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S1T� <br />PERIVIIT APPLlCAT'ION <br />BUILDING/MECHANICAL/PLUMBING/SICNISPRINKL�ER/DEMOLITION <br />CITY OF EVERETI" PERMIT SERVICES <br />3200 Cedar 5t., Everett, WA 98201 �25-2�7-Sg10 FAX 425-�57-8857 www.everextwa.org <br />ao� u �5-+ • �;�0 00� � �b �%J' U <br />L for new conslnr�tlon: Short PlaVsu6divislon Lot (�f0. (altaGh CODy Of lol'ig leg�l deScNptfonJ <br />_� � .,�.. <br />� PhoneJE-mail a 5'� - � <br />5 Cirj/5tc�te/Zip <br />�ANT� _ Ownar � p,,y���s qgent Contrsctor Contraclo� <br />_ 8 i{Q@fII _ TBtl2flt (mu&t prpvidg e IB1tBf Ot ConeeYit fiVln lha avmer to do wark in �h� spacc) <br />RACTQR 5tate Lft. #(� /� n <br />1,7i�� Q�f CitV Bus. Lic. # i� bS � d 0 <br />B <br />BUILDING PE�tMIT APPLfGAT10N <br />� Phone/Erriail ` �� . Q <br />CONTACT FpR PERMIT p.� ry�i t <br />one/E-myEl' � m'� •t,(� <br />s <br />)N7FGqC7 P�210E OF W�RK <br />� � � � <br />�G ..'�:��'�1 <br />Existir7g Use of Buildir,g H�qT SOURCE: <br />Propased US2 Of Building Gas Electric Other <br />iguilding type: �ingle Family _ Duplex_7ownhouse _ Multi�Family � COmmerciai <br />17V e Of ro�ect: New Addition Remodef Re air T.I. 5i n S rinklar Demolition Chan e of Use <br />IDE C#iIPTION OF WO K(sedrt�o lspace provlded n Me backJ: <br />, c�r� � �� �- n � -� ��► s �, � a � s � r � �.�. <br />� <br />MECHANICAL P�RM1T APRLICATION <br />Type of ProjeCt: ,�New _q�fdtl _Alteration� <br />Show Number of 6xtures <br />A1C—air handlinq units <br />� Forced air systems <br />Cyas i in <br />Water heater <br />— � Gas fire lacg <br />Gas rr�n � <br />__ Goihes div6r <br />fan <br />Fteat [ <br />Unit h <br />Boiler <br />Woodstave <br />Ductinq <br />R 1 SUPPRESSION SYSTEM <br />NumD�r aF Heads <br />PLUMBING PERMIT APPLICATION <br />of ProJecE: _New _qddn ,.,,_Aitsratlon _Rapair <br />Show IVumbar of �istures <br />I Toilet <br />Lawatory {wash <br />Shower <br />Kit�hen sink & c <br />Dishwasher <br />Glothes washer <br />Weter heeter <br />gackF�ow <br />Drir�king Fount�ln <br />�loor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />f hereey certiy that I heva reatl ana e,.�minsd thia applicallon and know the sama to Oe true and conecl. AII prov�sions oF laws and ordtnences govern�ng th�s type of work will be comp <br />' h v.�hether specified h�rsin or not. Tt�e granting of a permit does not presume fo give authorily to violste or cancel the provislr,n of any olher sfate nr local Isw regulaung construckian <br />Tha I ern auEhorized 6y !hs own r of thls proper{y ta psrform the woric r which pplicafion is m0de and I comply with the State Conir�ctors Law 18.27 RCW and ZB6.ZOOA WAC. <br />- �a� <br />nerfAuthorazed Agent 3ignature Date (Revised 9/2094J <br />��, °� <br />