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��l0�"D�� � , �—�"�c' <br /> (� 110(� '�� PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBIPIGISIGNISPRINKLER/DEMOLITIOF� <br /> CITY OF EVERETT PERMIT 5ERVICES 7�'j� I� <br /> 3200 Cedar St., Everett, WA 98201 - 425-257•8810- FAX 425-257-8857-vwvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM /1'1 TYl <br /> SITE ADDRE53: Q � � ��1` ��� PROpENiv TAX N PE i IT� I� <br /> D V <br /> LEGAL ior new conawc�ion: Snon Pievsuea�vision L};v�DMaRi fl�� A��S �o�No� (a1teU wpY ol lorq bqai desuiplion) <br /> OWNER L L YNN R I u<�Y Phone/E-mnil z 3�{� S�ss _ <br /> naarese 2 ary�siaierz�p � � T �3 <br /> CONTRACTOR R ��l �CS�� L 8 I Lic 8 I S. <br /> /]/ _ Q • �1 v� N Phone/Emeil � <br /> Addrese `l�D�(J V 't_ <br /> TENANTBUSINE NAME CONTACTFOP.PER ir-R��qpp N�.x►E <br /> Phone�E-mail ���0 S7� �L <br /> BUILDINa PERMIT APPLICATION coNtrincr raice oF woRK �r' • �� <br /> HEAT SOURCE�. <br /> EKiating Uce o1 Building <br /> Proposed Use ol Building_�1� _ Gen Ekcmc omer <br /> Building lype. �Single Family _Duplex^Town use _MuIG-Family _Comrr�ercial <br /> Type ol projecf _New _Addition _,Remodei �Repair_,_TJ._Sipn._Sprinkler_Demolition_Change ol Use <br /> DBsenp�io�OI WOdc(atltlA�onel spaca prowded on fhe�ac.�)�. �'(�(Y�P v�C R F(�, <br /> A LOT o�- �'►�oKE. No �TRuc-Tuwic- R�rag� . <br /> . . , <br /> Have you sUAed working wlthoul a Permit9 _YES �NO .�i�ll�Su���V1� 1 YI�GY�I� \h\`�he$� <br /> MECHANICAL PERMI7 APPtICAT10N PLUMBING PERMIT APPLICATION <br /> Typa ol ProJect: _N�w_AdAn _Alter�tlon_Rep�lr Typ�of ProJ�at: _N�w_Addn _Alt�ntlon_R�p�lr <br /> Show Number(M)of/Ixturos Show Numb�rq)olllxtuna <br /> A/C–au handlm units � Toilet <br /> Forced art s stems i Balhtub <br /> � Laveto wesh baein � <br /> i Gas piping — � Shower <br /> � Weter heeter <br /> Gas Gre lace � Kltchen aink 8 dia osal <br /> � Gas ran n Diehwasher <br /> � Clothes 6 er Clothes washer <br /> � Ran e hood ' Water heater <br /> Erheust lan Smk servwe/badmo letc. <br /> Heal um Backllow reventer <br /> Unit heale• Urmal <br /> � Doiler Dnnkm Fountam <br /> Refn eratio� Floor dram <br /> Woodstove I Greasetre <br /> Dudin � Rooldrams <br /> ' Other I Medical Ges <br /> SPRINKLER I SUPPi2E8510N SYSTEM I o�ner <br /> I Number ol Heads � Other: <br /> 1�ereby certiry Ihet I have renA end ezemined Ihie eaplicalbn erb know Ihe�ame lo be true iM corred.All provi�ion�ol laws anE ord�nances poveminp <br /> Ihls type of work wdl Ue complied wil�whet�er specifKd'narein or nol.The prenlinq ol a permlt ox�aot D�ewme lo pive euthnrlty to violate or cancel <br /> Iha orovision al e olher ele�e or lacal le latiny ccnstmnion or Ihe pedormance ol wna0udlon Thal l�m eulhorized Dy IM ovmer ol lhis propert9 <br /> lo peAorm the w or gpDGcauo a m e anE I comply wilh Ihe Sla Conlw n Lew 18.2I RCW�nd 188.200 WAC <br /> � 7 1 i ,�,�„���,,, <br /> Own�d h Ind m n � Dete „ / <br /> �\�� <br />