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, <br /> � � <br /> � PERMIT APPLICATION <br /> BUILDINGIMECNAN�CAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br /> GITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS AI�E ACCEPTED FROM 8 AM TO 4 PM '7-- � � <br /> SITE ADDRESS: PPOPERTY TA%d PERMIT N <br /> � N���� �v�,- ,� 96�3 3-0� <br /> LEGAL for new conslmction�. ShoA Ptal/subdivision SEE AYrAf.k�BS� _ Loi No. (atlach copy of long Iegal desttiplion) <br /> OWNER YtS ��/�A oR��S� Phone�E�mail a is' ek .e 206 30�-4531 <br /> aa�ess QNo GAP�/�(e� i..A ydzo; c�ry�s�a��rz�P <br /> CONTRACTOR TO ��'�L10�� <br /> Adtlress � �� Ph�nNEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> pv.toy�ar.� / Ewl,..m�. <br /> PhonclLmail j�j =�j '� ON4 <br /> BUILDING PENMIT APPLICATION coNTrucT PRICE OF WORK Z� �o <br /> Eaisting Use ol Bwlding /�O�'f.E �I�� HEAT SOURCE: <br /> Proposed Use of Duilding //e.uE S f'I� Gas� Eiecuic_ Oiner_ <br /> 6uilding typc: ZC Single Family _Dupiex_7ownhouse _Mutli-Family _Commercial <br /> Type ol project: _New _Addition X Remodel _Repair_T.1._Sign_Spiinkler_Demolilion_Change ol Use <br /> Deseription of Work(addnional space proviCed on 1he back): <br /> RE,usoec oFNPMI WGrIIS �' el1�G(1'� ��i?�7`�j�•rrs.-/ eF /SoxF' <br /> Have you started working without a permit7 _YES �NO <br /> MECHANICAL PERMIT APPLICATION � PLUMBING PERMIT APPLICATION <br /> Typc ol Projecl: _New_Adcln _AllcrMion_Repair Type ol Pro�etY. _New_Addn _Alleralian_Repair <br /> Show Numocr(a/ol liriures Show Numbcr fp1 al lixfwes <br /> A/C—air handling untls I Toilet <br /> Forced air systems �athlub <br /> Gas pipmg Lavatory(wash basin) <br /> Water heafcr Shower <br /> Gas fireplace Kitchen sink 8 disposal <br /> Gas range Drshwasher <br /> Ciolhes dryer � Clolhes washer <br /> Ran9e hood �atcr �caler <br /> Eahaust fan Smk(servicMbadmop/cic <br /> Heal pump �7ackflow picvenler <br /> Wid hcatei Urinal <br /> 17odcr Drinkin9 Pounlam <br /> Reln eralion � Ploor Arain <br /> Woodslove Grcase lrap <br /> � Duchng Rool drams <br /> � Othcr Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I vihef. <br /> Num�et ol Neads �Other: <br /> I�ereby cetliN thai I have reatl and cKaminetl this aDPhcahon an0 know I�e same lo be true and mirecl All piovnions ol iiw,and ordmances govem�ng <br /> Ilus lype ol woB wtll Ge com0��etl vnlh whet�er specd�ed hemm or nol.The g�anting ol a permn Uoes nol prcsume to 9�ve aulnonly lo vioiate or wncel <br /> Ihe p�ovis�on ol any ol�e�state or IOcal law iegulat�ng wnslruction or the peAoimance ol consirudion 7hat I am aulhorixea Uy I�e owner ol ims properly <br /> lo peAe n t� work lor whic pplrcalron IS maGe and I cOmply wdh t�e SIaIe Coniraclors Law 1B 27 RCW�nd 296 200 WAC <br /> � ' � � <br /> OW� r/AuU�o i2eU Agen fyita rto OJic (Rensed 7/7011) + L. <br /> � _ � <br />