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Feb 02 12 05:43p DRAFT PICS 3F03369786 p•2 <br /> � <br /> � � <br /> PERMIT APPLICATION � <br /> BUILDING/MECHANICAL/PLUMBING/SIGN1SPRi!dK ,' ER/DEMOLITION <br /> CITY OF EVEREIT PERMIT SERVICES I <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810-FAX 425-257-8857;, www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO�PFE � ���I Z <br /> SI ADDRESS: PROPFNiYTJ1%il i P �T f O Z'(>O <br /> v z Fr,c,�.t ve <br /> LE L for new coruV Wio�: Short RaVSWidivision Lot No._ (ettatl�mpy of lag kgd Aasaqlion) <br /> o ett L.'.,.:yr.ue ,axtE Pna,�--�w 3Eo- S�za'- �97 <br /> Pdd s . //D (, no [..7�It.�2— CilYfSI�ONZip tYlO J.�i N.Y R GYI /}� `J��273 <br /> CO RACTOR �&�V�-� <br /> AAd 55 PlqnelEmei� <br /> TE BUSINESS ME NTACT R PERMR <br /> Phon'JE-meil <br /> B LDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exis ng Use ol Buildirg HEAT SOURCE: <br /> Pro sed Use o(B�alding Oas Ekctrtc Olher <br /> Buii nglype: _SingleFamiy _Ouplex Townhouse _Multl-Family ,Lc Commercial <br /> Typ ofprojeck _New _Addition _Remodei _Repair_T•I._Sign Sprnicler_DertaiUon_Change ofUse <br /> De ' tion of Work(addifiona!spaw p/ovrded m thc baGJ: <br /> Hs you e�rted working without a permit? _YES _NO <br /> MECHANICAL PERMIT APPLICA710N PLUMBIN6 PERIMIT APPUCATION <br /> Type ProJaet: _Na+r_Addn �111antlon_Ropalf Tyy�W ProJ�ct _New_Addn _AlMqtia��topalr <br /> ShoWNumbcrfAl)ofRxturss Show�NurnMr ofBYtuns <br /> A/C—airhendli units Toilet <br /> Forced air ems BalMub <br /> Gas ipin Lavato (wash basin <br /> ' Water heater Showar <br /> Gas fi lace Kdchen siric 6 d� osal <br /> Gas ran e �N'�� <br /> � Clothes d Clothea washer <br /> � Ran hood WaterAeaEer <br /> E#�aust fan Sink(servicelbarhnoplatc.) <br /> Heal um � Bad�flwv vmter <br /> Und heater � ��� <br /> Boifer DrinM Fountain <br /> Refri eratio� ' Fbor droin <br /> Woodstove G�� <br /> p�y� Roof drains <br /> OMier � Medicai Ga� <br /> SPRINKLERlSUPPRESSIONSYSTEM � Other. <br /> ' Number of Heads I Other. <br /> I he� y ceRity tha11 have read and oaomined Ihie applinlion�M know Me same to bo WB and comed.A1 provisione ol lwn antl artlinancas gowminp <br /> Ihts e of wark wi�be complied with whelhef apeeified heiein or nol.The grantlnp d e pertnit 6oee�ot prCsume ta pive Buqwt4y M violele or cancei <br /> the p Wsbn ol any oV�er stsle ar tpral law rogWating corsWUion or tAe perlorm�nte o1 conaWdio�.That I em autlw�ixetl by the orner of this property <br /> to pe �rm U»w c-lonNfiS ap t n Is ma nd I comply wilh Ihe Slale Contractors Law 1827 RCYV and 208.200 WAC <br /> 2 <br /> Own Aulnori:sd slpnatum o�� (�''��f�� <br /> ��a <br />