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•ERMIT APPLICATIO• <br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl., Everett, WA 98201 425-257•8810 FAX 425-257-8857 www.everettwa.org <br /> 9- s -� <br /> SITE ADDRESS: ` PROPERTV TAN N PEHMIT t <br /> �ZA� !'� 2vF,(l�S��J f{1�/� 98?0l � - <br /> LEGAL�or new conslruclwn Shoh PlaUsubOrvision Lal No. (altacn copy ol lang legal atscnption) <br /> OWNER � �E r'� F�' Phone/E-mail <br /> ACtlress K2S - �z✓�C�s�'-� Qt E,�IF Jo� Cdy/5tatelLp <br /> APPLICANT: Owner OwnCr'SAgen1 ConlidClur Conlrador'SAgCnI Ten�nt�mutlpio.�aaoienero�consonniuninao-nneneaa»cammnrpacel <br /> CONTRACTOR -CA�1�Pw�^��NCSFQ � '(14 l��— StateLic. N A�I.PRS4��IC3(o CilyBus Lic # <br /> nad�ess � 1 3 I - 1 �J-f H S� S �1 U P+�� �-- � Phone�Ema�l � 6 -Z9� O�'i� <br /> A T BUSINE N ME CONTACT FOR PERMIT <br /> PhonelE-mail <br /> sU1LDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exislmg Use ol�wl0�ng_ HEAT SOURCE: <br /> Proposed Use of udding Gas_ Eiecinc_ Otner <br /> Budding type �Sngle Fam�ly _Duple Townhouse _Mulh�Fam�ly _Commerc�al <br /> T pe of pro�eU New _Adtlihon �Remotlel Repan T I _Sign __Spr�nkler_DemolNon_Chan e of Use <br /> DESCRIPTION OF WORK(a0m!,ona�spacepiovitletl on tne oacA) <br /> (3� P�Pin9 � ou+doOr gnl � <br /> MECHANICA PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type a�Project: _New Addn _Allerallon_Repair Type of Projecl: _Now_Addn _AIle�alion_ReOalr <br /> Show Number(M)olli+fures Show Numbe�(M)ol lixfurcf <br /> NC —an handlmg units Totlel <br /> Forced air s slems I BathtuC <br /> i Gas pipmg Lavalor (wash basin) <br /> I Waier healer Shower <br /> Gas I�replace Kdchen sink 8 disposal <br /> � Gas range D�shwashcr <br /> Clothes dr er � Clothes washer <br /> Range hood Watci hcater <br /> Exhaust lan Sink �servicelbarlmop/elc) <br /> Heal pump Backllo�v preveNer <br /> Und healer Unnal <br /> BoJei i Dnnking Founfain <br /> Re6igeiation I Floor drain <br /> WooCstove Grease Irap <br /> Ducbng I ftooftlra�ns <br /> Oiher Medical Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM Other <br /> Number ol Heads � Olher <br /> ��er<�y cMAy I�al I�ave rra0 antl e�am�ne0l��s apphcalion and Mnow I�e same lo Da Ime enC correcl A1 piovisiors ol lanf an0 orainances qovem�ry IOiz IyOe ol wo�A will pe comp�eC <br /> wnn wnelner speciLee neiein or no1 Tne B�anting o1 a permd Cocs not CrHume 10 qrve autportly lo v olale or Uncel Ine p'ovqi0n ol any alne�state or Io[xl law�eyNatinq f4nslmcban <br /> inal i am aumor¢eE Dy�he ownn ol iMs pmpen/io perlorm Ine work�or wRcn appbcat�on is matle ane i wmpq wn�Ine Slaie Canbacton Law 1tl])RC W an0 296 200A WAC. <br /> ����� <br /> OwnedAuthorized Agan�Slgnature Oale (Rerised 3ROUJ <br />