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( <br /> PERMIT APPLICATION <br /> 6UILDING/M EC HAN ICAL/PLU M BING/SIG N/SPRIN KLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,W A 98201 -425-257-8810—FAX 425-257-8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 1 PM - otiF!" (I <br /> SRE ADDRESS: 701� P��iY TA7(N PE IT t <br /> �� ,Q. <br /> IEGAI�or row conslructbn: SFan PlaUsuOdivlsron Lol No._ (atlach coDY o�lon9 le9al tlescri0�ion) <br /> OWNER � // LLG PMne/E-mail ' � ^ U /y <br /> dCrcss •Q� 7 Ciry/Stale2ip �{v(f aV� <br /> ca+rr�crae �L/ Nlti �a i u�.n �PL o TT <br /> CEress � ~D s� / / � P�w^e/Email a � <br /> NANT BUSINESS NAME CONTACT FOR PERMR 6 <br /> TS PMne/E-mail ���� 'D � <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exis�n9llse of BuiMing ,SJ�/����r�- HEAT SOURCE: <br /> PrOpOSEd Use Of BuilAlfl9 5�/�I�� Gas Electric Other <br /> BuilAirg rype: Sirgle Family _Duplez_Tovmhouse _MUIG-Family �Commercial <br /> Type of prol�� —New __Addition _Remodel _Repair�T.I._Sign_Sprinkler_`Demoli6on_Change of Use <br /> peStriPGon of Work(atlditional svace povided on fh��ck��NS T/t« 'S��•-�'�4 �' " �'" <br /> �X/ST//YG w/!��iS , <br /> Have yp,ytaAed working withoN a permit? YES �O <br /> MECiIANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type d Projecl: _New_Addn _Alleration_Repair TYPe a Projett: _New_AdOn _Altentlon_Repair <br /> Shw Num6er N�+Nies Show Number oI firturcs <br /> A/C—air handlin units Toilet <br /> Forced air s tems Bathtub <br /> Gas i i Lavam wash basin <br /> Walef heatef Shower <br /> Gas fir lace Kitchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Cb[hes d er Cb[hes washer <br /> Ra e taod Water heater <br /> Ezhaust fan � Sink service/bar/mo /etc. <br /> Heat um Backflow revenler <br /> Unit heater Urinal <br /> ���ef Dnnkin Fountain <br /> Refri eration Floor drain <br /> Woodstove Grease ha <br /> Duclin Roof drains <br /> Other Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM o��' <br /> NumDer of Heads Other: <br /> I hereby cenM����have read an0 ezamined�his ap0lication anG know the same�o be irue anE torrecL A�pmvisions ol laws arb ordinances 9oveming <br /> this ry0e o(xvrk will Oe complied with w0elher specifietl herein or nol The 9ranting ot a pertnit Ooes no�presume l0 9ive authoriry�o violate or cancel <br /> t�e provisionf any olher state or local law re9ulaling construc�ion or�he pertormance of consVuclion.That I am aulhonzetl by�he oxmer of this property <br /> to pedorm Fe �whic��n i�and I romply with�he lale Co Ireclors Law 7827 RCW anE 296200 WAC <br /> p ed en SI aaWre � a�/ (Revised7/2017) <br /> �f2 <br />