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r <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBING/SIGNISPRfNKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES g" g - �� <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810-FAX 425-257-8857-www.evereltwa.org /�`h p M� <br /> pPPLICAT10N3 ARE ACCEPTED FROM 8 AM TO 4 PM O'���� u� <br /> $ITE ADDRESS: PROPERTY TAX N ERMIT i <br /> � r T <br /> LEGAL tor new construction: ShoA PlaUsuhdivision Lot No._ (attech copy ol lonp al description) <br /> OWNER \ V(�.1�� Phone/E-mail <br /> tlreu Ciry/S�ate/Zip <br /> CONTRACTOR pQ i�/L L 8 I Lic.# I� � `J <br /> ddress `(�7 L ,f � L�. C� PhonelEmail <br /> TENANT USINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mail � 4op In'UC�(i ��CO� <br /> UILOING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of BuiWing <br /> HEATSOURCE: <br /> Proposed Use of Building Gas Electric_ Other_ <br /> Building type: _Single Family _Duplex_Townhouse _Mulli-Family _Commercia� <br /> Type of project: _New _Addition _Remodel _Repair_T.I._Sign_3pnnkter_Demolition_Change of Use <br /> Description of WoAc(additional space provided on the back): <br /> Have you sWrted working without a permitT _YES __NO <br /> MECMANICAL PERMIT APPLICATION PLUMBIN6 PERMIT APPLICATION <br /> Type o(Pro�ect: _Nsw_AdAn _Alteration_Repalr Type of Project: Show Number(/10/flxtureaGon_Repafr <br /> Show Number(M)o/finWns <br /> A/C-air handlin units Toilet <br /> Forced air systems Bathtub <br /> Gas pi in Lavato (wash basin) <br /> Water heater Shower <br /> Gas fire lace Kitchen sink 8 dis osal <br /> Gas ran e Dishwasher , <br /> qothes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhausttan � Sink(servicelbar/mop/elc.) <br /> Heat pump BackFlow reventer <br /> � Unit heater Urirtal <br /> � Boiler Drinkin Fountain <br /> Refri eration Floor drain <br /> Woodstove Grease tre <br /> Ductin Root dreins <br /> Other Medical Gas <br /> BPRINKLER/ SUPPRE8810N 8Y8TEM aner: <br /> Number of Heads Other: <br /> I hereby ce•tiry that I have read and examined this aDP����ion antl krrow lt�e same to be tnie arM corteM.All provisions of lews arM oidinancee goveming <br /> this rype of wark will be complied vnt�whet�er specifietl herein or nol.The granting of e pertriit Aces not presume to give authority to vioieta or cencel <br /> the provision of any othar state or local law regulatiig consWction or the perfomwnce ol construction.Tf�et I am aNhorixed by the owner oitMa propeAy <br /> ro peAorm the work fot vA'ch applica�fon is rt�etla and I wmply with t�e Slate Conhadors Law 1827 RCW enO 298.200"NAC <br /> �-,�� Va(.i,\%�/1 �t�,�i i <br /> Own�rlAulho zadAgsntSignaWre Date (Revised?/2011� <br />