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• <br />� �a � ��'` i �. <br />�..�..a ,,��I <br />PERIVII� APPL�CATION <br />6UILD1NGIMECHANICAL/PI�UMBING/SIGNISI'F:iNKLERIDEMQLITION <br />C�TY OF EVER�TT PERMIT SERVICES <br />3200 Cedar St., Ever�tt, WA 9$201 �25-257-8810 �AX 425-257-5857 www-everettwa.org <br />� <br />J <br />�L for nEw constructlon: Short Plavsubdlvislon Lot No, (�ttach copy o! long legal descrlptlon) <br />ER �AD 1� 1 J(�/1' 1�•C� Pflonel�-m811 �_�� . �� '� c�`i � <br />c�ty�siatarz�p <br />� ownsr _ Owner's Agent _ Conlr�cror , ContractoPS A9ent _ TOit1t11, (muat provlao o lellA� n� conzent froR� tha nvmnr ie do wark In thp zppoo) <br />OR �Y ,t�n.v�_�M i� �...kr Y\Li S��te Lic. # �.7f�,�,�, h�.q�� �_ ���, g�s. ���. �. oa $ a � <br />Address <br />BUILDI�G PERMIT APPLICATION <br />�,8 PhO�B/EmAil ' '�b 'O <br />CONTACT FOR PERMfT Q„� ry� i t <br />PnonelF_-mair � Q� �'1n'� - �� <br />v -- <br />CUN7RACi PRICE QF WORK <br />Existing Use p'F 9ullding -� t— 1� <br />Propos�d Use o.f nBuiltiing <br />Building type: ](�Single �'amily � Duplex _Townhouse _ Mu ' F�mily <br />Type of proje�t New _ Addition Rcmodel Repalr _)L/I .I. <br />DESC IPTIOM OF WORK �eddrtl n� I Spsr,r provided on fhe h3r,kJ : <br />�.�,`�l C� C� C� C� � C i'�A (' � <br />AA�CHANICAI. PERMRT APPLICATION <br />Type of ProjecY: ,,,,.New _Addn �Altora <br />Show Num6er # of Kxturss <br />AlC -- air handling un <br />ms <br />On _Repair <br />Gas I In <br />Water heste� <br />Gas fire ISC� <br />Gas ran e <br />Glothes dryer <br />Ran e hood <br />Exhaust f2n <br />Heat um <br />Unit h��t�r <br />9viler <br />RcFri eration <br />wooas�ove <br />Ductin <br />Other <br />SPRINKLER ! SUPPR� <br />Numher of H� <br />SION SYSTEIV# <br />. � .� <br />��Y�J� <br />Commerr.fal <br />Sprinkler _Demvlilion Change of Use <br />PLUIV�I�MIJC PERIVIIT APPL�CATION <br />Type of PrOjCCt' _Ne�N,Addn _AItC�atlon _Rgpdir <br />Show Afumbcr !#1 of fixiures <br />Lavatpry wash bF <br />Shower <br />KltchEn sink & clis <br />Dishwasher <br />CEothes washer <br />Water heater <br />5ink serviae/b2f! <br />Bgckflow preventE <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap__ <br />Roof dreins <br />Medicaf Gas <br />Other: <br />n�w.,�, <br />I hr;.rr.by �ertily thst 1 hBve �esd Rnd cx�minod ShiS sppiicellon en0 knoU+ Ihn :amr. �e he VuC B�0 cor*�r.t� All ptovisionb of iau+s and oreJin�nces Qov�ming Lhie NDe oi Wo� W��I be comD <br />��vhether spec�ficd hr.rr.fn nr not. The grentlnp of a pnrmit do� : not presume to Aiva e��fharify lo violate or canrrzl Ihc provlsion ot any nthr.r st3te or bcel law regulatb�g cons�n.i�tion <br />The I em oulhor'u.cd by thc own r o� lAls propvrty to parform Phe work Tor whlch npllr.�tlon Is MAUO 3n4 1,qfnply wlth th c Stnle CU�l�actor 1.nw l �.27 RCw pnd 29E.200n WAC. <br />� �� _ I <br />C` <br />nerlAuthorized Agsr�t Signalure Da{e (RCvfsed 9/2014) <br />