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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKL�R/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everetl, WA 98201 425-257-8810 FAX 425-257-8857 wvvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> SITEADDRESS: V� �� � PRODER � O uo ' P MI a � <br /> 1 <br /> LFGAL for newcon,lruciion Shon Platlsubdivision Lot Yo Iattach coDV o�long legal de,cnption� <br /> OWNER r �� 33 r IE S PhonelEmad <br /> Atldress �V S ���Q.0 lw,(� Ve � CitylStat2lLp <br /> APPLICANT: Owner _ O+mef;Agent �CornractGr Conira[rorSAgen1 Tenant�m�;�am.�ec.�evooiw.�xm+cmnec.oe�mec.cA�mesw:m <br /> CONT CTOR A � 1�`^� . L 81 Lic.M AI�,��H VY�K COE Bus.Lic.# �VSSJ <br /> Address � U�x, 10 T (�Il P�r.ne�Erna' Q � d 7b� <br /> TENANT BUSIkESS NAME N ACT,FO��JM`pl�SQ <br /> W►��►��, wt8(.�v l�� S �T��ac �� <br /> PhonelE-maJ <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Ezis6ng Use of Building___ ____ ___ HEAT SOURCE�. <br /> Proposed Use of Building___ __._ Gas}� E�ec�nc Omer___ <br /> BuJding Iype: _Single Famiiy _Duplex_Townhouse _Mulli-Family _Commercial <br /> Type of pro;ecl: New Addiuon)C_Remalel Repair_TJ. Si n _Sprinkler. _ _pemolilion Chan9e o(Use <br /> DESCRIPTIOM OF WORK(acmnonaispaceprov�devenu�enack): <br /> Ir�s}nll New Duti wo�k W�I� Grill �ro:n bcis4i�ls GW�t fo2 vEw o�ic�� <br /> �.0 N�W e�t� Roo�, FpNs <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type o1 Projecl: _Naw_Addn�Alleration_Repair 7ype of Project: _Naw_Addn _Almralion_Repair <br /> Show Numbei(N)a�fiatures Sbow Number(M1 0l fiaTures <br /> A/C-air handling units Toilet <br /> Forced av s slems Balhmb <br /> Gas piping Lavatory(wash basinl <br /> Water healer Sho.ver <br /> Gas fireplace _ Krtcnen sink 8 dis{wsal <br /> Gas ran e Dish•nasher <br /> Clolhes Cryer CloNes washei <br /> Rangc hood Water heater <br /> [ahaust lan Sink service/barlmop/etcJ <br /> Heat purnp �ackflow prevenler <br /> Unit hcaler Urinal <br /> Boiler Drinking Fountam <br /> Refri erahon Floor drain <br /> Woodstove Grease trap � <br /> Ductin Roof drains <br /> 7ther Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM olher. <br /> Number of Heads Other <br /> I�2�a�y CaNry mai i na�e reaa a�a o iminoa Ims appnc.vun anE Anow Ino samo to�o we anA conttl.NI O�+aions o!ia«s and oN�nvmes 9oveming tnis rype olwoA�.ru Oo como�rd <br /> w1�whel�e�s�ws�fio0 h .m ro o g ling ol a pemul does nol prosumo lo grve aathe�M lo voiato or rancel I�o 0�•�nn olany olner siato or bcal uw regu�iung cansbuclAn <br /> Tlwl I am a Whorized I�n o ol��K pm lo poAorm IM10 wod Icr whvn ap hr��qn s ma0e aM 1 compN`^�h Ne Slato Con'n,cmrs Law iB P RCW ana 296 2001+WAC <br /> `/�� <br /> I�� U � <br /> OwncrlA odxe Ag lSignature � ' Dale � lRevised6'20f2) <br />