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PERMiT APPLILATION <br /> BllILDINGIMECHANICALIl�LIlMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl., Everett,WA 98201 425-257-8810 FAX 425-257-8857 wvvw.everettwa.org <br /> APPLICATIONS ARE ACCEVT[0 FROM 8 AM TO 4 PM 3 �-�7�I <br /> SITEADDRESS: PROPERTYTA%p PERMIT# _ <br /> � V L � . i � Q Q � � d0 <br /> LEGAL for new mnsiruclion: Short P�al/subdrvis�on Lci No._ (altach copy ol Wn3 legal desviption) <br /> OWNER � {� �O�•s'1' './Fs� Pnone/E-mail 'yL �-s�s��• D�!l <br /> Address "'2 ' {C L /' tl lJ� CdylStale7Zio ,�i,/�/� _ C' • �L, <br /> APPLICANT:_!Tvner O.mersAgem �Contraclor Conlratlor'sAgent _Tenanl�m,sic�o���-+�er.ermco�semuomm.cMc�ioe�..on��n�e�o.+=ei <br /> CONTRAf,TOR 7dv�� S���^r�//w ,f � L 8 I Lic.# /�Vi SS II OS'f COE Bus.lic.#L�zb�� 1 <br /> Address „[C rC(.' `�yh6 ��-�- �✓ '�z�0 Phone.'[mail �JG.f"/�% �i'LC/ �Sc� wF�I���'rT.� riv.�. <br /> TENANT BUSINESS NAME CONTACT FOR PC•RMIT �G Y1 MQ.II .r.(u y <br /> �/�,� S��vc ll,�r <br /> '. ..i t� .�Cii • .� � - � : �! [ r Phon��Email1, ', i;.,t'Lc�/ 'I�� 1(c�:��(�o/,�iiG .�/,(r� <br /> BUILDING PERMIT APPLICATION CONTRAC7 PRICE OF WORK�Yi G 0�'�• - � <br /> Ezisling Use of Buildmg�fi� �'�- � '�✓� ��'�L ] HEAT SOURCE: <br /> j � C� / ����-j Gas Elecldc Other <br /> ProposedUseoBuilding C LY 1��=��f �l-7/�4 _(hG/ - <br /> Building type: _Single Family _Duolex_Townhouse _�Ili-Family l�Commerciai <br /> i <br /> Tyne of pro ecC New Addition _ Remodel Repair � Si n S rinkler Demolition Chan e of U�e <br /> D ESC RI PTION OF W ORK(addaional sparo nrovided on the 6acM): y, <br /> � ,•�l✓ O���e.S onc� � �.�.i Fere.nce. K�om� W���'7 t'y�l.Sl �nX <br /> �� <br /> (i��-iLL' �->1''�t�. <br /> MECHANICAL PERMIT APPLICATION PL1.lMBING PERMIT APPLICATION <br /> Type of Pro�ect: _New_Addn _Alteralion_Repair Typo 01 Pro�ed: _Nnw_Addn _Aiteratlon_Repair <br /> Show Number�U)ol lixtures Sbow Numba(a�o/fixtures <br /> � AIC-airhandlingunils I Toilet <br /> I Forced air svslrms I Balhl��b <br /> Gas piping I Lavalory Iwash basin) <br /> I Waterheater I Shower I <br /> � Gas firepiacc I Kdchen sink&disposal <br /> I Gas ranqe _ Dishwasher <br /> Clothes dr er Clothes washer <br /> .�ange hood I Waler heater <br /> Exhauslfan i Sinklservice�barlmo��etc.) <br /> I Heat pump I Backlloys prevenler <br /> I Unil heater I Unnal <br /> � Boilet I Urinkin Fowitain <br /> � Refriqeralion � Floor drain <br /> Woodclove Grease Irep <br /> Duclinq I Roof drains <br /> Otlier _ _ . � Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � Other. <br /> � Number ot Heads Other, <br /> i Imicl;y cetlRy Ihal l have reaJ and exammed Ihis appl¢a�qn�nd AnOw�he samc Ie be true and conM.All prov6pn5 o71dw9 anA ortlinances goveming Ihrs lype ol wak wdl Im cumpl�rd <br /> wah wI�elMr specdmA hemn w noi.Tlre granbng ol a perm0 UeEs nol Dresume lo B��e amhoMy to vnlate or cantH Iho prov5b�ol any dhe�Slato or bcal Uw reBuWimg consimtlwa <br /> 1 bal l am aNlwrizod by Ihe owner ol lha Omperty Io pedonn Ihe wwk lorwhrh av0l�lon¢madn end I comO�Y�����he Slale Conlrocta5lsw 18.27 RCW eM PB6IODA WAC. <br /> � //�j�7 /�/I�13 _ 11 Z <br /> awnedAiehorized Agenl SlgnaWw Date (Revised f'2n12� <br />