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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, NIA 98201 425-257•8810 Fl1X 425•257-8857 www.everettwa.org <br /> _ a�-� v <br /> SITE ADDRESS: � � FflOFlRTV iNf M PERM T M ' <br /> LEGAL(Of OCW COOSINGU00: ShOf1 PIBUSYOUivlSlon Lot No.` (atlach copy ol lang legel descriplion) <br /> OWNER Phone/E•m�il <br /> Aaeress ;' CAyiSlatc/dp � <br /> APPUCANT: Owner OwnersAgenl Contracbr Conh+clofsAgeM Tenanti��.��m�e•.K���m.00+mi+omu.o+�.�ioae.on�nms�wu� <br /> CONiRACTOR e� State Lic A 9��L�J Gty Bus. Lic.# <br /> . Ldr�d�r�rin nirnlni�pmd•lilri� <br /> ACOrcss ohlq 6147,I 1300 Bm�ei�Everett nWv,Swte 303,M�II CreN,Wp 98017 ppone/EmaJ J60-863-205J <br /> TENANT BUSINESS NA E CONTACT FOR PERMIT �,,�,.,,�. .� i�„�i � ,.� ,i <br /> )60-86J-:OS) <br /> Phone/E�maA <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> E■�sling Use of Omlding__ NEAT SOURCE <br /> Proposed Use of OwlA�ng_ Gas E�ectnc__ Oi�er <br /> �wlding lypc �C Sicgle Famdy _DupleK_Townhouse _ Muih�Fam�ly _Commeraal <br /> T e ol pro�ect New AdO�lion Remodel Repa�r _T I _ Sign__Sprmk�er_Demoinion_Change ol Use <br /> DESCRIPTION�OF WORK fadmnonar spece o���eeo on me bacwl— .� <br /> 1 <br /> r�r �'ina) ��spec,ii w�s ►�vm �`P�,,,ti,; � c �-1►I -0� 7 <br /> MECNANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Pro�ect: _New_Addn �Ilaration_Ropair Type ol ProJecl: _New_Addn �,Alterallon_Rep�ir <br /> Show Numbrr(�)o/firtunr Show Numbtr(N)ol/1�1urcs <br /> NC–air handling units I Toitet <br /> Forced ah systems Balhlub <br /> Gas pipin Lavalo (wash basin) <br /> Watcr heater Shower _ <br /> Gas fireplarn Krtchen smk 6 dis osal <br /> Gae rangc Dishwashei __ <br /> Clolhes dryer C�othes washer <br /> � Range hood Water heater _ <br /> � F�haust fan Sink(servicePoadmoplelc. <br /> Heat um Backllow preventer <br /> UnA heater I Uriwl <br /> Bo�ler Dnnkin Four'3in <br /> Rcingcration Floor drain <br /> Woodslove Giease lia <br /> Duclin Roof drains <br /> Othcr Mediwl Gas <br /> SPRINKLER I SUPPRESSION SYSTEM � O�her. <br /> Number ol Heads � Other <br /> I hemCy ceMy i�nt I�avo�ea!anE e�ammeE i�is apphralron anA Mnow I�e seme lo Oe Irus anA wmM Atlprorslonf olNns�nd orO�nmce�9orcmmg i��s rypa olwod w+i De mmpecE <br /> wM w�cl�er tpoc�e0�ercin a nol.7Te qrenllnp ol e C���daa nW Drtsuma ta qna auNm�y la NOVIe n rancM tM D�ovislon N any aNM ttale of loCal Itn repulelMp tAnsln¢Ibn <br /> TnoI1 em eainoM�d by 1ne ormer af i�b propeM in DMorm No wo4 fa wT�N spD���ion b maae m�I cwnply wM N�Slele Gon4aclaf Lrs 1!17 RC W anE 796 700A W�C. <br />