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� �� �' <br /> � ������,... <br /> ,� �. <br /> PERMIT APPLICATION �� . ����' �'`'� �' � <br /> , ,., <br /> V j l • �� «.' " <br /> BUILDING/MECHANICAL/PLUMBINGlSIGNISPRINKLER/DEMOLITIONj� ;, <br /> CITY OF EVERETT PERMIT SERVICES �a.�--�( � <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857—www.everettwa.org . ..,'r„� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDR S5: PROPERNTA%p PERMITN� /, _ � <br /> `d 30 � v r l.J S�fel3 .z.Ev41.30o1�v9u� <br /> LEGAL tor new conslrudion: Short PlaVsu6divlslon _Lot No._ (allach wpy ol long legal de�criptlon) <br /> OWNER �GQ�� � �' Phone�[•ma�� S03-'IyG''I�YD in ooi a.�land¢ �� ��w .y�� � ' <br /> L u'a <br /> Atldress �(o3J �, dc�.r �n�.Ja� �e- 6 City/StatelZip E ueretE W Fl 9S�Z01 <br /> CONTRACTOR IL ��°�2ri C.,a'1 c� L 8 I Lic.# �I I$�� Q� �o �� <br /> nad�ess9�lo�.-34 `-°'A SuJ l.�kmwv�� �.W 9YN99 Phone/EmaiILS3 b1.7—'N1'b a„�w%ea..� �n:�c �kti�eo'� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> 1 � � £.1;5� �a.�uby .,A� <br /> Snd o,>i G0.r�n PhonelEmaIIZS �LLZ H (0 2vt1r�t2 ¢on'�nc.a.f�r�L•G <br /> BUILDING PERMIT APPLICATION CONifsnc7 PRICE oF wORI< l0 L1�7 ' <br /> Exisling Uso of Building HEAT SOURCE: <br /> Proposed Use ot Buiiding Gas_ Etectric_ oiher_ ,� <br /> Building type: _Single Pamily _Duplex Townhouse _Multf-Family �. Commercial <br /> Typeofpro�ect: �New __Addition _Remodel _Repafr_T.I.�Siyn_Sprinkler_Demolition_Change otUse <br /> Desc�iption ot Wo�fc(addifional space provided on the bacxI cl��nne/ � � <br /> J n��'�II ,2 kJo-tl 5 i�n5- �r volc �+D e,c'�s��rJ pno3e.�^. �f4c�ll�/G�lc.� <br /> �g�,�, - �hlel'rY.cl�� t(�Uv��a�td . C�;3.55�zFT each <br /> Have you started working wtthou a permit9 _YES �NO <br /> MECHANICAL PERMIT APPLICATION PLUMBIPlG PERMIT APPLICATION <br /> TypeolProJecl: _New_Addn _Alleratlon_Repalr Typ:nolProJect: _New_Addn _Alleratlon_Repair <br /> Show Num6er(Ml ol flxturcs Show Number(M1 0//lstures <br /> AIC—airhandlin units Toilet <br /> Forced air s slems Bathlub <br /> Gas i in Lavato (wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas ran e Dishwasher <br /> Clothesd er Clotheswasher <br /> Ran e hood Water heater <br /> Exhausl fan Sink(servicelbarlmo�letc.) <br /> Heat pump Backflow revenler <br /> Unit healer Urinal <br /> Boiier Drinkin Fountain <br /> Refri eration Floordrain <br /> Woodstove Grease lra <br /> Duclin Roof drains <br /> Olher Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby ceAiry thal I have read and examined ihis appliwlion and know the same to 6e true and correcl.All provisions el laws and ordinances goveming <br /> Ihis type otvrork w�ll be complied with whether specified herein or no�.The granling ol a permit does nol presume lo give authorily lo vi�late or wncel <br /> lhe provision ot any olher slale or lacal law regulating conslNclion or the per�oimance ol consWdion.That I am a�lhorized by lhe owner of lhis property <br /> to pertorm t�br which application is made and 1 wmph/wilh ihe State Conlreclors lew 18.27 RCW and 296.200 WAC <br /> / <br /> .G��' <br /> Own Authoriz; entSl�n u Oale (Revised?/2077J ( <br /> / � `' f <br /> � l <br />