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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257•8810 FAX 425-257-8857 www.everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � - 3 - � 3 <br /> SITE ADDRESS: PPOPERTYTA%N PERNIT� . <br /> 1 '.� 1 !� � [ A' ' LC� ' CI�C�' ' + I � t i <br /> �� <br /> LEGAL lor new constmction. Shor1 PlaVsuOtlrvision �ol No_ (atlach coDY ol Io�B�egal Oescnption) <br /> OWNER ;�Gi " I'N� P�one/[-mad l" ' � 1�1� <br /> A40resf !'�.' '' ' ��" � � ���` CitYISlatelZiP � �n1w-�� i.� �'tS�JH�' <br /> APPLICANT:,�Owner Owner'sAgent Contractor Conlractar'eAgenl 7enant�-m�v�.a..e'r�mco�wmnomn.�,.�wmao+on�.m..o.�.i <br /> CONT(7ACTOR r�T. L 6 I Lic N .�' 'i o ' ' i COE Bue.Lic. M <br /> Atldresa I � P' �k ' �._ ,�+-'..�� �••.� ".i�'Z Plwne/EmBil ��('j. ly <br /> ENA T BU �ESS NAME CONTACT FOR PERMIT -zcM �]ti'i (.'L I�� <br /> � Lk�� �.� S�,�F�1 <br /> Phone/Emad �v.r„���.� (l — w���rt � �C,� <br /> BUILDING PERMIT APPLICATION coNTRAcr PRicE oF WORK <br /> Exisling Use ol Building ' i � ' HEAT SOURCE�. <br /> ProposedUsaolOuildmg I.�y�•}ti�' ����'� � Gae Eleanc Omer <br /> Building lype� _Single Famdy _DupleK__Townhouse _MWL-Femily _Commercial <br /> T peof roect: New Adddion Remodel Re eir TI. Si n S rinkler Demolition Cher e otUse <br /> DESCRIPTION OF WORK ladoinona�spare provioed on rne eeck� <br /> f��. M•.� I � Y ' lir�. I�'-���! <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ot Prrject: _New_AdAn _Altanllon_ftapelr Type or ProJect: _New_Addn _Altetatlon_Repelr <br /> Show Number N)ol flxturee Show Number(YJ ol llxfuref <br /> A/C-air handlin umis Toile� <br /> Forced air s slems Balhtub <br /> Ga3 i in Leveto (wash besin) <br /> Water heater � Shower <br /> Gas hre lace _ Htichen s�nk d dispcsal <br /> GPs ran e Dishwasher <br /> Clothes dr er Clolhes washe� <br /> Ren e hood Water heater <br /> Exhausl lan Smk(servicaibadmo letc� <br /> Heel ump Backllow revenler <br /> Unil heater Urinal <br /> Boiler Urinkin Fountain <br /> Relri era�ion Floor drain <br /> Woodstove Greese tra <br /> � Ductin Rooldreins <br /> Olher Medicel Gae <br /> SPRINKLER / SUPPRESSION SYSTEM otner: <br /> NumAer el Fieads Othec <br /> I maet�y n�n}y Rm�I hava reaJ unJ eiainu�eJ�P��uppleqtinn nnJ Anow Ina�nrne lo pe Ime ena curtetl.Atl piovnlom ol kwf en0 orEnencaf povemnp INf typa ol wa'li wl Ee eompled <br /> wT���rt�rpinr apraM1ed�dein or nol l lio prenUnQ ol e O�m�l�Ooe�nol pre+ume la prve eul�onry lo ti¢�aie oi roncel the pioNfon ol eny o�ner fin�e or lael qw mpulalnp conf Wcbon <br /> Ir.r��I mn nnllioneetl EY t�e omwr al��i�Pmpmly m Oe�orm t�ewoA brwnt�eppkelan b madc xn�I cemply wth���e Stnta Co�naalon Lew 1B D NC W enJ]DB 200�WAC <br /> OwI1cr/Fi ihotlaed A�l Ignelure U a ' (Pevised Nd077) <br /> LIN <br />