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( t�. <br /> PERMiT APP�.ICATION <br /> BUILDINGIMECHANICAUPLUMBINGISICN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICF.S <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810—FAX 425-257-8857—www.eve �ttwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �—D�`�� <br /> SITE ALiDRE33: � W ` � � � PROPERTY TIVf N PERMIT _�, <br /> � <br /> LEGAL for new conatrudion: Short PieUsubdivision Lot No._ (atlach copy o�lonp lapel description) <br /> OWNER ��V� � � �S � Phone/E•mail n <br /> Addresa {{ � E � CitylSta�e/Zip �� 7�r ``O LD <br /> CONYRACTOR � � I L 8 I Lic.# I�t 'E IJ S G C <br /> Address `LZ'p � ,S >•� Ph�nelEmail q <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> ��U i � S ��/y�� Phone/E-mail �� F •7 •QU <br /> BUILDING PERMIT APPLICATION CON7rsncT PRICe oF w'u_t<�� �' <br /> Existing Use of Building ?i�X �2 HEAT SOURCE: <br /> Proposetl Use of Building 3�X� 2 I S(r�"'� Ges Electriq Other <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family LG Commercial <br /> Type of project: _New _Addition _Remodel�Repair_T.I.�Ign,_Sprinkler_Demolition Change of Use <br /> DescfiptionofWofk(ndditionalspaceprovidedonthebeck): 1uM� S'�(, � l��yes� �./ y�l,/ pus��� �M� <br /> n {I��w uIErNRr�"A" �ciscin� <br /> Have you sterted working wlthout a permlt7 _YES ✓NO ���y <br /> MECHANICAL PERMIT APPLIGATIOIN PLUMBING PERMIT APPLICATI�lN <br /> Typa ot ProJeet: _New_Addn _C.tteratton_Repalr Type of ProJaet: _Nsw_Addn _AlbnGon_Rapafr <br /> Show Number(N)oI Rxtures Show Number(M)olllxtwes <br /> AIC-airhanillin unils Toilet <br /> Forceduirs stems Bathtub <br /> Gas i ;�� Lavalo (wash basin <br /> Water heater Shower <br /> Gas fire lace Kitchen sink&dis sal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Range hood Water heater <br /> Exhausl fan � Sink service/badmo /etc. <br /> Heat pum Backflow revenler <br /> Unit healer Urinal <br /> Boiler Drinkin FouMein <br /> Refri eration Floor drain <br /> Woodstove Grease tra <br /> Duclin Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION 8YSTEM other: <br /> Number of Heads Othe:: <br /> I here6y ceAity lhat I have read and examined thia applicatlon end know Ihe same to be true and corted.All provisions oi lawa and adinances goveminp <br /> this type ot wark will be complied with whether specified herein or not.The granting of e pertnit does not presume lo give aW�o�ity lo violate or cancel <br /> the provision of any other state or Iocal law regulaling construclion or the pertortnance of construction.Thet I am authorized Cy ihe mmer af lhis properry � <br /> to peAorm lhe work forwhlch applic t�n i�made and I compiy with the State ConiredoB Lew 18.27 RCW end 298.200 WAC <br /> ��� r � �aiz � <br /> Ownerl thorized na e D tu (ReNsed22071) <br />