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�� � <br />I�►� � - <br />� <br />PERMIT APPLICATIC: . <br />BUILDIfv� i MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <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 � www.everettwa.gov/permits <br />I BUILDING PERMIT APPLICATION I <br />Existinq Use of <br />Proposed Use of Building: �. <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑C <br />Type of Project:�,New ❑Addition ❑Remodel ❑Re� <br />DESCRIPTION OF WORK: �� �� 2� � x�2� <br />�v� c.u4.� 1c�� <br />IATED BUILDING PERMIT # (if applicable): <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _ Addn _Alteration _Repair <br />Fixtures List of Fixtures Fixtu es 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 />Contract Price of Work: $ C� 000 <br />Heat Source: ❑Gas l�€lectric ❑Other <br />❑Multi-Family-# of Units: �ommercial <br />❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Chanc <br />�Ol�q�4. LlG�.1'�0��"�- 1 <br />( r � / <br />❑Industrial <br />of Use <br />t� <br />\ <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br /># of List of Fixtures # of List of Fixtures <br />Fixtures Fixtures <br />Toilet Backflow Preventer (Inside Bldg) <br />Bathtub Urinal <br />Lavatory (Wash Basin) Drinking Fountain <br />Shower Floor Drain <br />Kitchen Sink & Disposal Grease Trap <br />Dishwasher Roof Drains <br />Clothes Washer Medical Gas <br />Water Heater Other: <br />Sink (Service/Bar/Mopletc.) Other: <br />ACKNOWLEDGEMENT: 1 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 therefrom. Deviations must first be authorized in writing from the <br />Building Official before being authorized under any circumstance. I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, <br />and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />City of Everett Officia/ Use Only <br />PERMIT # <br />��1 � J�� <br />(Revised 10/12/2015) \ 2 <br />