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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLl1MBING/SIGNISPRINKLERIDEiVIOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St, Everett,WA 98201 4Z5-257-8810 FAX 425-257-8857 �nvw.everelriva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE��tE ' ' �,L' PflOPERTY7A%N PERMITk <br /> � . i Zr-�. �-.�'�� l <br /> LEGALIornewconsimchon�. S�otlPiaVsutMivision lott�o._ (altacncopyo�longlegal0?ScnDLon) <br /> OWNER T1�i+�•, W, l�"L-(:���`�-II�S Phond �man O..Zi�T75 ����^�G'�t� JPJ1����iJ • � <br /> dCress ���� �-C3�-.(f� 11V"C . CAY/State/ZiP � •�-�T L'J� � r7�O � <br /> APPLICANT: On�ner Owner'sAgent CONracicr ConVaelor'sAgenl TC�dN(�m�poroaetmra�cemcmtam:�ew..+nioao.nn,nNaw�l <br /> CONTRACTOR O W N L L I Lic. B COE Bus.Lic. u <br /> AEaress PnonelEmad <br /> TENANT BUSINESS NAME CONTACT FOR PERMI7 <br /> P�ore/E�mail <br /> BUILDING PERMIT APPLICATION CONT�tnCT PRICE oF WORK • D <br /> EKistmg Use ol8utlding vt �t'e— HEAT SOURCE: <br /> l. <br /> Proposed llse 01 Building Gas__ Eleclr�c_ Other_ <br /> Budding type: _Single Family _Duptez_Townhousc _tdulti-Famity _Commercial <br /> T pe ol pro ect: New Adddion Remodel _Repair TJ. C� n Sprinkler Oemolition_Change of Use <br /> DESCRIPTION OF WORK;.�ecmcnzi sp=cc Fm�':aea on m��c � ) <br /> iz,i:�l.q-C c N � v L.7 Cy.CS �T���i.J� ��r'�-� S�a+.�;7i �4 G� ol-S <br /> � Le,�UKA . C�:rS rr-LCtka;�.� Ava��_� ��?, 1�., S ;�—�.�-,-�� � <br /> 1�J C .NG �C � ��o .1� t_� v t ��, ���,1� C�t��'L -2 �F+�S �il/�+Q nK�� 'lo� <br /> MECHANICALPERMITAPPLICATION PLUMBINGPERMITAPPLICATION <br /> TypeolProJecl: New_Addn _AllerTlion_Repalr TypoolProJecl: _New_Addn _Alterallon_Repalr <br /> Show Numbcr(a)o!lirWres Show Numbw(tll ol q+fures <br /> NC-air handling umts Todet <br /> Forced ah s stems Balhtub <br /> Gas p�oing lavaro pvash basm <br /> Water heatcr Showcr <br /> Gas fireplace Kdchen sink S tlisposal <br /> Gas r;niyc U�shwashcr <br /> Cluthes dryer Clothes washer <br /> Rangc�ood lVatcr heater <br /> Gxhaust ian Smk(service/bar/mo �ete) <br /> Heal pump E3ackflow preventer <br /> Urot heater Urinal <br /> Boiier Drinkm Founlain <br /> Reingeration floor Orain <br /> Woodslove Grcase Ira <br /> Ducting Hoot drains <br /> Olher Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM O�ner: <br /> Number of Heatls Other, <br /> I LereLy_enRy Nal l bavc med ond caxmineE Nva applicaVon and Ancw No snne lo ba Irua anJ wrte�l All pmvis�ons ol bws an0 orJinancce poveming I�ie�9c ol wo�k n�A be wmp'�cA <br /> wrn wfielhe speufeE�crein<r nm-1 po V�enlinB ol e permil doea nol prtsumv to pno oul�onh��ho!a�e m�n�:el tLe p�ow;�n cl o�y cmcr sl�Le c fo>al liw ie�vlatrng�onslma on <br /> TOoliam. nu'I�oneCaGy1l�Oan�ero1ml50mpeM�aDeRoim�heworkfaw�k�eODlrcalronie naertaJl<empNwn�:ImSio;,•Ccntroc�crstn.a182]RCti'lana2?O:OOAYrAC <br /> \ 1 \ �_ � � <br /> ���' � �) �-�`�����t.(� 1 �a Z6�� <br /> u� \.J <br /> Owner�Aiith��:d:r�A9en1 Slgnal�re Dat. fRev�ceJ 6�7Jf2) <br />