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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 �AX 425-257-8857 www.everettwa.org <br /> SITE AODRE55: PROPERTVTA%U PERMIT <br /> /� �✓� ee� Wa 0 DDO �- D(� � <br /> LEGAL lor new constmdion� Short PlaUsuhtlivision Lo�No._ (a��ach cop/ol long legal tlescription) <br /> OWNER �/C!/(_�"�( P_.$� PhonelE�mail � ,t��^7�3 y- �� •— 'J 9 <br /> Address �Sf-. SW ^�Q� Ci�y/Sta�e/Zip � <br /> APPLICANT: Owner _Ov;nefsAgenl ✓Conlractor _Con�raclor'sn9enl _Tenanl;��.miou.,oao�cucroim�scmrcmner�.�..���ao.,on�os,o:w:c� <br /> CONTRACTOR L State Lic. p � �Zyvfj�� Ciry Bus. Lic. � <br /> nddress � � � 1a99 ��e�e�f w y�7� PhoneiEmail ,�5— -3(0�7 7,37-L�/:Z <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT � dF/� <br /> �,+�•(y�'�_ <br /> �i fe%n�s��k�-�q -/oG-rt L�/�fuCfS ��I/YJa�C '/ l,� mscyr <br /> PhonelF�ma�l O-7Y93 � 9 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Bwlding �7/C�6H� HF�T SOURCE�. <br /> P�oposzd Use of Building �rJ"/GPi Ga>_ Electric_ Other _ <br /> Puilding type: _Singie Family _�upiex_Townhouse __P.7ulti-Family �Commercial <br /> Type ol pro�ed� Neri __Addition _Remodel _Repair ✓TJ. _Sign._ Sprinkler__Demolition_Change o(Use <br /> DESCRIPTIONOFWORK(aCdrtionalsp�cep�vmedenlneeacp)�. Sy�A// r•r �q�il - 7;�tT (+���dfJ�" ) <br /> i{;�'c�w .S'n�' Q d;�,rwf�✓ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolProjecl: _New_Addn _Alleration_Repair TypeolPro�ecl: _New_Addn �Iteralion_Rupair <br /> Show Numbcr(p)ollixfures Show Numbcr�q)o!/i:fures <br /> ( NC—air handling units I Toilel <br /> ( Forced air systems I Oathlub <br /> j Gas piping I Lavatory(wash basin) <br /> � Waterhea�er I Shower <br /> � Gas fireplace I Kilchen sink&disposal <br /> Gas range Dish�.vasher <br /> � Clotlies dryer � Clolhes washer <br /> Range hood � Water heater <br /> Exhausl fan Sink(service/badmopletc) <br /> Heal pump � �aektlow preven�er <br /> Unil heater Urinal <br /> Baiter I Drinking Founlain <br /> � Refrigeration � Floordrain <br /> Woodslove Grease Irap <br /> Oucling � Rooldrains <br /> � Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTENI Otncr: <br /> I Number of Heads � Other: <br /> 1�e�eby ce y Ihat I have�ead antl erammetl I�is appCw:ion and Mon tha same lo be Irue anA conect.AA provisions ol IaN,anC c:9�ianres govemin9 ihis IyPe ol worh w�ll be mmp,ed <br /> w�th wh � spcufed�eicin or net.The giaNing ol a permil tloes not pmsume Io 9rve aulhorey to viclale cr cancel Ihe pmvision ol any other slale or local law regulaling consVunion <br /> TAaI I im Nhoriicd Cy I�a oNne�ol i�is pmpciry lo petlorm I�e wc�k for xhic�appliwtion is ma0e antl I comply wf,�Ne Slale ConVaCas Law 1827 RCIV and 756 200A KAC. <br /> � <br /> O 1 x Ze/ <br /> ncrlAutharized Agenl Si Oat (Revised317073J <br />