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,__._�RMIT APPLICATION <br /> BUILDiNGI ECHANICALI► LUMBING/SIGN/SPRINKLERIDEMOLITION <br /> OF EVERETT PFRMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810-FAX 425-257-8857-www.everettwa or <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM .1 1 /Z <br /> SITEADDRESS: D PROVERTVTIUfII P MITN —� <br /> O l,J �t�Sinc <br /> LEOAI lor new con+lmcllorc SMn Plelhub0lvlsbn__ lM No._ (allech copy ol bnp�epel Oew10�bn) <br /> OWNER S � P�one/E�mall � �'�Z3 ' —I I <br /> ddren CIry/S1�tNZlp <br /> CONTRACTOR ' 181Uc.N <br /> tlErca� P�oiro/Emall <br /> T NANT BUSINESS NAME CON A FOR PER IT <br /> /a- Pr-oduce ��rket Plwne/E-mell z - - <br /> BUILDINO PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exlsling Uae ol Buildinp HFAT SOURCE: <br /> Pioposed Use of Bullding Gu Eleclnc otner <br /> Building type: _Single Family _Duplex_Townhousa _Multi-Femlly �Commerclel <br /> Type o1 proJad: ✓New _Addillon _Remodel _Repei�_T.I._Slpn_Sprinkler_DemolHion_Chanpe af Uae <br /> Deecdp0on oi Wo�k(edtlifianel apace proNded an fhe beckJ: <br /> H�ve you eterted working wilhout s permll7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMOING PERMIT APPLICATION <br /> Type ol ProJwL• _N�w_Addn _Allenllon_RepW iyp�ol P�o�eat _New_Addn _�IUnUon_R�pdr <br /> Show Num6sr(N)ol flrfurea Show Numb�r ol fl+funi <br /> A/C—airhandlin uN�s Toile� <br /> Foiced air s stems Bethtub <br /> Gee i in Levalo wash besin <br /> � Waler heatei Shower <br /> � Gee lire lace Kitchen sink 8 die oeal <br /> Ges ran e Dishwasher <br /> Clolhes dr er Clolhes weeher <br /> Ran e hood Waler healer <br /> Ezhaust fan Sink servicelbarlrta /atc. <br /> Heat um Backflow reventer <br /> Umt heater Urinel <br /> Boiler Drinkln Founlaln <br /> Ralii eration Floortlraln <br /> Woodslove Groese tre <br /> Ouctin Rool dralm <br /> Olhei Medital Ga� <br /> EPRINKLER/ SUPPRE3810N SYST[M otner: <br /> Number ol Heads Other: <br /> I�ereby roni/y Ihat I heve resG and e.amine0 tnie epD��ulan a�d know Ihe sema lo be tnro end corrM All provMrone ol lwn entl cNinance�pomm�np <br /> Ihis type ol work vnll be complieC vnlh w�elner 6pecified�erein or rrol.The prantlrp ol e permit tloe�nol Weiume lo ylve eutlantY�o vblate or cencN <br /> I�e provis�on ol eny olher�Iele or locel lew repulallnp conelNClbn or Ihn peAormence ol con�Wclbn.Thel 1 em suthorized Uy t�e wmef M thl�property <br /> lo peAorm I�e work loi w0ich eDPlwellon I�metle e�M I comply wilh Ihe Slsle ConlrMon Uw 1E.27 RCW����e��WAC <br /> � ��_ / T=c�I� I , �Zo%Z.. <br /> OwnerlAulh���lun Dete fRevlted 7/20f f) <br /> / <br /> /� <br />