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I <br /> F'ERMIT APPLICATION <br /> BUILDING�MECHANICAUPLIlMBINGISIGNISPRINKLER/DEMOL��I�ION <br /> CITY OF EVERETT PERMIT SERVICES !l�/y/!� <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810-FAX 425-257-8857-www.everettwa.drg <br /> APPLICATIONS ARE ACCEPTED FROM s AM TO 4 PM <br /> SITE RE VROVER7Y TA%N P�'*�'� i p _ 0 3b <br /> `c �a � <br /> LEOAL lar rrow wnelructlan: ShoA PleVeubdlvleion Lot No._ (ellech wpy ol loip lepel deecriptlon) <br /> OWNER i Phone/E•mall -� <br /> Addreee Si1��� ��'�'� CIIylStetelZip <br /> CONTRACTOR L 8 I Lic.N l Rb L9 <br /> Addreee � �C� 7 ` "� � �`� "� --' r'honelEmell <br /> TENANT BUSINE S NA E C FOR PER IT <br /> 9� �ati,�5o►�NsaN 4zs ��3 3 � <br /> Pl�onelE•mell <br /> dUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Eziating Use ol Building HE/�T SOURCE: <br /> Proposed Use ol Buflding �(�;a+-�` Ga Electdc Olher , <br /> Building type:�Sfngle Femily _Duplex_Townhouae _._Multi•Family _Commercial ' <br /> Type ol proJe _New _Addition _Remadel �Repeir_T.I._Sign_Sprinkler_Demolition_Chenga ol Uao <br /> DesCriptlon of Work(edORionel speca provided on fhe Deck�: <br /> �P�� Cr�-5 ��✓.�c.c_ <br /> Have you shAed working without a permH7 _YES _NO <br /> MECMANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProJect: _Nsw_Addn _Altaratlon�'Rep�lr Typs ot Pro�sot: _N�w_Addn _Albntlon_Rapdr <br /> ShowNumber(N)ol/Irfurea ShowNumba� o/flxfuns <br /> A/C-eir handlin units Toilst <br /> Forced air s stems Bethtub <br /> Gas i in Lavelo wash basin <br /> Water heater Shower <br /> Gas fire lace Kitchen sink 8 din osal <br /> 3as ran e Dishweaher <br /> Clolhes d er Clolhea washer <br /> Ran e hood Water heater <br /> Exhaust lan Sink servicelbarlmo letc. <br /> Hea�pum Backllow reventer <br /> Unil heater Urinal <br /> 6oiler Drinkir Foun�ein <br /> Refri era�ion Floor drain <br /> Woodstove Grease lre <br /> D�clin Raof dreins <br /> Other Medicel Gae <br /> SPRINKLER / SUPPRESSION 8YSTEM Other: <br /> Number ot Heads Olher: <br /> I hereby cehly Ihe ave read end exemined Ihis eppticallon antl know the eama to be Irue and wrrecl.All provlalone al lewe end oNlnence�povemlrq <br /> �hle type ol work I comFlied with whather apeGfied herein or nol.Tha prenlirp of e paimlt Aoea nol presume to plva eNhoriry to vlolate or ancel <br /> �he provislon of e her clele or locel lew repulalinp conelrucllan or I�e paAormance ol cr ieVudlon.Thet I em authorized by IM ownar ol lhl�property <br /> to pedorm Ihe wo 1 r which eppllcallon is mada and compty ilh the State Contredon Lew 1827 RCW and 298.Y00 WAC <br /> Own�rlAuthoriza pant 8lpnelun I O (Dete (�������� <br />