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Nov. 9. 2015 3; 32PM No, 0783 P, 2
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<br />P�RIVIIT APPLICATlON
<br />BUILDING/MECH�ANICALlPL,UMBING/SIGNISP�INKLER/D�IIIIOLITION
<br />CITY OF EVER�TT F'�RMIT SERVICES
<br />3200 Cedar St., �veret#, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org
<br />'�AI]DRESS: , PROPERTYTAXN ,., P� 1 �
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<br />�AL �or ncw constructlon, Short flAt/eubdivia ion _._,,,,,.,,., i nt No.____ {attach copy oi lorig lugal Uoscript�oii)
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<br />PLIC:ANT: Uwner .,,,, Owner'6Agent �CUnlf8Cl0f C011li'aC[Of�SA�BiIf ,,........TPnanE�mu:tprovidcalettnruEcumnnlfiumll�noH,iarlociovmrklniqn
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<br />�NTR;ACTOR , } � � i.. State Lic- � ,� � ` �.: '' �:, "�, � � � . ��..' `..,�iiy Bus. I.ic, �� '� �
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<br />BUIL,DING P�17M1T AAPLiCATIQN CONTRACT FRIC� OF WORK
<br />EX1Sliny Use of Building ,,,, �
<br />Proposed Use of SUilding .,,r
<br />Building type: _ 5ingle �art3kiy ,�,,, Duplox _Townhouse _ Multl-Farnlly ,� Commercial
<br />Type of project: _ N6W _ Addition Remodel _ HepAlr ,,._,_,_ T,1. _ Sign _„ ,,,_5orinkle
<br />DESCRIPTION OF WO�2K (addifiona�a�.sr.e provided un u�o bacl<) ;
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<br />MECN,ANlC�1L PERMIT APPLICATION
<br />ype of Project: _New _Addn �_. Alteration ��kcpalr
<br />SfloW Number # 01 lixtuYes
<br />A/C — air I�andlin units
<br />Forcod air s stems
<br />Gas )f in
<br />Water heater
<br />Gas firepl�ce
<br />Clothes dr er
<br />Ran e hood
<br />ExhausE fan
<br />Hoaf utn
<br />LJnit I�eater
<br />�oilar
<br />Refriqoration
<br />Waodstova
<br />Duc#inq
<br />Other
<br />SPRtNKlER I SUPPRESSION SYSTLM
<br />N�Ember of Heads
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<br />of Use
<br />PLUMBING FEftMIT AP��ICATION
<br />of Project; _Now,.,, �,Addrl _AlterAtfon _Repair
<br />sliow Nc�rr�bcr (�1} of flxtures
<br />I Toilet
<br />Kitchen
<br />washer
<br />Sirik (son�ice/bar/m
<br />Backflow prevontor
<br />Urinal
<br />Drinking Fouritaln
<br />Floor drain
<br />Grease trap
<br />Raof drains
<br />Medical Gas
<br />Other:
<br />Other:
<br />�}icir.s�y cer�i�y mat I nave read and cxamincd thi :�+y�yiicaitoi� snU know the aama to ba In�� anr� cuin�<:I, �li f����vistone oT fawe ena ordlnancoa �ovcminq thi;lyP�' ��Fw���k wiif Ue compl
<br />Will, wfiether apeclned herefn or not, Th�= p�y�}tin� of a permll does not prasuma iu �iv�� :»dh���ily ti> viol5le oi cencel l�a provlelon of nny otttcr 5l:�t�� ��r I�u:,+l Inw rr�ulaUng conelruGton
<br />Thei l em authodzcd by ih�� ��wncr ut Ihis property to parform thr, yr��y� f��r which �ppncatlmi la ma0s and I comply with thc Sl+dn Caidre<:lirrx tav� 1 B27 RCW end 29ti2UUA WAC.
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<br />b,' er/Authorized Agarit Sfgnaturo �ate �Ravised 9/2014J
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