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PERMIT APPL(CATION <br /> BUILDINGlMECHANICALIPLUMBINGISIvi�/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everetl, WA�J8201 425-257-8810 FAX 425-257-8857 www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PpOPERTYTA%p PER IT� <br /> sire nooRess: � � - U �� ,,� � ) ��,.� x ' `.C�v L -�� <br /> � _"� • r <br /> LEGAL lor new consimcllon�. Shoil PlnVsubdivlslon___ -- �,/ <br /> Lol No._ (oltach copy ol long legel desalption) <br /> ' H � �.5 1 S <br /> OWNER���' � � - - � L PhonalE�mnil �L �• <br /> A dro s��r1''''-�, il, \ ✓`,�-•t �`71Lt' [v[,•)(ta'\ "� � CIIy/5tale/CiP ill' �'L� � �� �l.l� <br /> APPUCANT:_Owner OwneieAgenl �Conlrector __ConVactor'sA8en1 _Tenanllmmip,arde�i•nerolcermmrvwnmaawne��aeowon���he�c•��1 <br /> � �� � � l U ^ � � 11 �i L 8 I Lic. # 1 L' �. ` COE Bus.Lic.N <br /> CONTRACTOR I ' - <br /> t, ^ � r � , . <br /> � 1 ` � Phonel[mail � v X• �� � <br /> Addmss i.��, �� ' , � � �1.� �, �7 � u� �-�:�i' 1 . �'� <br /> TENANT 8 SINE53 NA E CONTACT FOR PERMIT <br /> � �7(i1 �': �� ��V li� — <br /> .��'"�'�� l' �I ���I, ��. I�Iv�IC� �.1�/`��% PhonelE�mnil �- �. �5 � ��`�(� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK��.,L�.'�" � <br /> � , � �, �._ HEAT SOURCE'. <br /> Existing Use ol 6uilding • <br /> � Gas / Flectric Other <br /> Proposed Use ol�uilding ��• � ���� � �� ���- — -� � <br /> Building lype: Single Family _Duplex_Townhouse _Multi-Family L Commercial <br /> T e of ro�ecl New Addition Remodel Repair T.I. Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(addrtional spaceprowdetl on�ha back). _� �.-, t ;'��.-I � � (�-I,n' I _;',1.�- { ✓ <br /> I1 �', � .�,�' � �'l�"< <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol ProJect: _Now_Addn _Altotalion_Repelr Typo ol ProJoct: _New_Addn _Altorallon_Repelr <br /> Show Number(Nl o!lia furee Show Number(M)o/Oxfurcs <br /> NC-aii handiin unds , Toile� <br /> Forced air s s�ems ! Balhlub <br /> � Gas piping _ i Lavator (wash bavn) <br /> Waler healer I Shower <br /> Gas Lreplace � Kitchen sink&dis usal <br /> Gas ran c � Dishwashcr <br /> � Clothes d er I Clothes washer <br /> Ran e hood Water heater <br /> Gahausl lan Sink(service/badmo /efd. <br /> Heat um Backllow reventer <br /> Unit heater Urinal <br /> �oJei Drinkin Fountain <br /> � Rr.lri eration Floor drein <br /> � Woods�ove l�rease tra <br /> Ouctin I Rooldrains <br /> Other_ � Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM other <br /> Numbet of!iaads � Other: <br /> 11e�ebYce�Llylnallnavamedande.aminedlhieapF�icn���onenCMnowlM1asemelobelruae�dcorrccl PApmvl�wnsollawfmdortlmenee�0overninqlhielypeolworhw+Abeeompl'�ed <br /> v.iM1 xhei�er specdied�emin or not.The B�a�bn9 0l e Oeimd Aaef not Frefuma to pHe authority lo vrolele oi cancel l�e pmvifan M eny olhe��lale or local law repultlhp wntlrvction I�, <br /> ���al I am eut�orimd by Iba oxner ol t�iaAiape�y lo pedonn Ine xrik loi xh�ch appncalion h matle end I mmp�y wn�Ine Stele Conlraclon lew IE 27 RCW mE 179 Y00�W��� <br /> : ), /��+�� / / � � �� ` �� , �..._ �. � „ <br />