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OCT-09-2012(TUE) 08:40 LAKERIDGE PLUMBING & MECHANICAL (FAX)4258218984 P.002/002 <br />� 1 <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 - 425-257-8510 - FAX 425-257-8657 - LWnv.everettwa.Org Z <br />,,,- .. ^corcn conM a AM -rO A PM l b ` 0 <br />pE <br />Td <br />SITE ADDRESS:2 <br />PRGPFJi'fYT R <br />cz�401 S� <br />o- o <br />� � t <br />1(4 �k� <br />LEGAL for new construction: Short PlaOsubdivlsion LoI No._ (ori copy of long legal doscripuonj <br />�'�Gd-ki�SY �G"6"'� 0r­i,% '4t*!7 Phcn IS -mall <br />OWNER <br />Address 14j1CL% l.%.- ri les-o.-- SIG jts, ClryrStatol7Jp L rljLNc. e� • �Kzo C15- <br />Lt�.ecs°1,5z Pi,:,,,i�.. *r &Ke4" <br />c/ l.-..p4�CAddress <br />CONTRACTOR <br />L <br />Sc)S' � - rzt-LSt �(.3-nmall f+ 5(� <br />�FOR <br />CONTACT RMIT <br />TENANT BUSINESS 'NAME ',-,y.- �LfY6t. <br />L) I A PhonelE-mall UZZr6'Z'l <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK 25 W <br />- HEAT SOURCE: <br />Exl6ting Use of Building <br />Proposed Use of Bulldiny� Gas Electric Other <br />Buildingtype: Family _Duplox_Townhousc _Multi-FamilyCommercial <br />_Single <br />Type of projact• _New _ Addition _ Remodel —Repair Y T.l. _ Slgn, Sprinkler—Demolilior_Chenge of Use <br />Description of Work (eddfionof apoce provided on the back): <br />Have you started working without a pt:=lt7 YES _NO <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIf APPLICATION <br />Typo of Project: _New_Addn __AItoradon_Ropalr <br />Type c(pmjaot _Now_Addn _Altoration_Repalr <br />Show Numberrq) of Wanes <br />Show Number (#J of futures <br />AIC-air handling unit^ <br />I Toilet <br />I Bathtub <br />Forced air 5' stems <br />I Lavatory (wash basin) <br />Gac Pitting <br />We-1 hector �^ <br />I Shower <br />Gas tirooloce <br />I Knohon sink 8 disposal <br />I Gas mnpo <br />I Dishwasher <br />I Clothes dryer <br />I Clothes washer <br />Range hood <br />I Water healer <br />I Exhaust fan <br />.1 Sink (servica/bar/riopletc.) <br />Heal Dump <br />I Backnow preventer <br />I Unilheater <br />Urinal <br />Boller <br />I Drinking Fountain <br />Ratrigaration <br />I Floor draln <br />I Wcodslove <br />I Grease trap <br />I Ductinq <br />I Roof drains <br />Other <br />Medical Gas <br />SPRINKLER 1 SUPPRESSION SYSTEM <br />}� <br />Other. �rfor-e GP I r,, <br />I S{UbS <br />NumberorHeads <br />Other: <br />rh�reby miry of I have reed and examined this application and know tho same to be true and correct All provisions of laws and ordinances governing <br />this p of �mt will be eompllod with wnether spedgoa retain or noL The granting at a permit duos not presume to give authority to violate or cancel <br />tntr o IS, <br />of ny other state nr to©I law regitladng construction or the performance of construction, That I am outhaind by the owner pl this property <br />to <br />pa nn the rk tar which opplication is made and I comply with <br />tho Slate Conmictois Lew tC27 RCW and 736200 WAC <br />(RoOsed 212011) <br />