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PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I �oZ J`�Z <br /> 51TE ADDRESS: PROPER7YTAX M P R �T� —U Z <br /> 7 � � C <br /> IEGAL hr new cronelmttion�. Shotl PlatNu�tlwision Lot No._ (altech copy ol lonq lepal Ceaription) <br /> OWNER � P�anelE�mail — 3C� � <br /> Cit /SIatU2i � � <br /> AEdresa � 7 � �'� 0 i Y P � � Q <br /> APPLWANT:_Owner Owner'eAOent Conlmctor Conlrectof�Apent TlIIBfll�mwlpoNl�4M1rolcwqMlFomMvwowbEowMnT��0�1 <br /> CONTRACTOR f � L d 1 Lic.k� G C COE Bua.Lic.M <br /> ddrenn L -��'- � � � ` Plrone/EmeA <br /> A S E E CONTACT FOR PERMIT <br /> Pnone/E-mell <br /> BUILDINa PERMIT APPLICATION CONTrucT PRICE oF WORK � <br /> Existing Use ol Building a�"• HEAT SOURCE: <br /> � Gef Electnc Ot�er <br /> Proposed Use ol Buiiding /i �i• <br /> Building type: �Single Family _Duplec_Townhouse _Multi-Femily _Commercial <br /> T e ol ro'ecf. New Addition Remodel Re eir T.I. Si n S rinkler Demolilion Chen e of Use <br /> DESCRIPTION OF WORK(aomnonal space pro�ided on me Dacwl: <br /> D,� wall reF,� �r, r�� - roo� �� l��u�.� � ��►-��� <br /> MECHANICAL PE RMIT APPLICATION PLUMBINd PERMIT APPLICATION <br /> TypeolProJect: _New_Atldn _Altorellon�[Repelr TypoolPro�ect: _New_AtlGn _Alterallon�Repelr <br /> Show NumAer(q o/llrfures Shaw Number f1 0l llrlurea <br /> AIC-air handlin um�s Toilel <br /> Forced air s stems 8a�hlub <br /> Gas ipin Levelo wesh beein <br /> Water heater Shower <br /> Gas lueplace Kitchen sink 8 dis asal <br /> Gasran o Dishwasher <br /> Clothes tlr er Clothas washer <br /> Ran e hood Weler heater <br /> Eahaust fan Sink semce/badmo /etc <br /> Heat pump Backllow preven�er <br /> Unil heater Uiinal <br /> Boiler Drinkin Fountain <br /> Reln eration Floordrain <br /> Woodslove Grease�ra <br /> Duct�n Roof dieins <br /> Olher Medical Gae <br /> SPRINKLER/ SUPPRESSION SYSTEM other: <br /> Number of Heads Other <br /> I nrreLy cenM���nl l neva read ena e.ernmed inn npp�cetnn end Ynow Ne�ame lo oe Irue md corted.M pmvbbnf ol lenf enA oNnancef povemnp Mn ryW Mwak x�l Ce comO�eA <br /> wnn wtiMlicr epenMC Oereln o�no1 I lie prenunp ol e perm�l Cau not pmmma lo pNe euthorRy la Noble a cencel l�e O�onfbn ol eny oNn�lete or lael bw rtqu4lbp con�W alion <br /> Il�ai l em evtl�ort+ed Uy I�e owner ol inn piopeM�o pMwm Ihe woM1�o•�Mkh oOPketbn N mMa en01 compN wl�Me Sbie Canbatlon Lrw 1B t7 RCW m0 2BB YOOA WAC. <br /> i <br /> _�=� i��/ <br /> � /J//�'`'� //- :/- ��. <br /> Owner/AutMf1 tl Agen SlBnelure �ate (RemeO N2011J <br /> C <br />