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( � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVI�ES <br /> 3200 Cedar St.,EvereK,W A 88201 -425257-8810-FAX 425257-8857-www.evebretlwa.ag <br /> APPLICATIONS ARE ACCEPTED FROM E AM TO 1 PM p ��9�-j <br /> Ap Egg• OiERT�IAIf t PERYR t <br /> � • �j — OS O ' <br /> EGAL for new conslniclan: SIiM PIaUwOdivisbn Lot No.__ (attac�capy o(brq bgd descriplan) <br /> R ZK L�. Phone�E-mail �ZS � Z�Z �Z d <br /> rass � F- /s-1�-�y- CiY/State/Zip �fd � <br /> ONTRACTOR S/�v �� �iy{� • L 8 I Lic.# SI GN .Z� �� 7N7 /� <br /> dre� �7 aS E 70 � s�-. �� .� �.f=3Z°y <br /> /�qi�c Yc-u�uG— <br /> ��N fl'L� �E14'LT�''f �-I IN/ C norrer�-maa2Ko �7/T�-3790 ��c/�EZ.e•��► N�/e .Vc <br /> BUILDING PERMIT APPLICATION ONTRACT PRICE OF WORK <br /> EpsYug Use d Buildirg HEAT SOURCE: <br /> Proposed U5e of Building _ Gas Elec6ic OtMr <br /> Buldirg rype: _Single Family _Dupl�_Townhouse _Multl-Family _Commercial <br /> 7ype d project: _New _Addition _Remotlel _Repair_T.I._Sign_SpriNcler_Dertiditim_Change of Use <br /> DescriDtlon of WoAc(addifiorwl space providetl on fhe beck): <br /> Have you atart�d woAcinp without a permit7 _YES _NO <br /> MECIIANICAL PERMIT�PPLICATION PLUMBING PERMIT APPLICATION <br /> YW W Propct: _New_AUtln _Alt�ralbn_Rpad YM of Prq�et: _INw_AAOn _AlUralbn_Rpak <br /> Show NumWr W flxWns Show NumWr W Muns <br /> AIC-aH handli urits Tdlet <br /> Faced air s tems BaMWb <br /> Gas i ' Lava wash Dasin <br /> Water heater Slawer <br /> Gas fire lace Ktichen sink 8 dia <br /> Gas ra Dbhwasher <br /> Cbthes d er Cbthes washe� <br /> Ra hood Waterheater <br /> E�austfan Sink servicerbad etc. <br /> H�t um Backfbw ter <br /> Unit heater Uhnal <br /> Bdler Drink Fountain <br /> Refri eration Fbor drein <br /> Woodstove Gease Iw <br /> Ducti Roof drains <br /> Olher Medieal Gea <br /> SPRINKLER I$UPPREESION sYSTEM o�her: <br /> Nunber of Heada OMer <br /> I hereby carlily lhat 1 Mva iea0 an0 s�caminetl Mis appGcation antl krqw Me same to be trus aM cortxl.NI provpqns of 4ws�M orEimncas 9v+snMiq <br /> Iha type of wotk wdl be qiatl wilh wnelher specifisA Mroin or nol.71is graMirg ot a pe,mR Aoss rat prawme to qiva a�to vbWs a uncel <br /> the O�vision of otTer 5 B or local law regulating consln�ction a Me petMrmence of ConBWCEon.ihst I am eullqri¢s0 by IM ownsr o�dNs pmparty <br /> to am �no or wh� appliution a maAe arM 1 comply NiM Ihs Stata CoMnaors Law 18.27 RCW anC 296.200 WAC <br /> �' z� - // <br /> �/AutMrh�d Apnrt Mun Ds1e (RaviwA 22011J I <br /> I�v <br />