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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810-FAX 425-257-8857-www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADORESS: . P PERTYTIU(M P RM'T�O` a r� <br /> � � c - Ck J'i n. . �,�. <br /> LEGAL lor new wnslmclion� ShoA PiaUsuDtlivis�on Lol No._ (attech topy ol IonB Icpel Cefcrip�lon) <br /> OWNER �'�. PnoneiE�mail <br /> Atltlress CitylSlate/Zip <br /> CONTRACTOR L G I Lic.M GG D G RC�G � ��/ N <br /> AdAreas � O Frb! •/L' ' � Ci 3 d/�✓ P�onelfineil nL�7.•� 4 � — �L� �G <br /> TENANT BUSINESS NAME ?'�(-u/ F.'ti� / o�J CONTACT FOR PERMIT <br /> 6 ��l'• � (� E',[ �('/HG4 C� �� W9 ' 9p�� Phone�E�mail <br /> BUILDINO PERMIT APPLICATION CONTRncr PRicE oF woRK � � . � <br /> Exisling Use ol0uliding L • , HEAT SOURCE: <br /> Proposed Use of Buildinq,_,��5�^y^i Gae Gicctnc Other <br /> Building lype: _Single Family _Duplex_Townhouse _Multi-Family �„Commercial <br /> Typ,i ol project: _New _l,ddilion _Remodel _Repoir_T.L_Sign_Sprinkler_Demolilion__Chenge ol Use <br /> D2saipli0n Of WO�k(addifiona/space provitled un fhe Dacd): <br /> Have yau started working without a perm117 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> 7ypa ol ProJect: _New Addn _Altora�lon_Rrpelr Type ol ProJoct: _Naw_Addn _Alteretlon_Rapelr <br /> Show NumDer(N)o/Hrturea Show Numbor(NJ o!/lrlwea <br /> A/C-air handlin uni�s I Toilel <br /> � FmceG air r stems �athtub <br /> � I Gas i in Lavato Iwash baein <br /> i Nlater heater I Shower <br /> � Gas hre lace Kitchen sink 8 dis osel <br /> Gas ran e <br /> � Dishwasher <br /> Clothes dr er Clolhes washer <br /> Ran e hood ! 1N31e�heater <br /> / Exhausl lan I Sink(serviceibar/mo letc.) <br /> Heat um I Backflow reventer <br /> Unit heeler Urinal <br /> Boiler Unnkm fountain <br /> Reln eralion I Floa tlrain <br /> � VJoodstove I Grease Ira <br /> � Ductin Roof drain5 <br /> ; er � Medical Gas <br /> SPRINKLEFR/ SUPPRESSION SYSTE I Other <br /> Number ul Heads � � Other. <br /> I�ereUy cerbfy ihal l have iea0 and e<ammeU th�e epPlicalion a�d��ow Nn same lo be�me a�d cmrecl.All provisions ol iaws an0 ortlinencee qovemmy <br /> m�s rype ol work wdl b'e'�co�d K�ih wnel�er ep�afieA nerem or nal The B�anting ol a permit dcet nol presume la prve aulnonly to violate ar wncel <br /> I�e pmvis�on ol any oyti•�etate or local law iegulating conshuclicn or Ihe pedortnence ol conslmcllon T�at I am authorizeE by I�e owner ol IOie pmperry <br /> to peAonn I�e vq�k'(or WTir�nOP��telion is maae ltomply wn�Ihe State Contrecton law 18 Y7 NCW and 290 200 WAC <br /> / � l ' n <br /> ��'�1�1'Y'Z/� ��^ _R� ��2� <br /> Ov� r/Aulhntlxe ABai 'Ignelum '—� �ale (Revitetl7/iU�1) <br /> • ,/Z <br />