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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everetl, WA 98201 425-257-8610 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS: PROPERTY TA%p PERMIT� <br /> �.,1� ✓� r 0 , �13 <br /> LeGAL loi new construction� Shorf PlaVsuDdn�sion Lol No_ (allach coDY ol long legal Cescnpt�on� <br /> OWNER PqoneiE-mad <br /> AdOress r q/q � / CRyISIaIc2�p <br /> APPUCANT: Owner Owner'sAgent Conlracmr ConiroclorsAgenl Tenantim�+icro,�a�.mw�oiw.,se��r.amu»o.re�uao«�+nmaspu.i <br /> CONTRACTOR State Lic. fl (,(Q� / Q Cd Bus Uc p <br /> AGaress PhoneiEma�i <br /> TENAN BUSIN SS NAM CONTACT FOR PERMIT <br /> Pnone/E-mad <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE Of WORK <br /> Exisling Use ol Bwlding HEAT SOURCE <br /> Proposed Use of Buddmg Gas EieUnc OIOer <br /> Buddmg type. �Smgle Famtly _DupleK_Townhouse _MuIG�Family _Commerc�al <br /> T pe ot pro ecl New Atld�6on Remodel _Repa�r_T I. _S� n Spnnk�er Demohtron Change ol Use <br /> DESCRIPTIONOFWORKf�dmrronarspacop�ovmedonrneneck) D �1u� G�./ �ak� lu��� <br /> �(.{ Gi <br /> MECMANICAL PERMIT APPLICATION PLUM6ING PERMIT APPLICATION <br /> Typo ol ProJact: _Now_Addn _Alloratlon_Hopalr Type of Pro�etC _Now_Addn _Allaratlon_Ropatr <br /> Show Number fM)ol/Irfuns Show NumDer/N)ol/i+fura� <br /> NC-au hand6n unds Tmlet <br /> Farced air syslems Oalhlub <br /> Gas pipmg Lavalo (wash bas�n) <br /> Water heater Showcr <br /> Gas fireplacc Kitthen smk 8 tl�sposal <br /> Gas range Dishwashcr <br /> Clothes dr er Clothes wasner <br /> Ran e hood Water heatei <br /> Exhausl fan Sink (service/badmopletc� <br /> Hea�pump dackl�ow preventer <br /> Unil heater Unnal <br /> Bader Dnnkm Founta�n <br /> Reingeration Floor dra�n <br /> Woo05tove Grease trap <br /> Duclin Roof Orains <br /> Other Medical Gas <br /> SPRINKIER / SUPPRESSION SYSTEM O�her <br /> Number of Heads Other <br /> I nere0y cMJy I�ni 1�ave�eaA anO e.amineC I�is appi:cetron anC Mnom m�samo lo Ce Irue anC cortecl An provis�onf ol Isws eM or0�nencn qovem�ng�ni�ryDo ol wat w,�be comacC <br /> wAn wnelne�sDeubetl nerein a�nol Tno q�enlmq ol a pertnA daaf nol presuma lo gne eulnarAY lo nolate a WncN Ille povision ol anY ot�er slato w�xal law iequlrimp caisWclron <br /> T��11 am aul�wixeC Oy I�a owner ol iNe p�ope�y lo peqotm I�o wwh lor wTrli epplaalion b maCe�n01 comply w��I�e SIeN Cmlrectan Uw 1�17 RLW enE 796 700A WAC <br /> � 1b - /lr- 13 <br /> OwnetlAull A'a �n151pnalura Dale fRevisedl?01J) <br />