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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBIN;/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3700 Cedar St., Everett, WA 98201 d25-7_57-8810 FAX 425-257-�E357 t�dvn�.everctttva.org <br /> APPLICATIONS AR[ACCEPTED FROh7 8 AL7 TO 4 P7d <br /> SITEAODRESS: PItOPER7YTARft PE�iAI��T� �n <br /> ( /20 /� Y /vt v � <br /> LEGhLtcrnevmns;mctien: ShodPlocL-u6dlvisien LctNo._ (attachccp/ot!cnplc9alCcscrl,tion) <br /> r l.✓l�eeJe� � � ���-- 3��� <br /> OWNER I Phonc/E-mail <br /> PtCress ( 4- Cily/S�.:tclZip � <br /> APPLICANT: O,:cer Oc:neisA,ent Ccntratlor __Cor.'ra;!or'sA,ent . Teocctc-��.��:�.�-...��•-•�o���,:..,u�on�.,�h-.-r��c��r�ki�•.»ua:�1 <br /> CONTRACTOR CUCRG(zG�N S'[q�E,s�cc'r r.c�- i_r�i i.�c.u EVE��55 o�,zoT COF Bw.Lic.;� oo-7q55 <br /> a.ae«,s 2l?/� `t�AClCIc- l+UE.EVE� c,�A 9820� rt,��,�,�R,�.� `�(zS) 252 -311�1 <br /> TL=NAtJT BUSINESS tJA��SE CONTAGT FOR PERhili <br /> �ElJ �LD�T25) ZJZ����� <br /> PhonefG-n'�a�l <br /> BUILDING PERMIT APPLICATION CONiRACT PRICE oF WORK OOO. <br /> Existing Use o(Hui'ding HEAT SOURCG: <br /> Proposed Use F Buildirg Gas__ E�cUric O;h_r__ <br /> Buildinglype: �SingleFamily _Duplex�To���nhouse _h7ul0�Family _Comrr,ercial <br /> Ty eofprojecl: _.__Nc:v _Addilion __ Remodel Repair T.I. _ _Siqa_Sprink!er.__ Demolition_Change ofUse <br /> DESCRIPTIONOFWGRK(aCd,tronalspac �.vvidedonth,ebac69: <br /> FuC+x%�h � �-+�sZscct- (z) IS..�c.f(�S l-1�Ar 1�,�w.�5 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typoo(ProJect: _Rcw_Addn ___Altemlim�_Repair Typeo(Pro;ecL _Wew_Addn _Ntenlion_Repair <br /> Shcw NwnDer(#)o/lichrres Sho�:Kurnher�kJ oI/ix(ures <br /> A/C—a�rhandlinqunils � Ici!et <br /> Forced air systems [?alhlub <br /> � Va;�;�;,,� � Lava�ary(wash basin) <br /> � Waten c�alcr Shcvrer <br /> - �., Gas fireplace � I<itd�en sink&di,posal <br /> � Gas ran�a I u�;h�vasher <br /> C!othes drycr C'O�IlfS 1985hCf <br /> � Racgehood VJaterhea(er <br /> --� [xhaustfan � Sink(scrvicelbadmop/etc.) <br /> Hcat pump 13aekllnw prevenler <br /> Unit hcale� Udnn� <br /> Boiler I7rnkicg Faimlain <br /> � Refiigeralion Ficordiain <br /> � � Woodslovu Grease tmp <br /> Ducting � Roof drains <br /> Olhcr ' h4edical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM other. <br /> � Numl�erofHeads Olher. <br /> 1 Aem6y ccrfy iAat I haeo maA:�nA ezamiieJ�his,�ppilcal on ar,d kncw Iho same to�e Irue sr,d co:recl.fJi provfslcns ol laws snd o,Vir,ances govem:ng INs lype of wr.�k wi7 bo cemptted <br /> w:lh x'he;hcr speaGed hex:n cr nd.tT,n granl��9 o W pcnn�,t Jocs r.ol pmsume lo give aul„ody to vio!ale ot wnul lhe�vv:sien ol any olher sfa;o er loCal Iaw mpuat:ng ccns:mction <br /> Tiallam ilhn .edLyl�oe.rr.rrall p�oPc� lapertz.rm'f�ar:akfcn�h;chap;icaionismaCoxn�lcompl/�eShltoSla:oCrnlrad:rsl.mvl8?7RClVand7.9P.<UOAL'JAC. <br /> � �a� �' - 23 - /�f ///'''��� <br /> O�vnerlAuthorizeJAgenlSignnture Oato (HeVisedfi2012) �I / <br /> \`L� <br />