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� � <br />PERMIT APPLICATION <br />BUILDlNG/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vnr�,v everettwa org <br />lor new construclion Sho� <br />R�7 TAY. N <br />No (atlach copy of long Icgal descnpuon) <br />,�� s) ��3' / /a� <br />Own�� OwnelSAgeM Con�raclor _Conirat:or'SAgC�� Tenanflm�.ipm.,eeaienermm-:emirom��ec.�eiioeo.an�nma•.c��el <br />�R�ni.� S�AR. oN�ie.UCriAo� StateLic # QCKS� 9olRG �,��A�S.�,� # . <br />mad <br />, <br />BUILDING PERMIT APPLICATION � CONTRACT PRICE OF N <br />[xi5iing Use ol BudC�ng <br />Proposed Use af 6udding <br />3wldmg type: � Single FamJy _ Duplex _Townnouse _ Mulii-Family _ Commeraal <br />iypz of projed. New Adtldion Remodel Repair __ i I S�qn _Spnnkle <br />�SCRIPTION OF WORK �aann:dcnai space crov�dedon pme oac.) <br />FMOUti �j(i5�in,a �-uRni�►C �,`� l� f� �oC �C �%/pLt_Y�) 4 <br />d r <br />MECHANICAL PER IT APPLICATION <br />ol Pro�eeC _New_Atldn Allcration _Repair <br />ShowNum6cr/b o11irlures <br />� A!C — air handling un�ts <br />� Forced air systems <br />I Gas pip�ng <br />Water hea!er <br />N <br />Exhaust fan <br />Heat pump <br />Und heater <br />RCE <br />Demoliiion Change ol Use <br />5 R�l� fc� �lfct� 1"v/ <br />PLUMBING PERMIT APPLICATION <br />pe ol PrujecC _New _Addn _Allcra[ian _Repair <br />S�ow Numbrr /Nl o/ liifures <br />6athtub <br />Lavafory pvash basin) <br />Shower <br />Kilchen sink 8 disposal <br />Dishwasher <br />Clolhes �.vasher <br />Waler neater <br />S�nk (service/badmop/r.tc ) <br />Backflav prevenler <br />Urinal <br />Dnnking Fountain <br />Floor diain <br />P <br />� Olher � Medical Gas <br />SPRINKLER 1 SUPPRESSION SYSTEM � Otne� <br />Number of Heads ( � Other <br />I nerCEy CCrLIy Ind� I �ave r6�� dnd e.Bm'neC INs appt[dtion anC Anow Ip? Sa++C lo M IruC dnC :orrcG� n110rov�4on5 O7 1dw5 dntl orEmBnces gDvemmg 1��51y0° ol v:ort w� 1 0^ [Cmp6r� <br />a�rn v.nclner spec�� �rier or no1 Tne g�aneng o�ertnl tlocs no� F�esume Io grve awnoMy Io v�oU!e or cancel IDe piovn¢n ol any o1nCr stale m ircal Iaw mgulaLng Wnslmcimn <br />T�ai I arn avin ca oY���c orner ol ln�s prope yr �ortn i�e �nork Icr w��cn apFl¢a�ion is maae an� I compiy Hnn��e Slatc Conuactars Law 1B 77 RCW anG 2°6100A WFC <br />� /ri�.x---� � �///s/,�zo/y <br />lhorized AaenirS gnature Da <br />(Rewsed 3R013J <br />aa4 <br />� <br />