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( tl <br /> PERMIT APPLICATION <br /> BUILDlNGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32�;D Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '- 3� � f� <br /> SITEH�;l.R�SS: �/ PROPERTYTAXk P �U� <br /> s�I.1 GrJ C/' "� — <br /> Lot No._ (ettech co of IonB le al descri Iion � <br /> LEGALfornewconslruclion: ShorlPlaVsubdivision P1' 9 P � <br /> OWNER i.)u i✓ L t✓EN3E2 Co z� PhonelE•mall �S— 7 S 3— � <br /> Address S`I 2:z C�c6rvw oo d� Av-c_ atyisie�erziP —v�•r i7 �4 � D 5 <br /> CONI�A�TOR It�/�,i L 8 I Lic.# <br /> Address PhonelEmail <br /> TENANT BUSINESS NAME CONTAC I'FOR PERMIT <br /> Phone/E•meil <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric_ Other <br /> Building type: _Singie Family _Duplex_Townhouse _Mulli-Family _Commercial <br /> Type ot project: _ New _Addition _Remodel _Repair_T.I._Sign_Sprinkler__iemolition_Change of Use <br /> Descriplion of Work(additional space provided on fha back): n /� <br /> //� s"�1 <br /> %�(/��.+ � <br /> Have you ntarted working without a pertnit7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofProjecl: _New_Addn _Altaratlon_Repair TypaofProJeet: _Naw_Addn _Altantlon_Rep�ir <br /> Show Number(N)o/fixtures Show Number(N)oI flxfurea <br /> AIC—airhandlin units Toilet <br /> Forced air s stems Balhtub <br /> Gas ipin Levato (wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Range hood Water heater <br /> Exhaust(an � Sink(servicelbarlmop/elc.) <br /> Heatpump Backflow reventer <br /> Unil heater Urinal <br /> Boiler Drinkin Fountain <br /> Refri eration Fioor drain <br /> Woodstove Grease ira <br /> Ducting Roof drains <br /> Olher Medical Gas i <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Olher: <br /> 1 hereby certify thot 1 have read ond exemined this applicalion and know lhe same to ba truo and cortect.All provisions ot lews and ordlnences govemfng <br /> ihis:ype of work will bo complied with whether spocifed herein or not.The granting of e pertnil does�ot presume to give authority lo violate or wncel <br /> Ihe provision of any other slate or local law regulating consirucllon or Ihe pertormanco ol construction.That 1 am aulhorized by tha ovmer of this property <br /> to peAorm a wn�;!nr which applicalion is made and I comply with the 5 ate Conlreclors Law 18.27 RCW and 296.200 WAC <br /> -- �� , � � 3/ �oi/ <br /> OwnerlAuthorizodqpa t3lgnal � ale (RavisedYLOf1J <br />