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� <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM o� 3 'L <br /> SITE ADDRESS: PROPERTY TA%p PERMIT t <br /> r + Au . 2- <br /> LEGAL for new constructlon: Short PlaVsubdivision Lot No._ (altach copy ol long lepal descnption) <br /> OWNER Phone/E-mail <br /> Address City/SlalelZip <br /> CONTRACTOR Y' L 8 I Lic.# LL- <br /> Address Q CrQ-e � p�/ PhonelEmail 'y • ' n�P. <br /> TENANT BUSINESS NAME C TACT fOR P MI C011� <br /> , �essiCcl �r,�,�nsor� <br /> � \ ��'�+ �minlSirol-f-�on Phone/E-mail �Z�J'N8 •7(do9 5� �C+rown . vr� <br /> BUILDING PERMIT APPLICATION CONTRAC7 PRICE OF WORK � � � ,O `� � _ <br /> Existing Use of Building l OY11Y11�Y�G0.� HEAT SOURCE: <br /> Proposed Use o(Building ('ommerc�a.\ Ges_ Eleclric_ Olher <br /> Duilding type: Single Family _Duplex_Townhouse _Mulli•Family �Commercial <br /> Type of project: _New _Addition _Remodel _Repair�,T.I._Sign�Sprinkler_Demolition_Change of Use <br /> Descr�o(Work(adtlitional space provided on fha beck): <br /> C91� f��e Spr�nY�ler' he:aB.S <br /> Have you started working without a permit7 _YES �NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypoolProJact: _New_Addn _Alterotlon_Repalr TypeolProjeN: _New_Addn _Allaretion_Repair <br /> Show Number(N)ol Iixtures Show Number(MJ o/flxfures <br /> A/C—air handlin units Toilet <br /> Forced air s stems Bathtub <br /> Gas pipin lavalory(wash basin) <br /> Waler heater Shower <br /> Gas 5replace Kitchen sink 8 disposal <br /> Gas ran e Dishwasher <br /> Cbthes d er Clothes washer <br /> Range hood Water heater <br /> [xhausl fan � Sink(service/badmop/e�c.1 <br /> Heat pump Backflow preven�er <br /> Unit heater Urinal <br /> [3niler Dnnkin Fountain <br /> Refrigeralion Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM other: <br /> Number of Heads Other: <br /> I hereby certify ihal I have read and examined Ihis application and know Ihe same to be irue and corred.Ail provisions ai laws end ordinances govemin� <br /> ihis type of work will be complied with whether specified herein or nol.The granting of a permit does nol presume to give authorily to violate or cancel <br /> Ihe provision of any other stale or local law regulating cons�ruclion or Ihe peAormance of cons�ruction.Thal I am aulhorized by lhe owner of Ihis property <br /> lo pedorm the work lor which applicalion is made and I comply with Ihe Stale Conirectors Law 18.27 RCW and 296.200 WAC <br /> � /�3l IZ <br /> w erlAuthorized Ag nt Signature Date (Revised?/l071) I� <br /> a <br />