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•��'�I1I19� �►���'�.a���'1��9 <br /> E�llII_�ING/M�c:9fANIc:AI�IPLUMBINGISIGN/SPRINKLERInEMq�.ITIUN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3700 Cedar SL, Fverett, WA 98201 47.5-7.57-8810 PAX 425-257-8857 www.everettwa.org <br /> � zl— J5� <br /> SITE A�DRE55: � PROPERIV TI1K N P,€HId1T a ' <br /> ,__��_.__�..�'��� S�� (. <br /> LECaAL lor new construction�, Slwtl PiaVs�hdrvislon__.__._____. __. -�°t Na.__, (aflaoh copy ol Ibng legal description) <br /> OWNER ��7/J I S LOO/�Q �'honc/E-mail �S ��3 ` ��3� <br /> nd0icss Gj 0� �e �n � ✓� CitylStale/Zip � � �.-�— <br /> APPUCANT: Ownrr __OwnersAgent Contraclor __.Contrac�oisAgenl ___TenantiR��ipm.:aseienvo��ons.nirmmmro.,rrioaewaninir�:aa�e� <br /> CONTRACTOR� �� i�NL _ Stale 1.ic.M A(tJ/L /I/ �9�022� c��v e�5. i.��. a� S' <br /> Address D � �Z � ��G�' S�/ G Gvl7 /b Z7� PhonMFmull Z - ��� �, <br /> CONTACT FOR�MIT <br /> /oKy <br /> Phone/E-mail NZS '.�6 7 � SS/ <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK_1L�----- <br /> Existing Use o(Builtling_._�F 2 . _ _ HEAT SOURCE: <br /> Proposed Use ol Building ���`-- ._ Gas_ Electnc__ Other_ <br /> Bulldmg type: �Single Famity __Duplez Townhouse _�dulti•�amily _Commercial <br /> T pe of pro�ect New Addition Remodel�epalr T.I. Sian _Spnnkler Demolitioq_Change of Use <br /> DESCRIPTIONOFWORK�jadd,fionalspacepmvldedontAeDnckJ� /' �� <br /> �L� ��GL //-d�O-F Oh �dys?C � � (iG`' u.��- <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProJect: _New_Fddn _Alleralion_Repair Type ol Projecl: __New_Addn _Alteration__Repair <br /> Show Num6cr(ai ol�rfums Show Number(p)ol fictmcs <br /> A/C-air handhng unils Toilet <br /> Forced av systems Bathtub <br /> Gas piping __ Lovatory(wash basin) <br /> � Water heatcr _ - _ --�— � --ShowetT - <br /> G�as Irteplace Kdchen sink 8 dis osal <br /> Gas ran9c _ __ _ Uishwaslier <br /> -- �-Clolhes diyer --- _--- _ Clothes washcr_ <br /> Range hooJ _ Wa�ef heater ___ <br /> -- Exl�aus�lan _ _Sink(scrv�cc/bar%mnplelc.) __ <br /> Hentpump _ __ __���kllowpreventcr(insiJebldgj _ __ <br /> - -_Und heater ----_-. '_ _' _._- _Unnal ' _ ___ <br /> Bodcr --- - --'--- -- Unnking founlain __�--- <br /> __�-_- .._'._-___-___ - - Iloordtain <br /> Refngcration ------- - -- ---- — <br /> --�------- ---- -�--- -- Grcasr.lrap <br /> - __ Woods!ovr. -- - - - --- --- -- .� -�------ -- <br /> -" Ductm9 Rool drams _ <br /> --- � Olher. _ - - -_ --- ---- -- ---Medical Gas _ <br /> SPRINKLER / SUPPRESSION SYSTEM o�ncr. <br /> Number ol Heads ------ -- ---- .----- -- O�her: ^_____.--.--- <br /> I hereby ce�tdy I�at I ha�e�ead and ryaminrE IAi=app'�ceilo�n�A Anvw I�e snme Io Oe Lve enJ rnrtecl.pll pmvrslons af laws nnE oM��nnnce,goveming I�rs lyp�'ol wmk w�:l be comphed <br /> wnA whel�er sped(e rrein o�rmt The 9rn al a permd Caes nol prrsumc lo grve a��hm�ty lo vloWle or can�ellM pmvivan ol nny alAc�slah m lacal law mgvinl�ng constm�non <br /> 7AaI l am nWhnme y 1 owner ol IAis pi vei In pertorm Ihe work 1ot which appl calion�t maAe nnd I campty we�Ihe 51e1e Conlrnclars Law 1N 71 RCW and 2�6 70nA W�C. <br /> /O/Uf �`" (Revlsed4/2015J <br />� Owncrl � Agen Signalu --- ---� - '���--- O�le <br />