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���6i�lY 1��'�'�L..I��+�'IOY� <br />�3lJIIW�Ii��iV��CH�,�IC�,� / PL.l1iUi�1NG / SI����IY��C�..ER / DE�f10L,lilO�l <br />CITY OF EVERETT PERMIT SERVI <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 />BUILDIN <br />Existing Use of Building: <br />Proposed Use of Building: <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Dupl <br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair <br />DESCRIPTION OF WORK: <br />'��,1.��,� 1 �tiz�-�� 1,�"�--�� <br />SOCIATED BUILDING PERMIT # (if applicable <br />G PERMIT APPLICATION <br />Contract Price of Work: <br />Heat Source: ❑Gas <br />ex ❑Multi-Family-# of Units: <br />❑T.I. ❑Siqn ❑Sprinkler <br />i�0�-,99� <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn �Alteration _Repair <br />#°f List of Fixfures #°� Lisf of Fixfures <br />Fixfures Fixtures <br />Toilet Backflow Preventer (Inside Bldg) <br />Bathfub 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/Mop/etc.) Other: <br />� <br />❑Electric ❑Other <br />❑Commercial ❑Industrial <br />❑Demolition ❑Chanae of Use <br />. MECHANICAL PERMIT APPLICATION <br />Type of Projeci: _New _ Addn _Alferation _Repair <br />Fiafures List of Fixfures Fixtures Lisf of Fixfures <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 Sfove <br />Gas Range Ducting <br />Clofhes Dryer Hookups Other: <br />Range Hood <br />Exhausf Fan <br />SPRIRI�CL�IZ / SUPP@2�SSIO�! SYSiEM <br />Number of Heads <br />ACKIVOWLEDGF_MF_NT.� I have reviewed tliis application and confirm the information coniained herein is true and co��ect. Work done pursuant to this permit musf comply with <br />cu��enf federal, state, and local law. The granting of a permif only authonzes approved wo�k and no deviations fherefrom. Deviations musf first be authorired in writing from the <br />8uilding Official 6efore Geiny authorized under any circumstance. l am the owner, or 1 am authorized by the owner of this properfy to perform the work for which application is made, <br />and I comply with ihe State Confractors !_aw i8.27 RCW and 296200A WAC_ <br />City of Everett Offcial Use On/y <br />PL=RM1 ,jt � <br />� � �s=�'�i`��;� <br />(Revised 5/20/2016) <br />