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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF E�/ERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett. WA 982C 1 425•257-8810 FAX 425-257-8857 www.everetNva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: - PROPERTYTAXN P MITR .� r <br /> ..- �.��_ C 'i�;�m��, r�� •.rh � wn 4F_'c� Cc �l �l 'EEc�� - <br /> �. � <br /> LEGAL lor new conslructlon. ShoA PlaUsubdivision Lol No._ (Bttach wpy of long legal descrip�ion) <br /> OWNER �. •..�,�'n�.,.�1� i�,...Y ('�;f� , i �l;I�.� Phone/E-mail �— <br /> ,��^� i�aI� • ����, SL, F GI�ylSta�e2lp f�y �F�C C✓� `Ll2L I <br /> AdOress - <br /> APPLICANT:_Owner �_Owner'sAgenl Contrnctor ConlracloYSAgem _TenaNf�*+.�o�o�ao.��nna�.o�se�:ro�,meo«,brroao.on�nin..�.:s� <br /> �� ,; I uc L 8 I Lic a LE6n c:T ( coe e�s uc.a <br /> CONTRACTOR ��� ' � � � ,'A ,� ,,� <br /> f _ � <br /> „ .n <br /> Addree, f`��' ��' � '�:' '�L �;{�1'�f , �,;_� '1�C'�� Phone/Emeil �i ih'��(�•`7`T'� <br /> TENANT BUSINESS NAME � - CONTACT FOR PERMIT <br /> i .., �;t �' I ,ti 4 P�r:.,i„�: 1 :. .;�( <br /> � �,- i <br /> Phona/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK � �'�'�'�� - <br /> Existing Use of Building L 'i a�� � � � � ' �� �� HEAT SOURCE: <br /> �. <br /> Proposed Use of Building l ' "�� ��•� � � �-" Gas Electric otner <br /> Building type� _Single Family _DupleK_Townhouse _Multi-Family _Commercial <br /> T e o1 ro'ect. New Addition Remodel Re air T.I. Si n 5 rinkler Oemoldion Chan e of Use <br /> DESCRIPTIONOFWORK�adtlrtionnlspaceprovitledonrhoCack`� ;. I`- � , �, ,,, �. ^ �` � rr � �-� � i', "' i-TF? <br /> j . -.r� _ �. IC. .. �,w�� .. ���Li-t � . � . <br /> _ , ' . % I '. ,. ,. . , .� , .. .i <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type oi ProJoct: _Now_Addn _Altoratlon_Ropalr Typo ol ProJoct: _Now_Addn _Alloretlon_Ropalr <br /> Show Numbcr(N)o1/i.furca Show Numbcr N)o!Itrturef <br /> AIC-air handling u^�ts Tode� <br /> Porced au s stems Bathtub <br /> Gas ipin Lavalor (wash basin <br /> Water heaier Showur <br /> Gas fire lace Kitchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Clothes dr er Clothes washer <br /> Ran a hood Water healer <br /> L=xhaust lan Smk(service�barlmo letc. <br /> Heal um �ackflow reventer <br /> Unit heater Urinal <br /> �o�ler Drinkm Fountain <br /> Refri eration Floor drain <br /> Woodstove Grease Ira <br /> Uuctin Roof dreins <br /> Other _ Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other. <br /> Number ol Heads Other: <br /> I hemb�cen�y I�al I�ave�eaE an0 e.am�neC Ihn epF�'���on enE know t�e aeme to be Irua en7 corrzd Atl p�ontionl al I�wf enE orElnencef 9aveminq Uis trpe o�wnrk x�l Ea wmplrod <br /> µ�.�x�elhe��pecd¢E�ttmn o�nol T�a p ranlm0 0l e peim�Eoe�not prewma to pive wt�orAy lo rrolale u:ancel l0a povi�bn o 1 eny otMr�ble or bul Ww mpulatnq conaWctian <br /> ina11 nm eulnoraeA Ey ine ovmer cl m�+ propMY io perlorm Ne wwk Ia wnkh eDD�Knti�n It made onE I campry wRn l�a Stsle Controclm�L �w IA 27 RCW enU 7%200A WAC. I <br /> � <br /> � . � �� ^ � ,. L <br /> i � � ,� �I(�� <br /> OwnarlAulhoriznd Agont�ilgneture <br /> Dale fRovise0 6�1014) <br />