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- a �e.o <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St.,Everen, WA 98207 -425-257-8810- FAX 425•257-8657-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM E AM TO 1 PM <br /> 82614�Chastnut SI P004673d0202500 PE �T� - QZZ <br /> LEGALbrnewmnslrudan ShotlRaVsubOrvalon LotNo_ IettaMcopyollonqlapalAosm;ition) <br /> OWNER Palnck Deprey PhoneiE+ren 425 750 5053 <br /> rye 2614 ChBSlf1U1 SL CM���e2P Everefl WA 98201 <br /> CONTRACTOR MM CORI(Ort S stems Inc. � a i��o w <br /> bare3. 18103 NE 68th Street Redmond WA 98052 Phone�Eman 425 881 7920 <br /> ENANT BUSINESS NAME CQ NTACT FOR PERMIT <br /> Ciary Heath gheath@mmcom(ortsystems.com <br /> Rqne/E�mail <br /> SUIIDING �ERM17 AP�LICATION CONTRACT�RICEOF WORK �iS$7 .Of ) <br /> Epatlnp Uae ol Bulldmg HEAT SOURCE <br /> Propoaed Use ot Buitdmg G+s Ekcme X dh�r <br /> Buildinp rype. X Singte Femlly _Duplex_Townhouse _Multi-Famity _Commercial <br /> Type ol pmJecf X New _AddMion _Remodel _Repair_T I _Sign_Spnnkler_Demddion_Change of Use <br /> DesuipUon ol Wok(�dOrbon�l sp�ce povqed on fM D�cU <br /> Inslall a single head ductless heat pump lo the home <br /> H�ve you sLrteA workinp wlthout a permlt7 _YES X NO <br /> MECNANICAL rERMIT APPLICATION �LUMlING �ERMIT AP�LICATION <br /> T�pe ol ProJecl: _New_Rddn _I1Menllon�Rep�ir Type of Pro�ecl: _New_AdAn `Atleration_Repalr <br /> ShowNumDn olllrNref ShowMumWr olllrfursf <br /> NC—etr handh unitc Talel <br /> Forced air s stems BnMtub <br /> Gas i m Lavator wash basin) <br /> Water heeler Shower <br /> Gas fire Wce Kitchen sink 6 dis osal <br /> Gasran e Orehwasher <br /> Clothesdr ei Clotheswesher <br /> Ra e hood Water healer <br /> EMhaust fan Sink semcel6arlmo etc <br /> Heal um UC 855 In OOf unl Backllow reverMer <br /> Untl healer Unnel <br /> Bmler Dnnki Fountam <br /> Rehi eraUon Flaor drem <br /> WoodWove lirease ira <br /> Ductin Rool drains <br /> Olher Med�cal Gas i <br /> S/RINKLER /SUr�RESSION SYSTEM oinci <br /> Number ol Heads OIMr <br /> I Mra6y wrttly tMt I Mve read erd emm�ed Ihls eppwtion erM Mnawl�e aeme to bo truo ond conecl M 0���^�ol pMs�nd ordinancof govom�np <br /> Ihe typs o/noA v.tll Ee camphatl hilh xM1Aer speaikA Mrein o�rot 7To prontinp ol e pertM doez nat presumo b prva suthonly ro nolam or rancel <br /> ttre pwbion ol eny oMar sTaro or bal�w repuh6np wnstruclan or tM perlorrronw ol eonstructnn Thet I om�ul�ori[eE Dy t�e oNnar ol Inn properry <br /> to parlo'm Ms xoh la vR�ich epplkahon Is made�nd I compM�Nth Ma Shte Conhatlon Law 18 27 RCW�nd 296 200 WPL <br /> 8-9-2013 <br /> OwnerUWqtlze gere igntlure Date (RenseAl/201Q <br />