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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLERlDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., [verett, WA 98201 425-257-8810 FAX 425-257-8857 www everettwa.org <br /> SITEADDRESS:�� � ^I 1 � A Q PHOPERTYTAXp PERMIT� <br /> � �' eJ a�n /iV • � <br /> LEGAL lor new conslruclion Shod PlaVsubdivis�on Lol No _ (altach eopy of tong IegalOescnption) <br /> OWNER �uy�c� �QJ, LC Phonel[�ma�l as-Zyy��� <br /> nde�ess P� (3v�c 1 cdyisietcrz�u ' nr�e,� �j O�L <br /> APPUCANT: �Owner OwnersAyenl CoMratloi _ComraclorsApent 7enant�m�„i�mma��rr.�orn,mrmnaom.o»�n���oaow��numsv�U� <br /> CONTRACTOR — Q1A//l� Slate Lic. # Cit Bus. L�C. # <br /> Addmss PhanMEmeil <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone�F-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK___ <br /> [zishng Use ol Owlding H[AT SOURCE. <br /> Proposed Use ol�mldmg _ Gas___ Fiednc_ Omer__ <br /> t3wlding type ��Single Femily _Duplez_Townhouse _Mulli•Family _Commercial <br /> 1 peolproect. New Adddlon Remodel Repau 7J Si n Spnnkler `�Demoli6on Chan e olUse <br /> DESCRIPTIONOFWORK(nee�r�onaispawp�ov�dedoninenncti� ` I3�� � <br /> hc�se <br /> �e.y�� o� Ex��S ��-9 .S'f�c�u�ts i detuched 9afu�C - G00 t�] <br /> MECHANiCAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Pra�acl: _Now_Atldn _Alteratlon_Repalr Type of ProJocl: _New_Addn _Alleratlon_Repalr <br /> Show Numbcr(N)o//Ixfuree SAow Numbcr(M)o//irfurca <br /> NC -air handling unds Toilet <br /> forced air systems [3athlub <br /> Gas ipm. Lavalo (wash basm <br /> Water heatcr Shower <br /> Gas hre lace � Kdchen smk 8 disposal <br /> Gas ran e Dishwashei <br /> Clolhes dryer Clothes washer <br /> Ran e hood Waten c�ater <br /> Cxhausl lan I Smk(serncNbarlmopfetc) <br /> Heal ump � f3ackllow preventer <br /> Umt heater Unnal <br /> doder I Dnnking Foun�ain <br /> � NeGi crallon � Ploor drain <br /> Woodstove I Grease Ira <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM O�hcr <br /> Number of Heads � Olher <br /> I��re�y cehdy I�al I heve read nnJ e�nm�n�U pm apVlioTmn!id Anow I�e same lo be Iroe an�cnrrccY AA pmvnlont ol laws nntl ortmancas gov�m��g I�n type ol v,n�A wtl Ae complmd <br /> wA0 whel�er specA��d nerem ai no1 T�e granling ol a perm�t c,.es no�ryesume io gne n�tltrs�ty Io vmlate or r�ncrl I�n pruvaion ol any oi�er slate or iwil I.�w�epulating consl�u<Imn <br /> I�al l nm authnm I�e owne�ol Inn pmDerty In perlo�m I�e wad Iw wh2h opDl¢ation Is mado and I comply wnh I�e Stat¢Cantractors lnw 18 77 Hf.W anC Mfi 7W4 Wnf, <br /> o-� �l Z 6 13 <br /> Owno uthon¢od Agen Signa uro Uale (Hov�sed.YlOt3) <br />