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PERMIT APPLICATIOM <br /> BUILDINGIMECHANICALI?LUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810— FAX 425-257-8857—www.evere�lwa. rg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (a�q \ <br /> SITEADDRE$$: PROPERTYTA%N PERMIT� � ` `S <br /> CA � <br /> LE6AL lor new connlructlon: Short PlaVaubdivielon lot No.� (ellech wpy of lonp lepel deacrl�llan) <br /> OWNER .Jovr� •f.0 ' A fc C Uf $ Phone/E-mall ,�.5� V 70� 7.1�17 <br /> Adtlrees , � City/SIale2lp L ve.rei'f- A `� 2 (3 <br /> CONTRACTOR :� � c c r } l 6 I Llc.# <br /> Addres� p 17UY. U� PhonelEmail Z,s' V� 71 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mall A {- t c �/zS� 70- 7� '/7 <br /> BUILDIN�i PERMIT APPLICATION CONTRACT PRICE OF WORK `' <br /> Existing Use ol Building J�1- Q _ HEAT SOURCE: <br /> Propoaed Usa ol Bullding � (� R Gae Electde Olher <br /> Building type: �Single Femily _Duplez_Townhouse _Multi•Femlly _Commarciel <br /> Type ol project: _New _Addition �,Remodel _Repeir_T.I._Sign_Sprinkler_Demolition_Chenge ol Uee <br /> DesCrip�ionolWoflc(eddifionelapeceprovidedonfheback): o� Itr q^�' <br /> �nS�An Nw V�nyl 5�<1.�� � NEU U:nyl u�ndau5 MCu S�nkS � � I �,(� <br /> nIlw � <br /> 1oT �a+V TanK New 1-+�w ��� O�L;s o- n�;ilu�rK , co���.rToPs .► U��y <br /> Heve you sleAed working withoul a permit9 _YES �NO W;nd ov V Vn�ut Q.f' T A 6 i� Co ' I <br /> MECNANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typa of Pro�set: _Naw_Addn _Altentlon_Rep�lr Typ�ol ProJ�ct: _New_Addn _Altentlon�Repdr <br /> Show Number(M)of flrtures Show Num6�i or n,rtun, <br /> A/C—air handlin units I Toilel <br /> Forced eir s stems Bethtub <br /> Gas i in Laveto wash basin <br /> Water heater Shower <br /> Ges fire lace I Kitchen aink 8 dis osal <br /> Ges ran e Dlshwashar <br /> Clothes d sr Clolhes weaher <br /> Ren e hood Water heater <br /> Exhaust fan Sink service/barlmo /etc. <br /> Heat um BackOow revenler <br /> Unit heater Urinal <br /> Boiler Drinkin Fountein <br /> Refri eration Floor drein <br /> Woodstove Greasa tra <br /> Duclin Roof drains <br /> Other Medical Ges <br /> SPRINKLER I SUPPRESSION SYSTEM o�her: <br /> Number of Heads Other: <br /> I hereby roAify thet I heve reed and ezemined Ihle epplicetlon and know the eame lo De true eM cortad.All provleione ol lawe eM ordfnences povemirq <br /> Ihis type ol work will be complied wilh whelher speciiled hereln or�ol.The prenlinp ol a permA doee not preeuma la 91va aulMrlty to violele or cancal <br /> Ihe provlelon af eny olher stale or I Buleling conalructlon or the peAortnence ol conslruction.Triel I em aulhorized by Iha ohmer ol thle property <br /> to peAarm Ihe vrork for '����I comply wilh IM Stele Contnclon Lew 18,27 RCW end 298.Y00 WAC <br /> �� s // <br /> OwnsdAuthodnd Agent Slpn�tun e�e (���°������ <br />