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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8870-FAX 425-257-8857-www.everettw .org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO�PM � � �2 <br /> SITE ADDRESS: (� �� (�,f �•j�N U I2�/ #O PpOPENiYTAN N PERMIT� <br /> Zl) -tx� <br /> LEOAL Por new comtru�ibn: Sha1 Plel/eubdlNebn _ lot No._ (ellech copy ol bnp leqd desMplbn) <br /> OWNER �' C Phane/E�mell <br /> dEroo � � LJ J �� Clry/Slele/ilp Tr KI 2� <br /> CONTRACTOR M I I���� N��J S IvL+ L 6 1 Lic.N —S N O 37 G <br /> ddros� �I(� Io�St � Q�bR�i7 Wn 2e� PMnMEmell -- 'I-7 u — � 2 <br /> TENANT BU9INESS A E CONTACT R PER I y'_,V�h` P�.r �� <br /> �-c <br /> a I �(� �� /���� Phona/E�mell S I �n� 0 S�a � le � � � <br /> SUILDINO PERMIT APPLICATION CONTRACT PRICE OF WORK � <br /> Exielinp Use o18ulMing HEAT SOURCE: <br /> Propoaed Uae ot Bullding Ges Ekwtnc Other <br /> Building type: _Single Famlly _Dupkx_Townhouae _Multl-Famlly _Commerclal <br /> Typa ol pro�ed: _New _AddAion _Remodel _Repalr_T.I._Sign_Sprinkler_Damolilion_Chenga o1 Uee <br /> Debalpiton of Work(eddi(bnel spatt poNCed on fhe DecN): <br /> ( '�srnw � w �i:� u-in�N�v��. �.�i� �-L-Tf�l2 C' N (Zo�«W� y <br /> HaveyousUAedworkingwllho�eper`in 7 CH E8 N�O ��C�7 O� �k',�YJ'T �h1/aL�.. • <br /> MECMANICAL PERMIT APPLICATION PLUMSINd PERMIT APPLICATION <br /> Type ol Projacl: _New_Addn _Alleratlon_Rap�l� Typ�ol ProJ�ct: _N�w_ Addn _AlbnUon_R�p�lr <br /> SAow Num6er p ol llrfuref SAow Numbar(n)ol flufun� <br /> AIC—air handlin unils Toilet <br /> Forced eir s slems Ba�htub <br /> Gas i In Leveto wesh besin <br /> � Weler healer Shower <br /> � Gae lire lece Kitchen eink 8 die osal <br /> Ges ran e Diehwesher <br /> Clothea d er Clothes wanher <br /> Ran e hood Weter heeter <br /> EzhausUan Sink service/barlmo /ete. <br /> Heel um BackOow reventer <br /> Unil heale� Urinal <br /> Boiler Drinkin Founteln <br /> Relri aration Floor draln <br /> Wuodstove Grease Ire <br /> OucUn Rool tl�eina <br /> I Olher Medical Gen <br /> SPRINKLlR I SUPPRE5510N dYETEM other: <br /> Number ol Heede Other: <br /> I�ereEy caridy I�el I Mve rea0 end eaeminad I�is app�icellon end knrnv Ihe same lo Ce true enE torrecl.All provliiont ollew�en0 oidlnenca�9oveminp <br /> ihia rype ol wod will be tomplied wilh w�etner epeciReC hereln o�not.i0e pronllrp ol�pe�md tlues nol Om�ume lo plve eullwli!Y�u vldele or u�te� <br /> t�e provitlon ol eny ot�er ttete or local law repulatinq cont�ruclbn or IM peAorm�nce ol con�inxtbn Thel I�m eulhorlied�y IM owner ol l�b property <br /> to peAorm I�e work loi wtilc�aDPlicelian i�mede end I mmply Mlh IM Stele Cmtncton Lew 1s 27 RCW enA 2Yo Y00 WAC <br /> f �'�/t� �`�__" � // �j� <br /> r y <br /> OwnerlAut x�d Agenl Slgn�turs Dete (RSWts07/7�ip <br /> �a <br />