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PERMIT APPLICATIQN <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM a— I �I `� <br /> SITEADORESS:/�� PR�ERiYTA%tf O OU P MIT <br /> LEGAL lor new censtruction: Short PIaVw ivision Lol No._ (atlach copy of long Ieaal descnplion) <br /> OWNER � � �S "!I�'7 �I.3 <br /> � • r J C{� Phonc/6mad <br /> aaress (,l//_ ' G � CiN�Sla�e/Zip S' h G, -rj�2Qz <br /> APPLICANT:XOwner OwnersAgent Comracior ComraziorsAgent Tena�llm�.�o��•y�otr:s�aim�.�.ar�onmo�oroao�nu�o.p,�� <br /> CONTRACTOR (f{Y/�Ch L 8 I Lic.# COE Bus.Lia # <br /> tldress PhonMEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> P�onME�rt�ail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ��0. m` <br /> Exisling Use of Building p � i _ HEl1T SOURCE: <br /> Proposed Use o(Bwlding /C _Pluf(1.ffR/ Gas__ Electric�(. Olher_ <br /> Duilding typc: ,�Single Family _Dupicx_Townt�ouse _Multi-Family _Commercial <br /> T pe of Orojecl: � Ne�v _Add�tion _Remodei _Repair_T.I. _Si9n_Sp�inkler_Demolition_,Change ol Use <br /> DESCRIPTION OF WORK(aaadiana�space prov�dedon me 6ack): <br /> New /.�v�yiH9 � G�+o� IkpSJ �n/ew .S�'o��r5 i /'rri"t <br /> , / <br /> �U,r (i.� `10v1P <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLfCAT10N <br /> Type of ProJect _New_Adtln _Alterallon_Repalr Type ai PraJect: _New_,Atltln _Alteratlon_Rapalr <br /> Slrow Number(p)o/lirfums SDow Num6er(p)ol/lrtures <br /> NC—air handiing units Toilct <br /> Forced a�r systems Balhtub <br /> Gas i ing Lavato (wash basm) <br /> lNafen c�atcr Sliowcr <br /> Gas lireplace Kdchen;ink&Cisposal <br /> Gas ran c Uuhwasher <br /> Clothes d cr Clothc,washcr <br /> f2anqe hood W+�ten c�a:er <br /> ExAaus�fan Smk scrvicc/Ladmo lcic <br /> Hcat pump Bachflow revenler <br /> Uml hcater Unnal <br /> Uoder flrinkinq FounWin <br /> Rclrigcration Floor drain <br /> Woodstove Grease lrap <br /> Ductin9 Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Omer <br /> Numbcr of Hcad, Olhcr: <br /> I,1acLy re�lrt y Nal I hnve�rad nnd ewinme0 V�ie applea�on anJ Anow tlm zame lo ba Wa an�eortr.cl.NI p�on:enf ol qim nnd aNnance�MoveminN Viis lypr,uf wo�M m]be wnip6etl <br /> wrh nbclhc�spculcJ�ercln oi nal.lho qianGnp oi n pertnd Cocf nut pmsvmc ta B�o auNony lo Wowto or eancel Uo pmNsion ol uny othm slalc m local�w req W 1mq canstmdion <br /> lhal l am oul�onicd Gy iha owncr of Nu piopcity lo perlonn Uiawod lo�which opp4cnWn ia madc and I compN w��Uic$tale Contradon lax 10.77 RCW a�d 170 200A YJAC. <br /> A/ � <br /> wncrfAuOwdicd Agent Sigwluro Date (Rensed W70171 �� <br />