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T <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98207 425-257-8810 FAX 425-257-8857 www.everetlwa.org <br /> APPLICA710NS ARE ACCEPTE�FROM 8 AM TO 4 PM <br /> 51TEADDRE55: � _ . 7 PROPER7vTA%p � I � I .C�C aERMI p _ <br /> �-{� � [_`r� Ci�l � ,� �"l�r r:� �� - � � C�I(, � G <br /> LEGAL ror new construction S�ort PlaUaubtl�vision Lct No_ (attach cropY o11onA legal deuription) <br /> OWNER �-(;�_���1`� ���,� . 1�..� - '�"� � Phone/E-mail �jC.�'� -�L:� � f�L%� �il���.<J��(1'�.:� �( .,'z'1 <br /> naa�ess ��i l,-..�1 L 11t��I f%Lv IZ5) �JC�. City/State/Zip �—h2_l=ti� W�' `1(j��`'� <br /> APPLICANT:,,�Owner OwneteAgent Contractor _CoNracloraAOent _Tenant�T.miv�o.ae.t�ro�aw�+.em*omuww�crmao«o+.�,naea,=i <br /> CGN7'RACTOR ' �.'�• 1 1�.-'�.1..-`...�it�{'�:�S L L&I Lic.# ���.«1`11���-4;Slp��� COE Bus.Lic.# <br /> ndaress G��, � � �iSC �`� �'.� J���� %l- Pnonaeraa3lc%-aCi �9'f�i iti�at��4ac C.�Aw�� �c��t� <br /> TENANT BUSINFSS NAME CONTACT FOR PERMIT <br /> �Vl�rt an�e>��-i <br /> Phone/6mail "' -{ :I `�ciL, `_i 1�IQ.����-�'i�.?-c. ��.:�ll�ti� (c\•V� <br /> BUILDINGPERMITAPPLICATION CON7RnCTPRICEOFwoRrc °�I�PDO — n�5.�.0 <br /> Existing Use of Building HEAT SOURCE <br /> ProposedUseof6uilding 7i� �lt�l'� � �1'�� 11-r�'�����"�t Gas_ etectr�c otner <br /> Building lype: �,Single Family _Duplez_Trnvnhouse _�7ulli-ramily _Commerciat <br /> T pe of pro�ect New Addilion RemOdel Re eir T.I. Si n 5 rinkler Demolilion Chan e o1 Use <br /> DESCRIPTION OF WORK(atlOifionaiapace provideoan me bacel: � Q'r)9�i�<Cc�' �5 <br /> 11Cvv�G i+F1ti� �:C�,�"itFlt �I �CC ;��ct.;�c��'tU`L�,,icy2.� �1L��� ,i� G'�� �G,inJf7� <br /> i r� ,.•. �.�•�"( l l�t�:e�.1ll� L :l' 1 � (yZ�Il11zCL\ S. <br /> ..� i �_ C i. �'� li.' �', �� I ��. o�li 'Jir��(i �ju��l'-�) 1''; i��TiG�v�l WdYl.l, . � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> 7yneolProJecL _New_Addn �Alteration_Repalr TypeolProJecl: _New_Atltln _Alteratlon_Repair <br /> Show M1'um6cr(k)o/Iltlures Sbow Num6er(b)o!/iirfures <br /> � A/C-air handlin units I Toilet <br /> �orced air s stems � Bathtub <br /> Gas ipin Lavato (ivash basin) <br /> V✓ater healer Shower <br /> Gas fueplace KAchen sink 8 disposal <br /> Gas ren e G�shwasher <br /> Clothes dryer Clothes washer , <br /> � Range hood Water heater <br /> Exhaus�fan �ink(service/Dadmopletc) <br /> Heat pump Backflow prevenler <br /> Unit heater Urinal <br /> 6oiler Drinkin Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> �uctin Roof drains <br /> � Other Metlical Gas <br /> SPRINkCLER / SUPPRESSION SYSTEM Oth=r: <br /> Number of Heads Other: <br /> I I�cieLy ceiNy Ihal l ham�CaO un0 exainmeJ tl:ls appicot�on oW knrna Iho samC lo�e IN!end Wrted.AA pfm'I{bn]ol bw!en00�dhenell povem�np Ihis ly{+e olwpk v."II be compiied <br /> vnci vmelher a euIIBG�Moln w not.i mm+n0 0l e permR Gce�nal preeuma lo plve euNot�y la vioiete meancel lbe provisbn ol eny oUerslete or local Iawrepufath0�onelmnion <br /> Th.nlem�u arix 6ylhe ol ��loperlamlhewothfawhkliepOPcelion�maCesn0lcmnON�h�e5leteConlreclontaw18.Z7FCWantlP99.:00AWAC. <br /> i <br /> ' / ��C� / <br /> ornibdAuthudzed A9ent Slpnahuc � /Date (ReNsed N20/2) �/ ) <br /> ; :1 <br />