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� <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUIIABINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES �O�t� � <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8z 10—FP.X 425-257-8857—www.evereJtwa.�rg� ��/ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM K. <br /> SITE ADDRE53: PROPERTY TAX M PERMIT R.,�Z <br /> 3�0 � ,., E A <br /> LEGAL for new tonslruction: Shoh PlaVsu�division Lot Nv._ (attach copy of long legal Oescription) <br /> OWNER Phone/E-mail <br /> Address �j City/5talel2ip <br /> CONTRACTOR � �C � O i� fV L&ILic.# �SI 0 —OD G <br /> Addrets (�`�J.��� fQh`C � �S Q � 25? Phone/Email ��� ��O� V Z <br /> TENANT BUSINESS NAME CONTAC7 FOR PERMIT <br /> / '� �/f <br /> t L �y. �,4(''[�,1� �i.�,'�y��Tv,J Phone/E-mail � ` '� 1- K 6 � ` <br /> BUILIDIMG PERMIT APPLICATION CONTRACT PRICE OF WORK /oZO� �' <br /> Existing Use a(Building QF�i�' HF.AT SOURCE: <br /> Proposed Use of Bui�ding VFF���'-� _ Gas_ Elednc Omer <br /> Building type: _Single Family __Duplex_Townhouse _Multi-Family �Commercial <br /> Type of project: _New _Addition _Remodel _Repair�T.l._S�gn X Sprinkler_Demolition_Change oi Use <br /> Description of Work(addifional space proyvld{e-don fhe beck): <br /> r��-1.1<-Wfi�nj sg���~b..l� r �da(�-� <br /> Have you started working wlUiout a permlt7 _YES �NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypootProJect: _New_Addn _Alleratlon_Repalr TypeolProJect: _New_Addn _Alteration_Repalr <br /> Show Number(N)ollrxtures Show Number(NJ ol flzfures <br /> A/C-airhandlin unils Toilet <br /> Forcedairs stems Bslhlub <br /> Gas piping Lavatory(wash basin) <br /> Wa�er heater Shower <br /> Gas freplace Kitchen sink&disposal <br /> Gasran e Dishwasher <br /> Clothes d er Clothes washer <br /> Range hood Water healer <br /> Exhaust fan Sink(service/barlmop/elc.) <br /> Heat pump Backllow preventer <br /> Unit healer Urinul <br /> Boiler Drinkin Fountain <br /> Refrigeralion Floor drain <br /> Woodstove Grease lra <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRES&ION SYSTEM Olher: <br /> Number of Heads � Other: <br /> I here6y certily ihal I have read and ezamined�his applicallon and know Ihe same�o be lruo and conecl.All provisions ol laws and ordinances goveming <br /> ihis type of work will ba complied with whelher specified herein or noL Tho granting of a permil does nol presume to give authonty lo violale or cancel <br /> the provision ol any other slate or local law regutaling conslruclion or lhe perfortnance of construction.Thal I am aulhorized 6y the awner of this property <br /> to pedorm the work forw ich apptication�is mada and I comply will,lhe Slale Contractors Lew 10.27 RCW and 298.200 WAC <br /> /��'�/�f` t�l�l � <br /> OwnadAuthorized Agant S�nature Dale (Rovised 7/20f 7) <br />