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� • <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-B810 FAX 425-257-B957 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO d PM � �2--�� <br /> SITEADORESS: .` / O� Co1 '�� A�r PROPERTYTAXp PERMI M �O� <br /> y�l� '-1J �•r t.. <br /> LEGAL lor new conslmtlion: Shon PlaVsu64rvision Lot No._ (attach copy af Iong Icgal descnpUon) <br /> OWNER 'pU11 �MI�Qi Phone/Etnail '}� � , 7j00 � <br /> Address G�ty/SlateZp <br /> APPLICANT: Ovmcr _OvmersAgcot Contractor Con.ratlofsAgent Tenanl�muUernw.are�•mmf�.•mr.o,�meo..�ameo.o+��n�.rv+�t <br /> CONTRACTOR ,Y� ^ � L 8 I Lit.N Wh=r�ll�Y 9���S COE Bus.Uc.p <br /> Address ���o�l i-fvy qq L nne-��al� W/� q��3-j PhonelEmail Zi- 71.�(, - o-ib o <br /> TENANi BUSINESS NAME CONTACT FOR PERMIT <br /> �.o�Q`f �Z MA� �{�s--� �-6•-,:�ee <br /> T P�one/E�ma�,l lo�_ _ 7�oV � <br /> BUILDING PERMIT APPLICA710N CONTRACT PRICE OF WORK <br /> Ezisling Use of Building HEAT SOURCE: <br /> Pioposed Use ol Buildmg_ Gas Electnc__ O:he._ <br /> Building type' _Single Family _Duplex_Townhouse _Mulli•Family _Commeroal <br /> T pe of Oro ecC. New Addilion Remodel Repair_T.I._Sign._SD��kler_Demotilion Chan e of Usc <br /> DESCRIPTION OF WORK(eddmonar spacc pm�acdon rne back): <br /> CF-a��r�.-��---.4'a..-- �- �,�=t <br /> -�Y S��-.,s <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofPra�act: _New_Addn _Altentian_Repair TypoolProject: _New_Addn _Alteratian_Repafr <br /> Show Num6cr ryl)ol firtures Show Number(pJ a/firfures <br /> NC—air handlin units Toilel <br /> Fo�ced air s slems Bathtu� <br /> Gas Vipin Lavato (wash basin) <br /> Waler hea�er Shower <br /> Gas Iire lace Kitchen sink 8 dis osal <br /> Gas ran c Dishwasher <br /> Clothes dryer Clolhes washcr <br /> Rangc hood Waten c�alcr <br /> EMhausl lan Sink(service/barlmop/etc. <br />� Heal um Backflow ieventer <br /> Unil heater Unnal <br /> BoAer Dnnkin FouMain <br /> RefnQeratlon Floor drain <br /> Wootlsluve Grease trap <br /> Duclim Ronf drains <br /> Other Mediwi Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Otner: <br /> Nw�ber ol Heads Other: <br /> I nemDycemy tnal l�avo mad a�d ovammeA Nrs aOD�������4�ow Ue same�o�o Wo and mrrect AY Drov�S�o�s ol Wws sn�oMmanus povem�nq n�s rypa ol vroM wiA Ua mmpLM <br /> vnih wfiother apoufaC�em:n or no�Thc 8�^�ng ol e ponnJ Joes not presuma lo grvo ouNOKy�o v�ol�ta or c�ncel l�o pmNs�on ol any oAor slate or low�law roguiating conshuc4on <br /> Riol l em auUonzed Ey L�c owner cl ttiis propeM�o pe�orm�he woM for wTirh applwEon Is ma0e and I complywtb Ne S�fl�e ConMUors Law 1817 RCW ond 296100A WAC. <br /> � n/` � -�.�-�� �I Z <br /> Ow r/Authodz gent5lB�etare ��te (RevisedN2014) <br /> / <br /> J <br />