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rr � <br />i � <br />��i���� /�+ppLI�.�Y��� <br />�UILDII�C� / 1VYEGHANICl�L / PLUMBIfVG / SIGt� / SPRIPdKLER / DENlOLITIOi� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � v�ww.everettwa.gov/permits <br />I BUILDING PERMIT APPLICATION 1 1, fD h� �� I <br />Use of Buildi <br />i'���r� r,`�3 �Contract Price of Work: <br />Proposed Use of Building: �� "� �=� `ppa^J Heat Source: �',�as ❑Electric ❑Other �--��' <br />Building Type: ❑SFR-Detached ❑SFR-AttachedA ❑Duplex ❑Multi-Family-# of Units: ��ommercial ❑Industrial <br />Type of Project: ❑New ❑Addition �Remodel ❑Repair � .I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK:�..fr�...���Q-� �+ �L� <br />W R-t.c__ CI,C-^�E�S p� -�� (�-t <1C '��-v �( N 17cE,���, '� (,�j�41.�-- Ct-Ev�/l-� t�3 i t� 6•��� �( �( tJ C� <br />%� ��-lv G�'�1�� u��(—c--. �-�C� - �Q <br />ASSOCIATED BUILDING PERMIT #(if applicable): �J ��� 1— �`�� <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _ Addn _Alteration _Repair <br />Fi xures List of Fixtures Fixtures List of Fixtures <br />A/C — Air Handling Units Heat Pump <br />Forced Air Systems Unit Heater <br />Gas Piping Boiler <br />Water Heater Refrigeration <br />Gas Fireplace Wood Stove <br />Gas Range Ducting <br />Clothes Dryer Hookups Other: <br />Range Hood <br />Exhaust Fan <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br /># of Lisf of Fixtures # of Lisf of Fixtures <br />Fixtures Fixiures <br />Toilet <br />Bathtub <br />Shower <br />Kitchen Sink & C <br />Dishwasher <br />Clothes Washer <br />Water Heater <br />Sink (ServiceB� <br />Basin <br />Backflow Preventer <br />Urinal <br />Drinking Fountain <br />Floor Drain <br />Grease Trap <br />Roof Drains <br />Medical Gas <br />Other: <br />Other: <br />eB <br />ACKNOWLEDGEMENT I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br />current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations the�efrom. Deviations must first be authorized in writing from the <br />Building Official be(ore being authorized under any circumstance. I am tiie owner, or 1 am authorized by tfie owner of this property to perform the work for which application is made, <br />and I comp(y with the State Contractors Law 18.21 RCW and 296.200Fl WAC. <br />City of Everett Official Use Only <br />PF,�,2M1 � � D' n <br />� 1..�� <br />(Revised 5/20/2016) <br />�� L <br />