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� PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810-FAX 425-257-8857-www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX M 1����,Z P MI� <br /> �p II 'V + <br /> LEGAL for new conslruclion: Short Plat/subdivision Lol No._ (attach wpy of long legal description) <br /> OWNER PhonelE-mail <br /> Address �(i�- W T�f CilylStatelZip Q �..,.f (�, Ok � 3 / 7 <br /> CONTRACTOR E/J I'� L&1 Lic.# 3 <br /> Address y 30 ���� " v.c " 12,E - ,vn, ' `fk Phone/Email �-9ZZ <br /> TE TBUSINESSNAME CONTACT 0 m��}�L r{Tyavp <br /> Irp(�sy {��I;V PhonelE-mall �{Z) � `hZ.'L� X( � <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE oF WORK <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric_ Olher_ <br /> Building type: _Single Family _Duplex Townhouse _Multi-Family �Commercia� <br /> Type of project: _New _Addition �Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DescriptionofWork(addifionalspacoprovidedonfheback): �{pjk!� G(,{.in,p�� �c�p r/,pN C SVA'c_ �Yi^oA�� �` Ex�sT/wy Bi� <br /> Have you started working without a permlt? _YES �NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypaofProJect: _New_Addn _Alteretlan_Repair Typ fProJect: _New_Addn _Alteratlon_Repal� <br /> ShowNum6er/# o//Irfu�es ShowNumber # o�/Ixtures <br /> AIC—airhandlin units Toilet <br /> Forced air s stems _ Bathtub <br /> Gas i in Lavat wash b <br /> Water heater Shower <br /> Gas fire lace Kitchen sink dis osal <br /> Gas ran e Dishwash <br /> Clolhes d er _ Gothe sher <br /> Ran e hwd Wat eater <br /> Exhaust fan 3 i servicelbarlmo /etc. <br /> Heal um ckflow reventer <br /> Unit heater Z Uri <br /> Bniler Z Drinki Fountain <br /> Re(ri eration Floor dra <br /> Woodstove Grease ira <br /> Ductin Roof drains <br /> � Other�-a�r'76P /F�ul(�Ji1� kA�LTi Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Olher: <br /> I hereby certi(y that I have read and examined this application and know Ihe same to be�rue and cortecl.All provisions o(laws and ordinances gov ing <br /> this lype o(wnrk will be complied witli whether specified herein or not.The granling of a pertnit does not presume lo give aulhority Io violate or cancel <br /> the provision of any olher s(ale or local w regulaling construclion or Ihe perfortnance of conslruction.That I am aulhorized by lhe owner of lhis property <br /> to peAortn t vrork for which application is ade an,1 I comply with ihe State Contractors Law 7827 RCW and 296200 WAC <br /> '�,�\�l\� � , <br /> OwnerlA rzedAgenPSlgnaWre Da�e (Rovisod?/2077�/� , <br />