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� C ( <br /> PERMIT APpLiCATION <br /> sUILDINGIMECHANICAUPLUMBIF�G/SIGN/SPRINKLER/DEMO�ITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FRCM 8 AM TO 4 PM —O 3��Z <br /> SITE ADDRESS: PROPERTY TA7t• PERMIT i I ' <br /> �1 Z� $0 v� � Z-G�)�+ <br /> LEGAL(or new conatruction: S�oh PlaUsubEivision Lot No.__ (atlach wpy oi lonp lepal descriptbn) <br /> OWNER �Cs�� Phone/E•mail y25-yZz- °� �3 ► <br /> dress ` �' Z� ` � GT �Mt� � CitylStele2iP � uJl� G�oz6 <br /> CONTRACTOR �E L 8 I Lic.N <br /> Address Phone/Emeil <br /> TENANT BUSINESS NAME CONTACT FOR PERMR y .ZS _ y ZZ �{ �3 I <br /> G �eNN sS M9-'1"L��sor; <br /> .11.1 SC iA . � 1 �C Ptwna/E-mail �CJV�S2 C � �-. f.7 <br /> BUILDIN6 PERMIT APPLICATION CONTRACT PRICE OF WORK �1 SU `-= <br /> Existing Use of Building lA• � H'�'�- �O HEAT SOURCE: <br /> Proposed Use of Building _,_ Gea Ekcuic Olher <br /> Building rype: _Single Family _Duplex_Townhouse _Mutti-Family _Commercis� <br /> Type of projed: _New Addilion _Remodel __Repair_T.I._Sign_Sprinkler_DemalRion C(`hengc of U:s <br /> Description of Work/additional space provitled on the beck/: �'U5�-n1\ �f�� S 1 G�N O Q1 �•'a-CC OT b'�` ���� , <br /> C�6V��£ OU} l�A,IYLJ�2.A� 24r��' �V4M�ElT �� �C,yNCJl� (4YY�Owc�_ :�c9-J4� � �heS- <br /> V <br /> Have you started working wHhout a permit7 ,�,YES _NO ���S <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ot ProJxt: _Naw_Addn _AlbraGon_Repelr Typa of ProJeet: _New_Addn _Albntlon_R�pdr <br /> Show NumDer M o/fiaYwsa Show NumMr W Rirh�ns <br /> A/C-airhandlin units Toilet <br /> Forced air s stems Bathtub <br /> Gas i in Lavato wash basin <br /> Water heater Shower <br /> Gas fire lace Kitchen sink 8 dis sal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink serviorJbadmo letc. <br /> Heat um 8adcflow reventer <br /> Unit heater Urinal <br /> Boiter Drinkin Fountai� <br /> Retri eration Floor drain <br /> Woodstove Grease tra <br /> Dudin Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM �� <br /> Number of Heads �� <br /> I hereby certity that I have iead and examined this applicatlon anC know the seme to be true and cortect.All provisions of laws and ordinences goveming <br /> this type of work will complied xdlh whether specified herein or nof.The gwming ot a pertnil does not presume lo gNe auttwiity to vidate or ranoel <br /> the provision of a her or cal law regulating constnution or the pertortnance oi consWctlon.That i am aulhorized by the ormer of this property I <br /> to peAorm t which a icalion is made and I wmply with Me Slate Contradors Law 18.27 RCW and 298.200 WAC �I ')j <br /> l <br /> 1\ 2_l 1\ <br /> utho erRSlpnaWro Date (Rbviaed?/1011) <br />