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PERMIT APPLICATION <br /> BUILDING/MECHANIGAL./PLUMBING/SIGN/SPRINKLER/DEMI�LITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / �a � r�� <br /> SITEADDRESS:G)!�/� I/�iL �Pr��{�Ir�r PROPERNTA%p P MI N _O�� <br /> �O {iV <br /> LEGAL for new wnslruction: Short PlaVsubdivision Lot No._ (atlach cop�ol long legal descnption) <br /> OWNER L� �/ �' Phone/E-mail <br /> Address�� / !�✓< �1��7�/�N �✓L � Cily/SlalelZip �- �i��� pL� ' <br /> APPLICANT:_Owner _OwnefsAgent _Contraclor �ConlractofsAgenl _Tenantlmuuvro.aeaenero�cons d��w..,H aa.omm�•+v�� /J'\ <br /> �Z <br /> CONTRACTOR U v �O � " L 8 I Lic.# C COE Bus.Lit.# <br /> AOtlress �// /�/� / � /rM�L� u(/'-�i��/Lvi� Phane/Email y1-�.S —Z�� 3�s� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> PhonelE-mall ZS�N/� ��sa <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK, �/ �-3� — <br /> F�cisting Use of Buildin9 HEAT SOURCE: <br /> Proposed Use of Building Gas Eiednc_ Other_ <br /> Building type: �Single Family _Duplex_Townhouse _Multl-Family _Cammercial <br /> T pe of pro'ect: New Addition Remodel Repair_T.I. Si n Sprinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK/addnional space pmvided on the eack): // � / �� <br /> ,�.o-�G - N� �Gl�� r �� <br /> �/t�1 <br /> /�iLCO�J�'-�%iFy C� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypoofProJect: _New_Addn _Alterallon_Repalr TypoofPraject: _New_Atldn _Alleratlon_Repalr <br /> Shaw Num6er(A)of firtures Show Num6er(pJ o/lixtures <br /> A!C-air handling units Toilel <br /> Forced air s stems BathluL <br /> Gas pipin Lavato (wash basin) <br /> Water healer Shower <br /> Gas fireplace Kitchen sink&�isposal <br /> Gas range Di=hwasher <br /> Clothes dryer Clothes washer <br /> Range hood I Waler heater <br /> Exhaust fan I Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refrigeration Floor drain <br /> Woodstove Gre,se irap <br /> Ductin RooF drains <br /> � Olher Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> Number of Heads Other. <br /> I nere6y cenM�����havo matl antl oxnmineE Ihis npplcaticn ond know I�a snmo lo Oo trua antl cortecL M pmrisions ol lmvf onC oNnancef povemin0 Nia rypo ol vrork xiA Ea compFed <br /> �vitli�Melher speafed herein or noL Tho Bmntiiq ol n permit�om noi presume lo OWa auUonry lo vioWte or rnncel ihe proWsqn of any atlier slata or local law mpuL�InB consVuction <br /> 71m1I nm aulhorizcE Gy Iho ro�Ihia pmpery lopo I�owork lorwhkh eppkatwn b madc nnd I wmpy w�h iho Slale Conlracton Law 1817 RCW ond 298200A WAC. <br /> Owner/Aut�ized t Slgna�E Date (Revisetl N201P) <br />