disposal <br /> Gas ranqc Dish��vasher <br /> Clothes drycr I Clothes washer <br /> Range hood i Waler heater <br /> Cxhaustlan � Sinklservicelb3r/mop/elc) <br /> Heat pump I Oackflow preventcr <br /> - � Und heater I Urmal <br /> ! 6oiler I Orinkmg Fountain <br /> ; Refngeration I Floordrain <br /> I Woodstove I Grease Irap _ <br /> Ducling Hool drains <br /> � Other,_ I Medlcal Gas <br /> SPRINKL�fY / SUPPRESSION SYSTEM ; Other <br /> Number of Heads nther: <br /> I nereby cen 1y inai I ha�c rea]an0 c�amined t�ia appiiwbon an�cnow t�e samo ta bo Irue an0 rorrect.All pro�sions ol�aws and orcmantts goveming Ihis type ol woik will[�e wm C>"d <br /> wrh wnct�cr specCic7 Paem or nol The grontmq cf a pertnA Oces nct presume to qne au:horBy lo violale or cancel I��e F�o��Sion ol onY ot�r�sta�e or local law reg'�lalmg Cons:mpron <br /> i�at I a�am�crme�Oy O:e owner ol ho pmpehy lo perform IDe xort b�w'�::.�aDfbcation�s maJ<an01 comply wil�the Slale :onlraGcn Law 18 27 RL W an0 79�20CA N'AC � <br /> l �L �-�� \ � <br /> wnedAu orized Agent Signa�uro ' �Dale (Fe�+sed 3!.'013) <br />