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PERMIT APPLICATION <br /> BUILDIN+3IMECHANICALfPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvr,v.everettwa.org <br /> S � �"0 <br /> SITEADDRESS: °�Q2U � PROPERTYTAXk PERMITY <br /> — — � <br /> LEGAL lor new construclion: Short PlaVsubtlivis�on Lol No._ (attach copy ol long ie9al tlescnption) <br /> OWNER '�q ;J�� Q PnoneiE-mall —� I' � <br /> Aticlress ��� J � L� q O CilyfStatelZip <br /> APPLICANT: O�vner _OwnefsA9eni Conlractor CoNractor'sAgent �TCOd0l�rtusl0��+��a���"crtlw.ueMtromlPoc+nenoCoxc2inL�esO�=e) <br /> CONTRACTOR State Lic.# City Dus. Lic. # <br /> Address Phone/Emad <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �Z V S ( <br /> MouN Lic.�i-4-T SmaK� � ��2�ccR cel _ S-�ont <br /> Phonei6mad — C <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK� ,-r'�C�"7— <br /> Exis!ingUseofBuildmg I��VVIV�GI�L(L( HEATSOURCE' <br /> Proposed Use of Budding �� Gas.. Electric_ Other_ <br /> Budding type: _Smgte Family _Duplex_Townhouse _Muiti-Family _Commercial <br /> Type ol projecf New Adddion Remodel Repair_T.1. Sign�Spnnkler Demolition_Change of Use <br /> DESCRIPTION OF WORK(add�r�cnal spoce prcv�eca on tne back): <br /> �G\� s�"��, - 2 ' � �� � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProJect: _New_Addn _Al�eratlon_Repalr Typo ol ProjecC _New_Addn _Alleretion_Rapair <br /> Show Numbcr(pJ ol lixturcs Show Numbcr(BJ ol fixfures <br /> A/C—air handling unils Toilet <br /> Forcedairspstems I Bath'ub <br /> � Gas piping � Lavatory(wash basin) <br /> I Water he.+ter ! Shoner <br /> � Gas f�replace Kdc6en sink 8 disposal <br /> Gas rangc Dishvra�her <br /> � Clothes dryer I Clot�es washer <br /> Range hood Water heater <br /> [xhausl!an Sink(servim/badmoplelc.) <br /> Neal pump I DacAflow prevenler <br /> Unil hca�cr Unnal <br /> , Bodcr � Drinking fountain <br /> I Refrigeration I Floordrain <br /> Woodstove Grease irep <br /> OuUing � Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> � Number of Heads � Other: <br /> 1 nereGy cemly tRal I�.+�.e reatl nntl exam:ned i"�:s aFPP.ca'.icn an�Vnew Ine samC lo Ce;me antl canecl.Afl pmvis�ons ol lows an�c.b�.oances qoveminp Ihis lypa cl Hork wll be cempbed <br /> w.tn xTrl�er spcu!ir��erein or noL Ttle grantieg ot a permil tlocs no1 p�esume 10 give authonty la violate ot coiul Ine pmvision ol any oNer slate ar Iocai bw regula'.ing consWc6on <br /> Tha�I am auther¢ed t�y i�c oMner ol t�is proDerty lo Dedorm�he wo�k for whirli appl¢aiion is ma�e arG I<omo�y wn�thc Slate Contratlom law 1827 RCW ane 2?G 200A WAC. _. \ <br /> „ ic oW— Ij—�il� �� <br /> OwnedPG��rizetl Agenl5lgnature �ale (Femsed 3/IOt�1 <br />