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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBi�!GISIGNlSPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wv�nv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROPERiVTN(_N P RMITA <br /> SITE ADDRESS: � LJ L- �3 Y�-��`��V Z �Ua � '�' �� ' U � <br /> � . �� .� � �.� �. '� ,rf-� �� ��' r, <br /> LEGAL tor new wnstruction: ShoA PlaVsubdrvislon <br /> Lot No._ (attach copy ollong leflal Gesaiption) <br /> i � <br /> OWNER 1�'1 f'� L � -��-+��� J 0.n f�ti."7ti Phone/E�mail Y? , �115'" � � <br /> .-- 7� CiIYlStatelZip L,�r,�ek{- 4 �Z"� <br /> Atldress � ., u � , �, - _ �='�r.�Ck� ���t �'�..-•� <br /> APPLICANT:�Owner _OwnefsABenl _Contraclor _Coniractor'sA9en1 ,_Tenantim�a�mo.+aesienxmm:,saouronmoow�+e�i.ao.�o���mosra_�i <br /> CONTRAGTOR `�eJ� <br /> L 8 I Lic.# COE Bus. Lic.# <br /> Phore/Email <br /> FOdress <br /> T�NANT Pi1SINE5S NA�AE CONTACT FOR PERMIT <br /> Phone�E-mai� 4�� �f S Ct�� �i.%L'A `7�S `�3�" <br /> BUILDING PERMIT APPLICATION CONTRACTPRICE OF WORK '���� LZ — <br /> Existing Use of Building � �urn c e <br /> HEAT SOURCE C'��I <br /> (=1,�,,,.,�_�_ Gas Eleddc Other 11, <br /> Proposed Use ot Buildinp �I, {y �. � ��,5 _ _ <br /> Building lype: �,Single Fami�y _Duplez_Townhouse _Mu�ti-Famdy _,Commercial <br /> T e of ro ecC New Addilion Remodel Repair T.I. Si n S rinkler Demolition X. Chan e of Use <br /> DESCRIPTION OF WORK(aod�tional sFace providedon fhe back). <br /> L�� � � ��.�t �. � ... . .._ -�L V. �-�i�rc� c�v5 ...� ��' ru�✓•�S`�iJ�.� r�� O,� �C..� . ���J <br /> �r��,I �,1��-.1 ` ..� �, .,.1 ':�', ..,_ :1. � ��.:..��,.,' :..,.1 �M..�++�--_' <br /> MECHANiCAL PERMIT APPLICATION PLUM8ING PERMIT APPLICATION <br /> Typo 01 ProJecL• _Now_Addn �Alteratlon_ftepalr Typn ol Pro�ecC ShoweNumherd(aJ ol Rf utrcs''on_Repalr <br /> Show Number(p)ullixturea Toilet <br /> AIC—air handlmg units <br /> y I Forced air s stems � Bathtub <br /> •, Gas ipin � Lavaiory(wash basm) <br /> Water heater Shower <br /> �� �i Klichen slnk&disposal <br /> Gasfuep!aca '� � <br /> Gas ran e I I Dishwasher I <br /> 1 I Ciothes dryer ` � � Clothes�vasher <br /> Range hood I Water heater <br /> [xhaust fan I, Sink(service/badmo /etc. <br /> Heat pump I f3ackflow preventer <br /> Unit heater i Urinal <br /> I Boiler \ i Dnnking Fcuntain <br /> Refrigeration Floor drein <br /> Woodstove ` Grease trap <br /> � Duc�ing �- Roofdrairys - - _ - ' <br /> Other II Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � -�_/� ' Other. <br /> Numbcr of Heads � Olher: <br /> I ne:ehy cendy:hat 1 have i"-a�]2n]e.aminM Ih�s app��cauon entl Vnow the same lo ta tme end Corteq,Atl provisions ol lawe Bn0 orCinencee poVerninp thi�type M work vnA ba:omp6etl <br /> v;�:h�.�nen�er spectlleJ herein or nN.The Oranting of a pam�l dcea not precuma to Bive aut�mAY�o vlolate w cenal lhe provbion W any AMr state a bcal Ir�v rcpulating constmpion <br /> �r.oi�sm am�wizeE 6y Ihe ormer ol lhle DropeM�o C���a wwk lot wli�rli epD���N mWe enA I mmplY wnh ina Slete ConVedm�LeH 1827 ftC W end 298 200A VJAC. <br /> ��. / �, Jc - .Jr�I c�. <br /> ..'` ��i. ///_'� � . <br /> f� ipn�'IS?d 6.2012) <br /> OwnedAWhoj edHg�nl8l�n�turo Date <br /> , ' r�/ <br />