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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGlSIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa,org <br /> AFPLICATIONS ARE ACCEPTED FRO�d 8 AM TO 4 PM <br /> SITE ALORESS: PpOPERiY TA%M PERMIT p <br /> . �� �c��tua . ��CatTr,c�,�rt 6zol :- -3 —S �Z � <br /> LEGAL lor new conttroction�. ShoM1 PlaVsuMlivision Lot No._ (atlach copy ot long I?gal aescriplion) <br /> OWNER . �� G�l � � 5t� Phonc'E-mail���5��S3-SS�� �r.�,.',v��0 , lun <br /> Adtltels Z-7' �5 �.�z��d MV��Y4 CitY/Slate/Z�P /_!(I�kli((�i i�/n 0��� <br /> APPLICANT: �Crvmer Owne�sApent Contrador Coniractor'sAgenl Tenanir��siP�ows�enroicomemnomme�er�oec..vnmmeersat <br /> CONTRACTOR � l�V P � L&I Lic.# COE Bus.Lic.# <br /> Address PhonelEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> PhonelE�mail <br /> BUILDINGPERMITAPPLICATION CON7ttACTPRICEOFWORK <br /> Existing Use of Builiin� HEAT SOURCE: <br /> Proposed Use of E3uilding _ Gae Eiedric O�ner <br /> �vilding rype _Single Family _Duplex_Townho.se ,_Multi-Family _Commercial <br /> Type of pm'ecF. New Additior, Remodel Re air T.I. Si n S rinkler Demolition Chan e of Use <br /> �ESCRIPTION OF WORK(addi(ional space provided on tire 6ace): <br /> ry� � <br /> �-1 1 1� '�� ��. <br /> MECHAMICAL PE RMIT APPLICATION PLUMBING PERM!71T APPLICATION <br /> TypeolProJect: _New_Addn _Alleration_Repalr TypuolProJecL _New_Addn _Alteratlon_Repalr <br /> Shmv Number(#)ol Odares Show Num6er(#)o/1lxiures <br /> AIC-air hand�ing units Toilel <br /> Forc^d air s stems Bathtub <br /> Gas pipin Lavalo (wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink 8 disposal <br /> � Gas ran e Dishwasher <br /> Clothes dryer Clothes washer <br /> � Ran e hood Water heater <br /> [xhaust fan Sink(service/badmo /etc.) <br /> Heal pump Backflow preventer <br /> Unit heater Urinal <br /> 6a!er Drinkin Fountain <br /> Refrigeratien Floor Orain <br /> Woodslove Grease trap <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSIOM SYSTEM other: <br /> Num6er of Heads Olher: <br /> I ncishy certAy lhal I Aave rea0 and eeurNne�Ilf.s opplmmrt n and Ane:�I�e snme to be WB 8nE mrtect.M D�oVnbnf ol kw�BnO aNmBnuf Ooveminp thie ryye ol work vn0 be wmplretl <br /> r;An wficlhe�specilmG hemin o�noi.l0o granlinp al e pertnil Eoes nol prefume Ia 0�auNorlty lo Ndele m cencel Ne pmviabn ol eny other eble d loeel lew reOuWtinp ca^slmtlion <br /> ihal I em eu�hotlzetl hy Ne ovmer of Ihia propeM�o De�orm Ine wak lor whkh aODketbn h mnAe antl I compN wAh Ne Stete Contredon Lew 78.Y7 RCW enE 2B8.YOOA WAC. <br /> I ' <br /> ��� �r—— � .���0�-'1 � <br /> ` �` � � Date lRevisee Nzot2l <br /> OwnerlAu �odzed e S eturo <br />