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� � <br /> PERMI LICATION <br /> BUILDINGIMECHANICA LUMBING IGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES y//4��/ <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857—vwwv.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM E AM TO 4 PM I I U�� � 00 3 <br /> SITE ADORESS: VROPERTY TAX N ERMIT/ <br /> 510 W Co.s� � � <br /> LE6AL lor new conslruclion: Shorl PlaUsubdlvislon Lol No._ (etlach wpy o11onB lep I deeeription) <br /> OWNER ���n PhonelF�maii <br /> Atlereen City/Stele2lp r S <br /> CONTRACTOR e L 8 I Lic.M <br /> Addreee PhonelEmall ZS�.32 ' <br /> TE ANT BUSINE88 NAME CONTACT FOR PERMIT <br /> 1'()C.Jy�L? MU�(-�l PhonelE�mell �/ — <br /> SUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use o1 Building HEAT SOURCE: <br /> Proposed Use of Building Gas EledAc O�her <br /> Building type: _Sing!e Femily _Duplax_Townhouee _Multi-Family _Commerciel <br /> Type of project: _New _Addilion _Remodel _Repalr_T.I._Sign_Sprinkler_Demolition_Change ol Uee <br /> Description ol Wodc(eddifional space pmvided on the beck): <br /> Hava you at�rtad warking wltM1out e permit9 _YES _NO <br /> MECHANICAL PERMIT APPI.ICATION PLUMBING PERMIT APPLICATION <br /> Typa o1 ProJs�t: _New_Addn _Alterallon_RepNr Typa of ProJsel: _New_Addn _Altantlon_Rep�lr <br /> Show Number(NJ olllxtures Show Numb�r(M olllxfuni <br /> A/C-eir henAlin units Toilel <br /> Forced eir s stems Bathtub <br /> Gas i in Levalo wash basin <br /> Water heater Shower <br /> Gas Gre lace Kilchen sink 8 dis osal <br /> Ges ren e Dishwaaher <br /> Clothesd er Clotheawesher <br /> Ran e hood Waler heater <br /> Exhaust lan Sink aenicelbar/mo lelc. <br /> Heat um Becktlow reventer <br /> Unil heater Urinal <br /> Boiler Drinkin Fountam <br /> Refri eralion Floor drein <br /> Woodstove Greasa tra <br /> Ductin Roof drelns <br /> Other Medicel Gaa <br /> SPRINKLER / SUPPRESSION SYSTEM other: <br /> Number of Heads Other: <br /> I hereby ceAily Ihel I heve rnetl end eaamined Ihla epplicatlon end know Ihe aeme to be Irue end cortecl.All provislone ol lawe enJ ordinance�poveminq <br /> this type of work wlll be complietl with whelher specified hereln or not.Tha prenlinp ol e permlt Ocea not preaume to pivs aW�ority lo vlolaln or cencel <br /> the provlslon ol any olher slele nr locel lew repulaling conalrudion or I�e perlormence ol construclion.Thet 1 em eWhorizeA Dy IM ownar ol Ihis property <br /> to pedorm ihe wod lor whlch applicallon I�made enO I comply wllh Ihe Sleta Contnclo�e Lew 18.27 RCW eM 298200 WAC <br /> Or s utho ze pent 81pn�lun ,� (RevisM 7/20111 <br />