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. r <br /> �ERMIT APPLICATIAN <br /> BUILDINGIMECHANICALlPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CIN OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810- FAX 425-257-8857 -www.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SITEADDRE55: �J�.� ; � ,/J/9 oq.�� � PHOPERTYTAXp P J�11Tp <br /> cs (i15�[�{ �1 �-`� <br /> LEGAL lor newconstrucllon Shotl PlaVsubtlrvision_ __________ ___________Lot No. ___ (allach copy ot long legal descnpl�on� <br /> OWNER � PhonelE�mail <br /> Addres . �, � �. � !�� GIy�Slate/Lp ,(.,(,Y' t (�(,3�- l7f <br /> CONTRACTOR •L� L 8 I Lic. # �(jT�►L 1C L <br /> nddress�y� � �� � ��(iWT Phone�Eman -/Z�1 J/�OQ��j <br /> TENANT BUSINESS NAME CONTACT fOR PERMIT����� ��- <br /> v <br /> �/ P�one�E-mail L� � 7�'���� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK'_���Q'� ____ <br /> Ezisting Use ol Buiiding_______________ HEAT SOURCE: <br /> PioposedUseolBuilding�___________________ Gas __ Elecvic____ omer <br /> Builtling type: _Single Famiry _Duplex_Townhouse ___Multi-Famiry �_ Commerc�al <br /> Type of projecf. _New _Adddion __Remodel ___Repair__ T.�Sign_Spnnkler__Demolition_Chnnge ol Use <br /> DeSCripUon ol W ork(adtlrtional space prov�Ced on the back): <br /> lifn�Q p� �� v�,x�n s'J1'✓ <br /> Have you started working without a permit7 __ YES�_NO <br /> MECMANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypealProject: ___Now___Addn . Alteration ..Repalr TypuolProjoct: ___New___Addn __ Atteration . _Repalr <br /> Show Number(pJ oflixNres Show Number(p)ol Rxfures <br /> NC-air handlinq,��ds Toilet <br /> Forced air s slems Bathtu6 <br /> Gas piping Lavalo (wash basin <br /> Water hea(er Shawer <br /> Gas fire Ixe Kitchen smk 8 tlisposal <br /> Gas rangc Dishwasher <br /> Clo�hes d er Clolhes washer <br /> R2n e hood Water healer <br /> Exhausl fan Sink(servicelbadmop/elc. <br /> Heal pump Backllow prevenler <br /> Unil healer Urmal <br /> Do�ier Dnnk�n Founlam <br /> Rclnyer.tion Floor drain <br /> Woodstove Grease tra <br /> Duclm Raof drains <br /> � O�her_____ A7ediwl Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> INumber ol Heads Other <br /> i hereby cerLfy Ihat I�ave iead antl examinetl Ihis applicalion anA know the same lo be true anA correct.All piovis�ons ot Wws antl ortlinances goveming <br /> Ih�s type ol work will be complied with�Mielher sO�iGed herein or noL The granting ot a permil does not presume Io give aulhonly lo violale or cancel <br /> ihe prov�sion ol any olher siate or lowl law reguiating conslrucGon or tho pedormance ot consWction.That I am aulnonzea 6y the ormer ol Ihis propeity <br /> to per' r Ih work lor which a lication is made and I cemply with the Slate Conlracrors Ww 7827 RGW antl 296 200 WAC l� <br /> [ ' ii'� �'<.���f� Z <br /> Owne Au�hodzed Agent Slgnatum �ale (Rev�sed 712071J <br />