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I <br /> PERMIT APPLICATION <br /> BUILDING/MECHQNICALIPLUMBINGISIGN/SPRINKLERIDEMOLITION II <br /> CITY OF EVERETT PERMIT SERVICES ' <br /> 320D Cedar St., Everett, WA 98201 -425-257-8810—FAX 425•257-8857—w�vw.everettwa.org I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ol- �-'I�I`�� � <br /> SITE/�D�RESS: PROPERiVTA%p p l7p --� �� <br /> . . � ' C � � � ��� � l � 7_ '(���� I <br /> LEGAL lor new construction: 6hort PlaUsubdiNslon Lot Na_ (ettach copy M long lepal desuiption) I <br /> OWNER p' ,/ � PY�one/E-mail ��ZS-l�jZ �L+ J�} <br /> Address Crtv/Stste/Zip _��E/• _ / �� <br /> CONTRACTOR ! L&I Llc.k � ' l l r <br /> P.ddress '� ��L�. `'�;/b' (,� �� J PhonelEmail � _%-'� •� G� <br /> TENANT dUSINE55 NAME CONTACT FOR PERMIT �f� ��,xu� <br /> anone/E�mal! 'Z5-"775�-�s� (i• <br /> BUILGING PERMIT APPLICATION CONiRAci PRICe oF WORK 3 <br /> Existing Use ot Bulldin� _ HEAT SOURCE: �� <br /> Proposed Use ot Duilding _ Gas EiecUlc Other � <br /> Bulldin;7fype�. gSingleFamity _Duptex_Townlic❑:e _�Au1G-Famlly _Commercizl <br /> Type of proJect�. _Nevr _Addition _Remodal Repalr_T.1._Sign_Sprinkler_Demolitlon_Ch2nge of U.e <br /> C]esc�lp!ionofWorY.(add.tional6po=epio�iiio�cnfh,eGzckJ: ��v(AC� �X/�n JC /'��S �-f�'l��CEn ��/,��- <br /> /�'Pc� �/15 �!�'Ni}C!- Sn: SM�i� cr i s <br /> �OCAT7fN � I1,0 /�1s�' ��i4S /'l{�iti��1-. <br /> 0 <br /> 'Have you startcd working wlthout�permli7 _YES ,�NO I <br /> lJIECHANICAL PERMIT APPLICATI0�7 pLUMBING PERMIT APPLICATION � <br /> TypoolProJecl: ,_I7cw_Addn JteraUon_Rcpalr TypeolProJaC _�Jew_AUdn _flterntlon_Repalr <br /> _ ShowNumber : ollixtures Shon�Num6er F olfixtures <br /> NC-airhandlingu�lt=_ � 7ollel <br /> forced eIr Eystems Dafhlub <br /> Gas piping � Levatory(wash basln) <br /> Watcn c�atcr Sho:ver <br /> � Gas 6re lace Kltchen elnk E d�sposat <br /> G�s ranq> Oishwzsher <br /> Clothes d er Clothes washer <br /> Range hood Waler healer <br /> Exhausllan SIn1< seMceluarlmo letc. <br /> Heal um pnckllov reventer <br /> UNt healer Urinal ��� <br /> 6oiler Drinkin Fountaln <br /> Refriperation Floo�tlraln <br /> Woodslove Grease�rep <br /> Ductin Root dre!ns <br /> Other �,ledical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM othei. <br /> Numher ot Hezds Other. <br /> I Fc:et�y ceNy that I have rea7 enG examineE this eppicaUon cnd knrnv lne eame lo be true e�d correct Ali povlsloro of lava end ordinancea povemirq <br /> tnls type o!v.wk vAll be complied vAID v�heV.er epedCed hereln o�noe The prantinp of a permit dcea nol preeume lo pive euthorfty to vblate orcencel <br /> � tne provlslon of eny otner state or local law repulaGny cons WCUon a lhe pedormance ot cons Wction.Thal I em euV.arized by the amer o}fhla propeRy <br /> W peA m Ne work lorwhich�dicalion Is de en�I camply wlth the 6tate Vaciore�ew 7fi27 RCW end 296200 WAC <br /> . � } , <br /> �r�,.. �f��=�� .�/�1 �s <br /> Owned thorizedAflant6lpnatur ��� (ReNaed7/lOfiJ <br />