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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857 —www.everetiwa.org <br /> APPLICATIONS ARE ACCEP�ED FROM 8 AM TO 4 PM /O "a S � <br /> SITEADDRES3: . � �- PNOPERiYTA%N PERMITN <br /> � I Cn� l'�1 (' JL� � , - � 2.-� <br /> LEGAI lor new consUuction� Shod PlnVsubdivislon _I-at No._, (eltach copy ol long legel descriptio�) <br /> OWNER (��� I ^��� Mone/E�mail <br /> Address CitylSlatelZip <br /> CONTRACTOR ;� -(� / � I C_ I'�rL'�! ". L 8 I Lic. k <br /> Address PhoneiEmail <br /> TENANT BUSINESS NAME CONTACT FO PERMIT <br /> , �r�c�Y���,����� <br /> ��) : I�J ' PhonofE-metl <br /> BUILDING PERMIT APPLICATION CON7RAC7 PRtCE oF WORK - �� <br /> i jrrr k' r-r M1 ,Lf'Z HEATSOURCE�. <br /> Existing Use of Bwlding _ <br /> Proposed Use ol Building Gas Elecvic olner <br /> Building type�. _Single family _Duplex_Townhouse _Multi�Fnmily _Commercial <br /> Type ol projecY. _New _Addition _Remodel _Repair_TJ. _Sign_Spnnkler_Demoldion_Change al Use <br /> DESclip�ion of WOfk(edditional spnco pmmtled on fha beck)� <br /> n <br /> ;'.F ��' t ,r. T (. �1,U c f j S' - i , I <br /> Havc Vou etarted work��n wlthoul e permlt7 _YES X NO <br /> K1EV:iANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypoofPro�ncl: _Now_Addn _Alloretlon_Ropelr TypoalProJecl: _Now_Addn _Altaration_Repelr <br /> Show Number(MJ ol/irtures Show Number(M)o//lxfures <br /> A/C-air handlin units i Toilet <br /> � Bathtub <br /> � Forced air syslems <br /> Gas piping Lavator (wash basin) <br /> Water heater Shower <br /> Gas flreplace Kitcher sink 8 dis osal <br /> Gas ran e DishN�asher <br /> Cbthes dr er Clothes washer <br /> Ran e hood I Water heater <br /> Gzhaust lan Sinh (servicelbar/mopleta) <br /> Heal pump Backflow preventer <br /> Umt hea�er Unnal <br /> Boiler Drinkin Foun�ain <br /> � Refri eration Floor drain <br /> I <br /> Woodstove Grease tra <br /> Duclin Rool drains <br /> Olher Medical Ges <br /> SPRINKLER I SUPPRESSION SYSTEM Other _ <br /> � Number of Heads I Other. _ <br /> I Irereby cerLly Ihat I hnvo read and e�amined this application end knuw the same to be Ime and correcl.All provisians ol laws end ordinences qovem np <br /> �his lype ol waik wtll be complied wilh whe�lier speu�ied herein or not i0n gran�mg of e permil tloes not presume lo give authority�o violete or cencel <br /> Ihe prov;�irn ol eny other slnte or local law regulating conslruclion or the perlormance ol conslmc�ioa Thel I am eulhorized by Ihe owner al lhi5 prop[ ;y <br /> ta riumi tlie wmk lor VJiic nppl¢atio i is niada and I comply wi�h he Sia�e Crnlrnclors lnw 1B 27 RCW end 296 200 WAC (/ <br /> / <br /> ���y, i .t,� l i ���-»- � �� �����'�� l� � <br /> � wnerlAulhorize�gent5lgneWro Da�e i'� (ReN5ed711011) <br />