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� ( <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINI:/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PEI?MIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8610—FAX 425-257-8657—www.everet a.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � O6 �Z <br /> SITEADDRESS: PNOPERT'TAI(M � M <br /> 2707 Colby A��cnuc (N14391G?500100 <br /> LEGAL lor new consuuction�. Shon PiaVsuhtlivision Lot No._ (altach coDY o1 long legal tlescnption) <br /> OWNER ��PP�����������camirc Q'm�ny0��ncrSAotdalhiWual) pryp�elE-mail <br /> Atldre55 <br /> do Wcs'fowcr 7525 SL'24th St NdR7 Cny�State2ip Mcrccr Islvid N'A 9R0�f0 <br /> CONTRACTOR ��'csTo�rcr L 8 I Lic.# ��'�STOC19751R <br /> Address 9961 Sidncy Haycs Rd Orlando.FL 32S2d Phone/Email ?OG-??841271cnnifcr Tnylor <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT )ennikrTnylor�vith WcsToacr <br /> Clcnnvirc phone�E-maii �OG•228-'127 jtaylo awcslowcccom <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 55.000.00 <br /> Ezisting Use of 8uilding OlTicc nnd 1'•Iccnmmunicationc _ HEAT SOURCE: <br /> Propased Use of Building ho clmngc Gas_ Electnc_ Other_ <br /> Building type: _Single Family _Duplez Townhouse _Multi•Family ,a Commercial <br /> Type of projecl: _New _Addilion _Remodei _Repair�T.I._Sign_Sprinkler_Oemolilion_Change of Use <br /> Description of Work(additional spaceprovided on the back): <br /> Clcaneire pmposcs to aJJ onc antcnm�and onc RRU lo Ihcir c�isting roollop tciccommunicalions focilily. <br /> Have you started working without a permit7 _YES \ NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypoolProject: _New_Addn _Alteratlon_Repalr TypeolProJect: _New_Addn _Alterallon_Repalr <br /> Show Number(p)o!lirtures Show Number(M)o/!lxtures <br /> AIC—eir handlin units Toilet <br /> Forced air s stems BatMub <br /> Gas pipin Lavato (wash basin) <br /> Waler heater I Shower <br /> I Gas fireplace Kitchen sink&disposai <br /> Gas ran e Dishwasher <br /> I Clothes d er Clothes washer <br /> Ran e hootl Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br />� Heat pump Backllow preventer <br /> Unit heater Urinal <br /> 8oiler Drinkin Fountain <br /> � Refri eration Floardrain <br /> Woodstove Grease lrap <br /> � Ductin Roof drains <br /> � Other Mediwl Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> � Number of Heads Olher. <br /> I hereby certity thal I have reatl antl esaminetl this applicalion and knowthe ume to be true and cortect.Ail provisions of laws antl orOmances goveming <br /> IhiS Iype Of wwk vnll be ComplieC Nith wfiet�er SpeCIM1eE herein or nol.The granting o1 a{N!m1i1 tices nol pre5um810 give eulhOrity lo viOiele of Wncel <br /> Ihe rovision of any othM slate or local law regulating consiruction or Ihe perlormance ol construtlion.Thal I em authonzeE by the oHner o�Ihis propeny <br /> lo orm the Nork r�Mich appl�cation is made anE I comply w�th the State Co�tractors Law t827 RCW antl 29G200 WAC <br /> T �2 <br /> Ow erlAuthorl Agent ' na re Date (Revised7/207f) <br /> l�� <br />