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r PERMIT APPLICATION <br /> �-'� BUILDINGIMECHANI^.AL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> �' - CITY OF EVERETT PERMIT SERVICES <br /> �,y� 3200 Cedar St., Everett, V1'A 98201 425-257-8810 FAX 475-257-8857 �:nvv�.everettvra.org <br /> N " ITEADDRE55: �� � �� /1� � PROPFRiVT�%W PEi�'�Tt/O� 'D <br /> �, / 7 <br /> � LEGAL Icr new conslruGiort Shorl PIaV,uhdiviswn Lot No._ (»lach copy of long'egal descnphon) <br /> Y OWNER ��¢ �, , ( Pnone,E-ma�l Z 2 Z 'z <br /> ��a�a�ess U � D K Z lo U � Z h c�iyis�a�erz�n <br /> APPLICANT:�a�rv�r _O:+ner'sA9en1 _Coniractor _Contractor's�gent _7enantlT�sin��•���•,��-crcico�:rnr.rninea..��ernro.o�,.,�.��:,,«i <br /> CONTRACTOR SIa1e L�c # C��ty E3us L�c K <br /> Addres; Pnc�c�Email <br /> TENANT BUSINESS 4AME CONTACT FOR P[RMIT <br /> Phonei��ma�l <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WOr+K _ <br /> Fxis'my lise o`9u��ld�rg __ H[AT SOURCE: <br /> Propesed Use ef Bwld�ng Gas_ Eiectric__ Oiner_ <br /> Bwt�ing type� _Sing!e Fam�ly _Duplex_Townhouse _�dulti�Fam��y _Commercial <br /> Type ot proiecl New Adtlition Remodel _Repa�r__T I. _S�gn_SpnnMler_Oemoldion_Chanqe of Use <br /> v��GRirTi'virG� YVOni��aco1uonarspa�eC�omoeacnn;e•�.:c�i. (; �j ' L NUk f � n <br /> 41Cv ��� �� �'c' '� J` K�cu� �U�I H� �UO k. �U ✓7FC�{Q � tJ � 4 I <br /> � COLIY' i � 1,1J< !�-e �J �� �� — URS �tI+�tGr-ti� .f' �? �� 4 `� r�� (4wtlLY� � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typc ol Projeck _New_Addn _Alteralion_Repair Typc ol Projecl: _New_Addn _Al(eration_Rcpair <br /> Sha�vflumbcr(pJo/liY(ures ShowNum6cr(N)ollufurc5 � <br /> i NC—av handling u�ils Tciiel I <br /> forced air syslems � BatYdub <br /> � Gas piping Lavatery(wash basin) <br /> � Water heater I Shov:er <br /> � Gas lireplace � Kdcnen smk 8 disFosal <br /> Gas range Uishv;asher <br /> � Clothes dryer � Cloll;es vrasher <br /> Rangc hood Watcn c�ater <br /> Gxhausl fan Smk(scrvicc/badmoplelc.) <br /> Heal pump BackPow preventer <br /> Un�t heater Unnal <br /> �oiler � Drinking Fountain <br /> I RelrigeraUon Floor drain <br /> Woods�ove Grease Irap <br /> DuUing � Roof drains <br /> � Other___ Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> � Numher of Heads I Othe[ <br /> I ImicJy ceh��y Ipal i h;nu re ad anA e.am,ned Inis apGLwi:on ana k�0'x t�e sdmU lo�e Ime an�conecl A�I F����s'ioqs cf Id.vS and orCinances 9oveining Ihis lype ol xork�v I Ge comF''=d <br /> �n���Meinerspeoneanne�nernol.T�egmniingolapcim�ldoes :usumetog�veaW�crdY���'in'nteerwnccilnepme�sionelanyolnerstaleorbwllaHrcgul.lmgconslrocfo� <br /> ;nv;zn, ��neo�werelthlsproPe oimiheworAlon.h�c�aP7i�wtionisma:eanolcempy�s�ini�eSiateContractorsLawt927RCWanC7?fi2C0AWAC. <br /> 1 <br /> �5�iy <br /> Owncr/Authorized Agent Si9nalure ale (Fevisc.i3?0�3) <br />