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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98207 425-257-8810 FAX 425-257-8857 www.everettwa.org I� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM a-"a`�~ <br /> SITEADDRESS: � PROPERTYTAI(M ,�\�K1 _ Qr3 <br /> ��CJ <br /> LEGAL for new construction� Shorl PlaVsubtlrvision Lot No_ (attach copy ot long legal tlescnptioN <br /> OWNER (Zl'.7 PhonelE-ma�l <br /> AdEress � CitylState2ip � Z� <br /> APPLICANT:_(Nmer Owner'sAgent Contrador �Contractor'sAgent _TenaMim�.�po.b.a�.�aoi�.e�in�mew�+a�om..oMMe»�w�i <br /> CONTRACTOR F �S L 8 1 Lic.# W L COE Bus.Lic.# <br /> Address (� PhonelEmail <br /> TENANT U INE NAME CONTACT FOR�E1�RMITN� <br /> Swv�t v <br /> Phone/E-mail �u7,5 ' �Z�� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �' � � <br /> Ezisting Use of Building <br /> HEATSOURCE: <br /> Proposed Use of Building Ges Eiectnc Otner <br /> Buildinglype: _SingleFamily _Duplez_Townhouse _Multi•Family �,Commercial <br /> T e of ro ect: New Adddion Remodel Re air T.I. Si n S rinkler Demolilion Chan e ol Use <br /> DESCRIPTIONOFWORK(edd�tionelspacepro�idedontnebacrk): h�CywS W�� �L� �t�4�rN�(� <br /> ����W�.=�l�"� �scl:�i�. `jX�'�71 X �L7 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypoofProjecC _New_Addn _Alteration_Repair TypeolPmject: _New_Addn _Alleraqon_Repair <br /> Show Number(#1 o!lixlures Show Number(NJ of�rl�res <br /> NC—airhandlin units � Toilet <br /> Forced air s stems Balhtub <br /> Gas i in Lavalo wash basin <br /> Waler heater Shower <br /> Gas fire lace Kilchen sink 8 dis osal <br /> Gas ran e Dlshwasher <br /> Clolhes d er Clothes washer <br /> Ran e hood Water heater <br /> Ezhaust fan Smk(service/bar/mo lelc.) <br /> Heal um BackOow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refri eration Floor drain <br /> Woodstove Grease tra <br /> � Duc1m Roof drains <br /> � Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Olhec <br /> I hemuy ce�dy that I�are reaE enE ecamined tnis apptcalan anG knowNe sema to be Irue enC correct.AR provisrona W lawf enE orOmencef povem�nB mia type olwork wNl be compl�eA <br /> wtln whelher sp¢cdietl�ercin IX nol.Tne qien� I e perm�Ece�not Dreaume Ia give auMaMY�o vrolele a caocellne provnion ol eny olher slale m bfall2w reBulatin0 c0^eVudbn <br /> ihal I om eu0o�izeC 4y Ihe ownerol lhia O�o eM o pe�am t�a work Im wtuch eDP�����me0e end I complY wn�I�e Slele ConUenon law 78 27 RCW anE 290100A N�AC. <br /> f,,,,�/ f�/ZS/Z�IZ IlZ <br /> OwnedAulhorizedAgent g Wre Dete (ReviseOG/YO1Y) <br />