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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUM€31NGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 w�nv.evesrettti�_o�g� <br /> SITEADDRESS� I / PROPERTYTN(p PERMITpO _� <br /> LEGAL for rew construclion� Snor1 Plat/subdivision Lol No._ (al�ach cepY ollong legal descnption) <br /> OWNER � FhoneiEmail � — Q <br /> naaress � / 6 �/ cny�s�aierz�� `J r.-� a <br /> APPLICANT:_Owner _Owne�sAgent __ ontracror _Conlrac�ofsA9ent _Tenanlim�,s�w���:eaias�mwmc-aeommec,�c�ionw���=c�os�a:a� <br /> � <br /> CONTRACTOR G�: -r-�� - �G State Lic. # CI D� �City Bus Lic# <br /> Atltlre.ss � G 5� /J S'OGc� t�7c ' PnoneiF.ma�i <br /> CONTACT FOR PERMIT <br /> Ny' � PhonelE mai � ��( h �� y 7���J�D <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK `— _ <br /> E,usting Use o!BudCing � HEAT SOURCE <br /> Proposetl U5e ol Bu�lding Gas__.__ Eiectnc__ Oti�er_ <br /> �ui'�ding type _Single Family _Duplex_Tawnhouse _Multi-Family ._Commercial <br /> Typa of pro�ecf New Adtlihon Remodel Repair_T.I Sion_Spnnkler__Demohfion_Change of Use <br /> DESCRIPTION OF WORK(aydtronai space prcv;ded on me back)' <br /> �"Ibw�►c qux��++G=.S' <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projoct: _Nuw_Adtln _Alloralion_Repair Typn ol Project: _Nuw_Atltln _Altoration_Ropair <br /> Show NumDcr(a1 0//ixturcs Show Number(a)o//ixlums <br /> NC-air hantlhng units Taiel <br /> Forced a�r systems BathWb <br /> I Gas piping Lavatory�wash basm) <br /> Waier heaier Shower <br /> Gas Gmplace Kdchen sink A disposa! <br /> Gns wnge �ishwashcr <br /> Clothes dryer Clothes washer <br /> Ranqe h00d N'alef heaier <br /> Exhausl lan S�nY,(servicelbarimop/etc 1 <br /> Heal pump �ackflow prevenler(inside bldg) <br /> Umt nea�cr Unnai <br /> t3ader Unr,Finq POUNain <br /> Retn9eraLon Floor dmin <br /> Woodstove Grease trap <br /> � Ducling Roo�drems <br /> Olher Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM O�her <br /> kumher of Heads Other: <br /> 1 Ocrc6y cenAy I�at I havc read anJ e.aminea mis applwuon and Anmv the same Io be Irue anC to�md.All piansions ol laws aM erOmancez 9ovemmg IO�s type of worR h�ll Ge cemo'.ca <br /> h'..0 w�elher,peU�Cd�ere�n oi ncl.The 9mn9ng of a peimA does nol Dresume lo grve aNhomy to vidaio or wncel I�e piaNsion cl any other stale oi bral law�egulaung mnsVucticn <br /> T�al I on , Ihon:ed by the uw r ol Im io tly No�ml�e woA lo�wAK�apC6wLOn ii made and I tompty N�h Uc Slatc Canttaclore Law 18.2]RCW anC 296 200A WAC <br /> /� .�/� !r <br /> � /7 <br /> Owny IA Ihonn ' g l.Signnl rc UaIC (RCViSed 4?015,1 <br /> \� <br />