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• <br />s <br />P�RMiT APPLICATION <br />BUILDING/MEC�ANICAL,/�L�U�UIB�NG�SIGN/SPRINKLER/DEMOLIT[ON <br />CITY OF EV�RETT PERMIT S�,FtV�C�S <br />3200 Cedar St., Everett, WA 98201 425�257-8810 FAX 425�257�8857 www.euerettwa,org <br />APPLICATiONS AR� ACCEPTED FRONI 8 AM TO 4 PM <br />TE ADpRESS: PROPERTY 7AX # PER # <br />� � � 4 � �.�d �Jl a (.�. C w �v� reH� °I8 203 '� I �i D f — n ; <br />, <br />LEGAI� for naw conatruction: Snort PlaVsubdlvision Lot No. (attach copy of IonA 1eg31 descrlptlon) <br />OWNER , p h�, �t1 m Phone�E�mAil �"t�-� 35 3-�1q 1 t <br />Address 3ao� 'rj o�� p�ace S1N Cliy/StatalZip � �hJ qgao� <br />APPLICANT: _ Owncr __ Owmer's Agent �C ConttActor _ Contractor'9 Agent _ T0�8�t (musl D�lee a lettar olconsant from Mo o.,mnr m do �wrfc In Ino spece) <br />CONiRACTOF2 C��('Y1C.r'S�'p �O� tY\ 1: Y\C . L E, I Lic. # ���Q ( �' i� COE Bus, Lic. # <br />Adtlre9�i i� �oa� I S�� rTv t- 5� � I ���i Phona/�mail �q 2� ��-t 4�• v I � 1 <br />Phone/E-mall —" . � � ���� � ����� �-< <br />BU��.p��IG PERMIT APPM,MCATION CONTRACT PRICE OF WORK 6� • Ob <br />�xisting Use of Building HEP,7 SOURCE: <br />Proposed Use of Buiiding_ Gaa Electric Other <br />8ullding type: ingle �t�rnily _ Duplax Townhouse _ Multi-FAmily � Commerci�l <br />T e of roect; New Additlon F2emodel Re air T,I, Si n S rinkler Demolftfon Chan e of Use <br />DESCRIPiION OF WORK (addlt+ane�s eceprovio'ed�the ack); <br />� <br />'-�" ' ►��t�P, � �QC_Q �(�p� -� �v�s S�' f� �'�`���17�'�1 ' <br />MECk#AA�IMC,I#l. PERMIT APPLICATION PLUMBING PERMIT APP�,�CA�,T�ON <br />Type of Pra�eck _NQvv�Addn �Alteration �Repalr Typo oP ProjecY: _New _Atltln �ItprP,llon _Repalr <br />Show Numbar vf f�zturEis Snow Number t! o� llxtur¢s <br />A/C – alr handlin units Toilet <br />Forced Air s stems Bathtub <br />Gas i in _ � �avatorV (w2stl basinl <br />Wat�r heater <br />Gas firepl2Ce <br />Gas range <br />Clothes dryef <br />Range hood <br />Exhaustfan <br />Heat pum2_ <br />Unit heater <br />Boiler <br />Refrigeration <br />NVoodstove <br />DuCting <br />Other <br />�suPP�� <br />�tumbor of F�IE <br />KitChen sink 8 tlisposal <br />ciotnes wasner <br />Water heatQr <br />5ink (servico/bar%m <br />Backflow prevenker <br />Urinaf <br />Drinking Fauntain <br />Floor drain <br />Grease trap <br />T�M � � � Othor: <br />Gas <br />1 hr.r.noy certlry lhat I heve �Ad ana mxnminod tMie aDPIIc�Uon ?nQ Know the aema lo be Inae enQ co�rocl. All provlelons oi lewe entl orClnance� govcming thl, cypo ot woBc wlll De complied <br />wlth whether apacmed hereln or not. The ptclnHng ai a permlt doea nat presume to give aut�onry lo vfolnlr. er ec�ncr..� Ihr. provfsf�n af nny OtltC�r 9tAt� or local law Yepuletlnp Conatruat�on <br />T�at I am nut eHr,r.tl by thn ow�nr �f ihis pro erty lo perfortn tho wo� far whlch npplicatfon la mndv and I wmply wllh the 3tete Comraclora Lew 1 a.27 RCw nntl 2aezo0A WAC. <br />� �� l /� <br />OWIn lAutRorizetl Ageht Slgnetute ato (ReVi9etl B%2072) <br />