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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPR�NKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl., Everetl,WA 98201 -425-257-8810-FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM <br /> SITEADDRE55: O�Ov[ntv7AlIM PE iT� <br /> -� ,,,,�_ a E�e�K c.�v�z� � 0 - Or <br /> LEGALfarnewwnst�uclion: StrotlPlaVsu6diWaion_ LotNo._ (elte�wpyol6rplepeldescriptbn) <br /> OWNER � � . � C� I UC� Pncne/E�mail t7.- 2'Lul K 3dz- <br /> �OOrest '�1(r�. c� C � '.'J�7 j,Upr.py� G�y/51aWLp ` � <br /> coNrrucroa O! % er �o.c �a i uo.a OL .�t P G�l7SPZ <br /> nae�ess 3 2 6 ✓Yl lU �f ��Z � � PnonNEm�il 2,�- 3�? ^� B',j� <br /> TENANT BUSINE55 NA"ME NTACT FOR PERMIT � e�a� . aYNES <br /> ..L�eLa �7-e�..�'�Cci�-- I.L�- rno�2•�n2bG- 2-SG�tJS�idrrr�.`-�GePn�°.^ �G✓�/i. <br /> BUILDING PERMIT APPLICATION CONTFUCT PRICEOF WORK �"' <br /> EMi611np Use ol Bwlding HEAT SOURCE: <br /> Proposetl Use ot Bmlding ���t l4 Gas EMenc UMr <br /> 6uiiding lypa ,_Singlc Femlly __Dup'�ex__Townhouse _tdulf-Family _Cortunercial <br /> Type of project: _Ilew _ACdilion _Remodel _Repair,�T.I._Sgn_Sprinkler_Demo/lll'ion_Chanpe of Use <br /> DescrlptionofWo�k(atldnronalipacoprovideCon�AOCackJ; ���N/Ov, ���.��fr`Qns � Y'��K(S�.s. <br /> Heve you started working wlthoul a permit7 _YES �NO <br /> h7ECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typeo(ProJacl: _New_Adtln _Altentlon_Repalr TypeolProJecL N�w AEdn _Altenlion,_Repair <br /> ShowNumMr e olllafures ShawNumW�(fI olOrNnt <br /> NC—eu Iun011na uni(5 Toilel <br /> Forced nu� slams Batl•.lub <br /> Gaspip�n Lava�or wesh0asln <br /> N'a1M healcr ShoNer <br /> Gas Grco4ltc Kncben smk 6 EISpOSaI <br /> Gas 2nt7c DiShN•eshef <br /> Clolhes 6rycr Cloihes washei <br /> Ranae hao0 Wale�heeler <br /> Ex�yiusl�dn SInk�SeNICC/Wrlmp elc. <br /> Hoal pum BacAOow prevente� <br /> Unil heale� Urinal <br /> Ooiler Drinkinq FuunU10 <br /> Refri eralion Floor tlraln <br /> wootlslovo Grease Va <br /> Dutlino RDoI CrelnS <br /> Olhor MMicai Ga< <br /> SPRINKLER/SUPPRESSION SYSTEM Otner: <br /> � NumberolHeads Olher. <br /> I hcieUy cetlily Uial I havn iead and eKamined Ihi,apG��caUon and knmv Iho eama lo ba Ive antl coimcl.Ail pro¢eions ol laws anC ord�nances govem'ny <br /> lhis lypu o�uork�xll Go comp4odwlh wtwlher epecAied he�ein or nol.The B��Lnp ot a permit Ouas nol pre¢ume lo qive euthority lo violate o�cencel <br /> DwprevislonolenyothertteleorlocalWw�uyWaOnp[onsirutlla�orlhepedormafxe0lcOnslnxl�on 1h�11am0uNorcedbyt�oov.nerolfhi�property <br /> to perlorm Ine v.oh lor whith epp4. an ie matle enE I wmpY vatn Iho Slo;e ConVaUorc law t8 27 RCW and 296�00 WAC <br /> -lj-��/�jGGuz 3�6 // <br /> Owner/ uthatl:atl Agont 51pnsNre � D�u (Rev�se0 24017) <br /> `�z <br />