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/ <br /> �� . <br /> � PERMIT APPLICATION <br /> Bl11LDINGIMECHAiVI�:ALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> ClTY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereriwa.org <br /> SITEADDRESS: .� � PROPERiYTJU(k P p , {'�/1� <br /> f� l�ll <br /> LEGAL for ncw consWdiort Short PlaUsubdivision lol No._ lattath copy of lang Iegal desrnp6on) <br /> OWNER � PhonrJE-mail ��51 ��6—��U�. <br /> Atldress p\� CirylStale2lp C `� � <br /> APPLICANT:_OMner OwnefsP.gent ConVactor _ConlradofsAgent _Tenanto+;,uomnaeeienerm�wmrrw�u,00.�ormao.�.on��,mowam� <br /> COHTRACTOR a � (�F State Lic.# .�FOGO Ciry Bus. Lic.#p rj <br /> Atldress � S'� PhonelEmad y�LS �p�"�j\0� <br /> TENANT BUSINESS NAME ' CONT�CT FO PR EWNIT /�S\k`-}_O�-kt <br /> �t"'ERn-i� CtC'� �{�l.F1lCS \ �\� l.s��5 � � <br /> Fnowe�mae �" <br /> BUII.DING PERMIT APPLICATION cONTruC7 PRICE OF WORK�56��0� ` <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Budding �� �� cas Eiecv�c omer <br /> Building type: _Singie Family _Duplez_Townhouse _Mulli•Famiiy ommercial <br /> T e of ro ecl: New Addition Remodel Re air T.I. Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(addrtiona�space provided an fne eack): �., <br /> ��� �ln� I.JCYI. 51G'� W��l l NEI� �� ����r ��� ���''� <br /> u�� CS� w�- �� <br /> MECHANICAL PERMIT APPLICATIOH PLUMBING PERMIT APPLICATION <br /> TypeatProject: _New_Addn _Alteratian_Repai� TypeofProJect: _New_Addn _Alteretion_Repalr <br /> ShowNumber # o((stulvs ShowNumber q olflrfums <br /> A/C-air handlm units Toilet <br /> Forced air s stems Bathlub <br /> Gas i in Lavato wa�h basin <br /> Water heater Shower <br /> Gas fire lace Kitchen sink 8 dis osai <br /> Gas ran e Dishwasher <br /> Clothesd er Clotheswasher <br /> Ran e hood Water heater <br /> Exhaust fan Sink service/bar/mo letc. <br /> Heal um BackFlow reventer <br /> Uml heater Urinal <br /> Boiler Drinkin Fountain <br /> Refn eralion Floor drain <br /> Woodstove Grease Ira <br /> Ductin Roof drains <br /> Olher Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other <br /> Numher o(Heads Olher: <br /> I nere�y cenrty trat�Oavo reaG and e�aminetl Nis appliwlion a�tl know ine same to Ge we an0 corted.M D�viSions ol Liws ana ortlinances gaveming��is rype ol work wdi Ce comp� <br /> vnN wh her speofieU�emin or not The graNmg ol o pertnM1 Does not presume lo Bive auNonty ta violate or cancel i�e D���shn ol anyaVwrs�ate orbcdi law regulaGng construdion <br /> 7hat a ut�onzetl�y t�e owner ol Nis pmpeM lo perlortn Ne wa�lc brwhirn applicafion a maac ana I compy vnN ihe Siale Comrznors Law 18 27 RCW anA 2B6 200A WAG I <br /> � <br /> . 2j26i� s `Iy <br /> O erl ut d Agent Signawrc Datel (Reviscd 9/1074) <br />