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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX A75-257-8857 www.everettwa.org <br /> �_ 6-�4 <br /> SITE ADDRESS: ���// f' 1� PROPERTV TAX M P MIT 1! <br /> C f <br /> LEGAL far new conslructron: hort PlaVsubtlivision Lot No._ (atlach copy of tong legal tlescription) <br /> OWNER Phone�E-mail <br /> Addicss /� � � City/SIaINZip �v � �� � <br /> APPLICANT: Owner Owner'sAgenl � Contractor _Conlractor'sAgeN 7enaN(mutipmrdeaienero'cc�senl�mmi�eonrc�bCowoMinmos0�ca) <br /> CONTRACTOR S State Lic. # Qh � City Bus. Lic. # <br /> Atldress Phone/Ernail ^L �/�S <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> PhonclE�mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK D �� � <br /> Existing Use ot Duildmg H[AT SOURCE�. <br /> Proposed Use of F3uilding Gas__ [iectric_ . Other_ <br /> Dwlding type�. �Single Family _Duplez_Townhouse _MWti-Family _Commercial <br /> Type of pro�ect: New _�ddition Remodel _Repair_!T.I. _Sign_Sprinkier_DemoGtion_Change oi Use <br /> DESCRIPTIONOFWORK(arldd�onalspacep�ovidedonrnoback). G� i��`�"" <br /> � U U 1���� /� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Projocl: __New_Addn _Alteration_Repair Type of Projact: _New_Addn _Alleration_Ropair <br /> Show Numbcr(q)o/fixtures Show Numbcr(p)ol lixfurcs <br /> NC—air handlin9 units Todet <br /> Porced air systems Balhtub <br /> Gas piping Lavatory(wash basin) <br /> Waler heater � Shower <br /> Gas fireplace Kdchen smk 8 disposal <br /> � Gas range D�shwasher <br /> ( Clolhes dryer I Clothes washer <br /> Range hood Watcr heater <br /> Exhaust fan Sink(servicelbadmop/etc.) <br /> Heal pump Back(low preventer <br /> Umt hcalcr � Urmal <br /> � [3oder I Drinhmg Founiain <br /> Reln9eralion Floor drain <br /> Woodstove Grease Irap <br /> Ducting Roof drains - <br /> � Olher � Metlical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � otner. <br /> Numbcr ol Hcads I Olher: <br /> I�ew0y ceh�ly 1�a1 I linve reatl,nr!enm�ned Iliu appuc,eon antl know Ihe samo lo he Ime:ma toirccl NI pmnsions ol law,and ortlinance;gmemin9lnrs typa ol waik w�n�c r.ampi:rd <br /> wAli wnetber specdied�ele n o�nol T�o graNing oi a pc�mil tlocs nol Dresume to grve aul�ority to violate or Ginccl lno pwvumn ol Jny o'�cr slato or IOWI la�,v re9ulalln9 mnnlrutlion <br /> l�al I am aulno A�y Ino oHner ol l'S propeny lo petlom1111e W01k lor wbich appbwlion is made nntl I comply wAri Inu Slai<Coniraclers la'rv 19 77 NCW an0 796 200A Vd.1C <br /> � � J ��-�y <br /> OwnodAuthorrzc yont5ignaWr� Uatc (NewsedJ.'O1J1 <br />