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1 PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810–FAX 425-257-8857–www•evereriwa.org 2`�Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROPERTY TAX N G� <br /> SITE ADORESS: <br /> 6222 BLUFF PLACE EVERETT WA 98203 00623500006500 <br /> LEGAL for new constructioa S�oA Plat/subdivisbn______ <br /> __ ,______ Lot No. __ (attxh copy of long legal Oescnption) <br /> owNea Mc Brian Knox Phone/E-mail 206-786-9692/brian70im ala ahoo.com <br /> ,�56222 BLUFF PLACE �;ry�s��erz;P EVERETT,WA 98203 <br /> CONTRACTOR BY Owner. Mr. Brian Knox L&I Lic.# <br /> p�onelEmail (206)-786-9692 <br /> ddress <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Juan C. Inchauste, M.S.,P.E./ibicompany@comcast.net <br /> PMne/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK_ <br /> Residential Su�(�= �°M�W 2E5'fl�N HEATSOURCE: <br /> Existing Use of Building_ <br /> Proposed Use of Building <br /> Residential SinK�_FltNiw 2dS�n�J`� cas__ eie�+c— rn^�— <br /> y�ype: X Sin le Famil Duplex_Townhouse _Multi-Family _Commercial <br /> Buildin 9 Y — Demolition_Change of Use <br /> Type of projec"-: _New _Addition _Remodel �Repair_T.I._Sign_Sprinkler_ <br /> Description of W ork/additional speca Provided on tlre back): <br /> Structural repair of roof trusses and stud walls due to fire damage.Update permit from carport to gazage and <br /> laundry room where fire damage occurred <br /> Have you started working without a permit4 _YES X NO � <br /> MECHANICAL PERMIT APPLICATION PLIaMBING PERMIT APPI.ICATION <br /> T of Prol�: _—�—Addn _Nteratlon_ Repalr <br /> Type ot ProJect: _ Naw__Addn _ateretion_Rapalr YPa <br /> ShowNumber )olMxWres <br /> ShowNumber dPortures Toilel <br /> '� AIC-air handlin units Bathtub <br /> '� Forced air s stems i.avato wash basin <br /> � Gas i in Shnwer <br /> � Water heater Kitchen sink&dis sal <br /> �� C,as Tire lace �� Dishwasher <br /> Gas ran e Clothes washer <br /> � Clothes d er Water healer _ <br /> Ran e hood Sink service/bar/mo /etc. <br /> � � Exhaustfan gyckFlow reventer <br /> ' Heat um Urinal <br /> Unit heater Drinki Fountain <br /> �� Boiler . , Floor drein <br /> ' Refn eretion G��¢tra <br /> ' Woodstove Roof drains <br /> Ductin <br /> Medical Gas <br /> Other <br /> SPRINKLER I SUPPRESSION 8YSTEM aner: <br /> '� Number of Heads � <br /> ' anec <br /> 1 hereby certHy Nat I have read and examined this applicalion and know the same to be hue and cortect.All provisions of laws and ordina�es 9o�eming <br /> lhis rype ot v,ork will be complied with wfiether specified herein or rrot The granting of a pertntl does rwt Presume to give aWMriry to vidate or ca�c� <br /> the provision of any other state or local law regulating construction or the peRurmance of c��:,istruction.Thsl I am auMorized by Me ovmer o�mfs propenY <br /> Io peAorm Ihe wwk for wfiic�application is made and I compiy with Ihe State ConVactors L�.+w 1827 RCW anC 29620�WA� <br /> si9i 1��� z <br /> (Revised 212077) <br /> rJ orize Agant Sl9natura Date / <br /> � �L <br />