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t ' <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX A25-257-8857 www.evere�a.org`I� <br /> S <br /> SITEADDRESS: VROPER7YTA)fa PERM�Tlj �- DI <br /> �003 w. CASINo ED E�ert&t Di.DG 4o-u � <br /> LEGAL for new construction: Sho�t PlaVeu6divlalon_ _Lol No._ (atlech wpY of lar.p lepel descrlptlon) <br /> OWNER Phone/E-mail <br /> nddress Po 4 oY 3-I D7 M�S J N-I 3 City/State/Lp ' %. � <br /> APPLICANT:�i Owner OwnefsAgenl Conlractor _ConlraclofaApent _Tenant(�,unpoNa.nn•rMcan.xn�mnm.own.rioao,oMmm.�v�n1 <br /> CONTRACTOR B6 - W lJOI�lL Stele Lic.p Cit Pus.Lic.tF <br /> Address Phone/Email <br /> TE T B S E S NA E CONTACT FOR PERMIT <br /> �EFF DRA`tER 'YA5-1.3Q-olyS <br /> Phona/E�mail JE.FFERY•G. DRhYER Y BOEING. CDM <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK f 7�oe'� <br /> Existing Use of Building N�Fb HEAT SOURCE: <br /> Proposed Use of Building M FV Gas Elecldc Other <br /> Building rype: _Single Femily _Duplez_Townhousa _MuIH-Femily ZC Commercial <br /> T e of ro'ecl: New Addition Remodel Re air T.1. Si n S rinkler Oemolilion Chan e of Use <br /> DESCRIPTION OF W ORK(edddional space pmv7ded on the beck�: <br /> �/.;�fi��. �'nu7��evfi� hnCKS �u I����n�r.:G -!e r� i , .+ taLu,�,,v �z.rt <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolProJuct: _Naw_Addn _Alleratlon_Repalr TypoofProJect: _New_Addn _Altantlon_Ropalr <br /> ShowNumbor�N)ol(Ixfurea ShowNumber MJo//lxfures <br /> AlC-air handtin uni�s Toile! <br /> Forced air s stems Bathtub <br /> Gas i in Lavato wash basin <br /> Water heater Shower <br /> Gae fre lace Kitchen aink&dis asal <br /> Gas ran e Dishwasher <br /> Clotlies d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust lan Sink service/ber/mop/etc.i <br /> Heat ump I BackAow reventer <br /> Umt heater Urinal <br /> � Boiler Ddnkm Fauntain <br /> Refri eration Floordrain <br /> Woodstove � Grease ire <br /> Ductin I Roof drains <br /> � Other_ Medica�Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I Other: <br /> Number of Heads Other: <br /> I nenG�cerLly I�at I ham road anG axammeC Iho epGl�ca'�on ard Fnox t�a same to ba Iroe and cormct AM pmv�uona el lanf an0 alGinancet poveminp���f tyDe ot work wiii Ee wmplied <br /> wn7 nrvmner epecA�ed P< �ar nc� t�e qranlinq ol a permA Ocef not Dmeume io qne�ut�orAy lo vb�ate or uncel tna pmvif�on of�ny ot�er olab or bwl iaw rcpubtirp comtrucllcn <br /> tnat I am aWnoczeC b7 m.owner W:h�f pm0eny to peAorm Ne worF lor w0ich applkatian if maCs ar71 camply wn��na Slale Conlncton Law 1B 77 RCW a�0 798.3WA VYAC, <br /> � � � 1��. <br /> � � � <br /> OwnodA'ul wd o A t Slgnaturo� Oate (RevisedY201J1 <br />