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PERMIT APPLICATION <br /> BUILDINGIMECF!ANICALIPLUMBINGISIGNISPRINKLERIGEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett. WA 98201 425-257-8810 FAX 425-257-8857 www everettwa.org <br /> SITEADDRE55: � PPOPENTYTA%U P )MIT'/� - <br /> h <br /> LEGAI lor nr.w conslmclion� Shoh Plal/subdrvision Lol No_.__. lattach copy ol long legal description) <br /> OWNER 1 � 'honelf:-mml U/�ji <br /> ntldress �Z � �� CitylStale2ip ,� � <br /> APPLICANT: Owner �Owner'sAgenl CoNr,clor �;onliaclor'sAgenl _Tenant��=,.+�voer�'�^•��'«�+•���'�^-^„"'c.ne�ioaa»on��m�we«� <br /> � �En C Slate Lic. N Cit f3us. Lic. # <br /> CONTRACTOR K� 'I- ^ � L <br /> Fl�onelf mail <br /> Addreas <br /> TENANT BUSINESS NAME CONTACT FOR PEFMIT ���� .'��/ <br /> / Phonc�6�mad L+✓�p <br /> BUILDING PERMIT APPLICA710N CONTRACT PRICE OF WORK_ <br /> HEATSOURCE <br /> Exis�mg Use ol(3uilding ____ -- —— <br /> Gas Eleciriq_ O�hei <br /> Proposed Use of(3wlding_ _ — �-- <br /> �wlding lype. Single Fxmdy __Duplex_Townhouse _Multi-Family _Commerc�al <br /> Tvpe o1 pro�ecl New �ddition Remodel Repair T I Sign Sprinklsr Demo6tion Change of Use <br /> DESCRIPTIOWOFWORKfedn�honnlspnceprovidedonlheonckl�. '+ g �`/y) '�•LS <br /> �� P.��tir Fl�vn mt, To �"^c� �e►-mnt � �-� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol PraJocl: __Now_Addn _Allaratlon_Ropxlr TYpO o1 P������� SlwwoNum6erdlN)ol li•ures"un_Ropelr <br /> Shaw Num6cr(N)o!(I+Nref TOile� <br /> —T NC�-au handl�n w�its <br /> � Porced air systems ' Bathtub <br /> — � Gas ip�ng ' Lavator �wash basin) <br /> � Water heater �, Shower <br /> Gas fire lace i Kdchen sink&disposal <br /> ' Gas ran a � Dishwasher <br /> Clolhes dr er � Clothes washer <br /> � Ran e hood Water heater <br /> � Fxhaust lan Sink(service'barlmopletc� <br /> �{e��Pi�, Backtlow preventer <br /> Und heater � Urinal <br /> � [lotler Drinking Founta�n <br /> Reingerahon � Floor drain <br /> Woodsto��e Grease tra <br /> -- � Rootdrains <br /> ' U,ichn9 _ � Medical Gas <br /> Uther <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> ' Num6et ol Heads ' Othei. <br /> .� � ��nlylf.allnuvu�e.�C:nrtic.a^nretlll„ea{�:.'�.n��onn,»A��owlheanmelohebuene:lcrrrect AtlprovubMollawlGnEOrCinnne!lOoveminyl�ielYDsolHnrlwill�eccinphed <br /> .. � :.��evie�spvobetl nerein or nol irie gran'n�g o�a punnl deef nul presume to yrve xuinnn�y lu v�n�e o�cenct�Ihe prevuron ol eny ol�er Ilete a!b[el�ew requlBtmp[OnslrucDon <br /> i i ��,un e med Ine uxner ol mi� �o peAoim Vie wmh lu����e�anF���a��cn�s��»<fe e^a��c���iy Mnn me Ste�e Contrecton I.a�r f 0 Zl Rf.W nnC 196 i00A WAC <br /> � � ---����I�3 <br /> —/ r,���. ,��„«a"o,�, <br /> v/ned ulMorlxcA Ayohl Slgnature <br /> � <br />