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( � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBINGISIGNISPRIN�.IE�ti�EMO!ITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810—FAX 425-257-8857—ww�v.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM " .�.5" 2 <br /> PNOPERTY TAIf N PE IT R,� _O� <br /> SITE ADDRESS: w <br /> LEGAL lor new construction: SMrI PlaUsubdivision Lo�No._ (allach copy of long legal descriplio�) <br /> ONRIER PhonelE�mail <br /> Address CilylSlalelZip <br /> CONTRACTOR L&I Lic.# L <br /> � PhonelEmail <br /> Address <br /> TENANT BUSINESS NAME N A T F R PERMIT <br /> ����.. ��V� <br /> Phone/E-mail � <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �\�0'�'S� <br /> HEAT SOURCE: <br /> Exisling Use of Building <br /> Gas Electric Othe� <br /> Proposed Use ot Buildirg <br /> 8uilding rype: �Single Family _Duplex_Townhouse _Mulli•Family _Commercial <br /> Type ot proJecl: _New _Addilion ,G Rertrodel _Repair_T.I._Sign_Sprinkler_Dertrolition_Change of Use <br /> Descdplion of Work(addifional spaca providod on fhe back): <br /> ��4�w�� Q�.\\ �Q%��V�.`l 't , 1�Y �� <br /> Have you sterted working wilhoul a pertnit9 _YES �NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeotProject: _Naw_Addn✓ Altaration_Repalr TypeofProJa�t: S�WaNum6arNno/flxtures,lon_Rapelr <br /> ShowNumber( olllutures Toilel <br /> AIC—air handlin unils galhlub <br /> Forced air s slems Lavalo (wash basin <br /> Gas ipi Shower <br /> Water heater <br /> Gas bre lace Kilchen sink 8 dis sal <br /> Gas ran e Dishwasher <br /> Cl�thes d er Clolhes washer <br /> F,an e Mod Water heater <br /> Exhausttan Sink servicelbarlmo lelc. <br /> Heal um Backflow reventer <br /> Un�!healer Urinal <br /> Boiler <br /> Drinki Founlain <br /> Refri eration Floor drain <br /> Woodstove Grease tra <br /> Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby cerlify thal I have read and examined lhis application and know the same to be Irue and correct.All provisions of laws and ardinences goveming <br /> this rype of xork�+ill be camplied wilh whether specified herain or noL The granting ot a permit does nol presume to give authoriry to violate or cancel <br /> the provision of any other state or local law reyulating conslrudion or Ihe peAortnance of constnxlion.Thal I am authorized by lhe owner of lhis property <br /> Io pedortn the�+ork for wfiich applicalion Is made end I comply with ihe Stale Conl2ctors Law 18.27 RCW and 296200 WAC <br /> U�zS��Z (Revised 7/20711 <br /> OwnerlAuthorize Banl Sipnature Da e <br />