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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAY,425-257-8857 www everettwa org <br /> ' �{ O(' APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE DRE55: PflOPEflTYTAMII ERMITN <br /> � � <br /> LEGAL lor new constmcbon Shoh PiaVsuOd�vision Lot No__ !attach copy c�im�g iegal descnpl�on) <br /> OWNER 3'eir Y�C.�''1'�N '� SS �'nene;fma�i uo15 • �{ ( <br /> Address �/ rL� {.(��� C�IyiStatc2p .��(IUry � (�( � <br /> APPUCANT: Owner Owner'sAgen� Ca�Vac�cr CONraclofsAgerl Tenant,^��,.rt�^.a•..^.rc�m�nri�:T.cv�,.,e-uaow+��^��c•�n <br /> CONTRACTOR ') �� i ' L 8 I Lit p COE Bus Lic it <br /> Adtlrese � �GI I �dr� ti Irh�ne�Email � I ( • a a r- � ti � � <br /> TENANT BUSINESS NAME CONTAGT FC R PERMIT <br /> Phone�Gma�l � I� `1�5 • 3 • `i <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE O woRK <br /> Ezisling Usa of Building _ HEAT SOURCE�. <br /> Proposed Use of Bwlding Gas Fleclnt__ Olhe� <br /> Bwlding typa-. _Single Family _Duplec_Townhouse _Mulli�Famtly _Commercial <br /> T peol io�ecf New Adddion Remodel Re air TI >i n S nnMler Demol�f�oi Chan e olUse <br /> DESCRIPTION OF WORK laaomonui space pmv�dea on rr�e 6ac.)�. <br /> � ai <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Pro�ecL _New_Addn _Alteratlon_Repalr Tyyo ol Pro�ocC _New_Addn _Allerellon_Nopalr <br /> Show NumAer(M)al firfures Shaw Number(M)ol lirf�res <br /> NC—au handlin unds Toilel <br /> Porced air s stems Bathtub <br /> Gas p�F�n Lavalo (wash basin� <br /> Waler heater Shower <br /> Gas hreplace Kitchen sink 8 disposal <br /> �a, f2� e Dishwasher <br /> CIoD�es drver Clolhes washer <br /> ftmi e hood � Waler heater <br /> Erhaust fan � Sink(serv�celba�/mo �etc) <br /> Hc�at pump � Backflow preventer <br /> UnA healer Uiinal <br /> �oiler Drinkin Founlain <br /> Refri erafica I Floor drem <br /> Woodslove Giease lra <br /> Uuctin Roof dreins <br /> Olher Medical Gas <br /> SPRINKLER / SUPPf.ESSION SYSTEM ��hP� <br /> Number ol Nrads Other: <br /> i ui r..l.y uvHl�'�..�I I V.i a.r„�1 n^il r.e,nu,�.d llus ufP'"���'•,n n'�J b�ov�I`n y.nne lo Un����o enJ mnecl All povifwnf o11�M enE oNinencea povamnp I�tl tyfe olwod vnll�e co���p��ed . <br /> �. ��Ji..r� r�f�".�ficd lirmm rn�wl 1M1a yr:ir,l�ny ol n f�'^�•1 duee ni.l presw•�n la 9��e nul�onty lu violale o�cenvtl�pe Oronenn ol eny oNel ateta or loca�hw�equhimp conflmc4on <br /> i e n i nm au�tionrod Oy t�e al l�u pmf�M lu f���o��n mc vmd lonrl�irl�nOP�✓-otnn m m�0e nnd I comply wt�I�e Sleie Gc�NeClon lmv 1E t1 ftCW entl 289 200A WAC i <br /> . 1� ' �,} j �� 1I 7. <br /> l � i' <br /> OwnerlAuthorlx gent Sig�l lure ' Uate �Pevisetl NY011J <br /> / <br />