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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everelt,WA 98201 425-257-8810 FAX 425-257-8857 www.everetiwe.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM <br /> SITE ADDRFa�: PNOFERiYTAXN PERMITM ,, <br /> 5 � , � - (1 �v, 30 �� <br /> LEOAL lor new wnslmction- Short Plethu04ivision__ _ Lot No._ (etlach coOY a�bnp kqel Oeec�ptbn! <br /> OWNER 1 <:. CL ' 1 V. � Pnone/E�meil <br /> admse P�% . �C K OC� " CiryB�ate2ip '� <br /> APPUCANT:_Owner OwoehAgenl Contractor Co�IractoftAgenl _Tenanll��no•o.w.�nno�ro�+.rcnwnn.avwuao.ontin•�o.�+1 <br /> CONTRACTOR �. i�1��C\_�� �\L '(�rlrJ=�'u�nln��"-1'VI �,I Lia p �Nrv� . m�����. E Bue.Lfa N <br /> naa�aee ,� 7 'f.3 ��' %1 G r'�i . r l Y����t ���i UE, `)(3O P�onNEmeil '� — �L I <br /> CONTACT FOR PERMIT <br /> P�one/E�meil <br /> BUILDIN6 PERMIT APPLICATION CONTRACT PRICE OF WORK � � � <br /> Existing Use of Building � HEAT SOURCE�, <br /> Proposed Use of Building h t�ti! C Ge� Eienric omer <br /> Building type: _Single Family _Duple�_Townhouse _MultbFamily „�Commerclal <br /> T e of ro'ecl�. New Addition Remotlel Re eir T.I. Si n S rinkler Demolilion Chan e of Use <br /> DESCRIPTION OF WORK(adddionel epece provided on fne Dectil�. <br /> 1'1�c�c' p�£�a5er5 cin�nt N�� Ducf' t��'rK- <br /> MECHANICAL PERMIT APPLICA710N PLUMBiNd PERMIT APPLICATION <br /> Type ol Pro�ect: _New_Addn �Allerellon_Repelr Type ol ProJec�: _Naw_Atldn _Altenllon_Rapalr <br /> Show Num6er MJ o!ll+f�rea Show Number(NJ ol llrturea <br /> AIC—air hendlin umts Toiiet <br /> Parcetl air s stems �alhtub <br /> Gas � in Levato iwash basin <br /> Water heater Shower <br /> Ges fire laca KAUen sink 8 dis oeel <br /> Gas ran e Oishwasher <br /> Clolhes d er Clolhes washe� <br /> Ren e hood Waler heater <br /> ExheusUan S�nk servicelbarlmo /elc <br /> Heat um Backflow reventer <br /> Uml heater Unnal <br /> Boiler Drinkin Fountain <br /> Relri eration Floor drein <br /> Woodslove Greasa Ire <br /> Uuctin Roof dreins <br /> O�her Medical Gaa <br /> SPRINKLER / '3UPPRESSION SYSTEM O�her. <br /> Numbei oi Heads Olher. <br /> I nere�y ae�tM��^�I heva rend ana e.n�nmea Ons a�ipm„itan enn�now me mme In Oe tme�nC eortecl AA provNlom ol kwa end orCnmcef povemFp Nb tyye ol wa1�N1�a compleC <br /> �;�p�Mellicr epeol¢C�mrin or nol ilie Brxnlmp ol e pennil�om wl prmume to pNe eut�mlly lo Ndele o�C��cel l�e proNfbn d nny aNer tlele d laul Yw re0���^0�����'M�^ <br /> ll�o�I em eui�wleed Dy t�e ownri ol Rie DropeM�u perlonn the wod Iq wMch epOkelbn b meEe end 1 compN w���e Slela Catlnclon Lnv 1!27 RCW md 2981110A WAC <br /> ' / �/� <br /> !"X � U�— <br /> OwnedA horliee Agant Slgnalure ete (Revised N70171 <br />