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PERMIT APPLICATION <br /> BUILDINGIMECHAN ICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St, Everett, WA 98201 -425-257-8810—FAX 425-257•8857—www everellwa,org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I a � -C�-� <br /> SITE ADDRESS: <br /> � / PROVENTYTANN <br /> ��/i � �ii.$ i/L'�' <✓ <br /> LEGAL tor new constmcuon Shorl Pial/su�ivision Lol No_ (attach copy ol lonp leBal desuiptloiq <br /> OWNER PhonalEmoil <br /> Addresa City/51a1e/Zip ^/ <br /> CONTRACTOR r�.; � jl( /� . l•I St'l/� LR1Llc.N C�(% � �r ' > (J > /, <br /> ,JI :-) � � �' /�^��-� P�one/Email C>/�'�� . 2 ' / �� .D <br /> AOOres /� i /� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> G. � r �S � Phonel6me�/f/'/!l �!/�/�✓��� - . q . 2 . ., p <br /> BUIL NG PERMIT APPLICATION CONTRAC7 PRiCE oF wORK � .SC v <br /> Existing Usa ol Building /���• ���r.1./- '�"� HEAT SOURCE�. <br /> Proposed Use ol Buildmg i n : Gas Eiec�nc Other <br /> Building type� _Single Family _Duplex_Townhouse _Multi�Family�Y Commercial <br /> Type of projed�, _New _Additlon _Remodel _Repeir_7.1._Sign_Sprinkter_Demolition_Change ol Usa <br /> Descriplion ol Work(adtlihonel space provided on the becp: <br /> / c ' � ��� , � 1 ,Ll r �n � <br /> �, i-.* .t ,. r/', e'" � d ,. f c^Y � <br /> � <br /> Have you startod working wilhout a permil7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol ProJecl: _Now_,Addn _Allerollon_Repelr Type ol ProJeel: _New_Atltln _Alteretlan_Repelr <br /> Show NumDa(a)o/l/rNres Show NumDer(M)olllrfurei <br /> NC-air handling units I Tode� <br /> � Forced air s stems I Oathtub <br /> � Gas ipm Lavato wash basin <br /> Water heater Shower <br /> � Gas fireplar,e Kitchen sink 8 Ois osel <br /> i Gas ran e Dishwasher <br /> � Clolhes dr er Clothes washer <br /> � Ran e hood I Water heater <br /> Exhaust(an Sink(servicelbadmo letc <br /> Heat ump Backllow �eventer <br /> Uml heatcr Urinal <br /> DoJer Drinkin Fountain <br /> Reln eration Floor d�ain <br /> � Woodstove Greaselra <br /> 1 QU��i� . . Roof drains <br /> Olher Medical Gas <br /> i SPRINKLER /SUPPRESSION SYSTEM I otner <br /> � � Number of Neads � O�her. <br /> .\ <br /> i <br /> �I hereDy ceil�ty Ihel I hava read ana ezamine0lhis apD��u�tion nncf knqy eame lo�e t�ue ana wrre<I All pmvismna ol lawf e�C ordmancee Ooveming <br /> Vn5-rypa ol woik�d'w.�h w��Nwo apx�ed 1rtl�in or not TOe prenting ol a pe�mit dces not presuma to Bive eut�orily to vio�ale or cancel <br /> Ihe p�ovis�on ol any o1hN slale o�local law reBulalmg'`n�slnxLon or I�a pedormence ol conslruclion.tha�1 am aul�onied�y t�e owne�ol Ihn piope�ty <br /> lo peilmm 1��Nv�h k�w��ch aDC��cabon is/�ade�mpH wnh t�e SI e Cantracto�s law 1B 27 RCW anC 2BB 200 WAC <br /> • ,..rt�t . _ ✓ ll � <br /> OwnellAuthoi I:etl Agent�919net ure ale �Rense�7/20I f) <br /> , II <br /> � <br />