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PERMIT APPLICATION <br /> BUILDINGIME�HANICALIPLUMBINGISIGNISPRINKLER/QEMULITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-251-8810— FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM p�-a� ` I' <br /> SITE I�PDR�S: �� ,� � /, �t` �,lC� PNOPEFTVTA%N PERMITI <br /> (� r n C� % � �" v:3 � <br /> LEGAL lor new conslruc6on Shorl PlnUsubdivision___ _Lol No_ (attach copy of long legal description) <br /> OWNER r' �; I � 1 -. t'honci6mei! <br /> An7�ess Gty/Stalc/Zip � <br /> CONTRACTOR �� C. I� M � L-E� L 81 lic M <br /> Addmss Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> �(Ciel („ Pno�ere�mo�i �/ L'�M ��'ti�k� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK I�� ���' <br /> Existing Use of Building {_-r���/1 �` _�:Lt�� � HEAT SOURCE�. <br /> Proposed Use of Bmlding Gas Elecinc_ olner <br /> 8uilding lype� Single Family _Duplex_Townhouse _Mulfi-Femily _Commercial <br /> Type of project _New _Addition _Remodel _,Repair_T.I._Sign_Sprinkler_Demolition_Change of Uee <br /> DESClip�ion of Work(addihonal space p�ovided on Ihe bacM)�. <br /> r.r�<<o<� - r- •� c�t, `�i.�� -��7`' <br /> Havo you started working withoul a permil9 _YES X NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Pro�e�l: _Now_Addn _Alloratlon_Ropalr Type al ProJect: _Now_Addn _Alteralion_Repelr <br /> Show Number(NJ al Iixfurce Show Numba(N)ollirturae <br /> AIC—air handlin um�5 I Toilel <br /> I Forced av s slems I Bathtub <br /> Gas i m I Lavator (wash basin) <br /> Waler heater Shower <br /> � Gas lireplace Kitchen sink 8 dis osal <br /> � Gas ran e Dishwasher <br /> Clothes dr er Clothes wash?r <br /> Ran e hood Water heater <br /> Fxhausl lan Sink(servicelbar/mopfetc.� <br /> Heat pump ' Sackllow reventer <br /> Um�heater I Urinal <br /> Boder Drinkin Fountain <br /> Refn cration Floor drein <br /> Woodslove Grease Ira <br /> i Ducting Rool drains <br /> — � ��h2� Medical Gas <br /> � <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> � Number ol Heads Olher. <br /> I hereby ceitity ihat I have iead anA examined this application and knmv�he seme la ba I 5 xnd corre[I All provisions ol lews end ordinences Aoveming <br /> Iha lype ot rmik vi�lt be compLeA vnN whelher specilied herein or nol ihe Branling ol e permil does nol p�esuma to give iulhori�y lo vlolate or cancel <br /> Vie piovison ol any olher staln o�lowl law reyu�a�iny conslruction oi the pedormence ol constmclion. �hel I am aulhori�ed 6y Ihe owner ol lh�s pmpedy <br /> tc p 1mm Ihe work lor vAnch e�phcafon` madc and I comply wil Ihe 5 le Conlreelors Lew 1P 27 RCW and 298 200 JVAC <br /> ., 1 �rl <br /> ��- �T ` � ���, (.�• � . �t' ��i i/ <br /> wnorlAulhorizod Agont Signeturo Dale (Revised?/1011) I� <br />