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.-�. 24. 201� ; 19f��1 �ti�:�. (i7�3 r. � <br /> PERMIT APPLICATION <br /> BUILf iNG/MECH,�iU1CALIPLUMBlNGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320U Cedor SL, F��crett, �VA 98201 -425-257-gg10—FAX 425-257-8857—www.everellwa.org <br /> APPIICAT70N:i ARL ACCEPTED FROM B AM TO 4 PM �� .��S�–� � <br /> SITE ORE S� raoaERirinxa P IT �. � <br /> ,J� V� 2 822 . 4l ��10 ` CnD b � : ^ - - <br /> LEGAL for new wnitruction: Shprt PlaVsuhdlvlsi0n Lot No._ (a[lach copy of long leqal de,cnplb�) <br /> OWNER (ibS Pltpne�Etnoll . I?j <br /> AOtlfrs �{,�,w�l��✓Q� �✓[� Gry/SWIe2ip �/ • �y'K �1 L {r J ' <br /> CONiRACTOR S 1/11�i "ulJ� �s��(('r L81Lit.# �.NTI S 3a <br /> aadre:s �j p�y.=,(j �/F phonelEman 7i Z� U� <br /> TENANT BUSINES$'�AME CONiAGT FOR PERMIT pR�,,� ��,� <br /> PhonelE-rr�tl � 'L' U 1 S� 'r( �, <br /> BUILbING PERYIIT p1'�?LICATION CONTRACTPRICEOFWORK �u'� <br /> EbSGng Use of Building !.�_ HEAT SOURCE: <br /> Proposed U;e ot 6viltling�t:1�� ces �ectnc otner <br /> Buiiding rype: �Single Fam';y ._Duplex_Tmvnhpuse _Multi-Family _Commerpal <br /> Typeofprojacl' _New _._P.ltlition _Remodel �Repair_T.I._Sit�n_Sprinklar_Demdition_Change ofUse <br /> D25Cnpliql of WOf1c(atlCiribnal:pace p�pv/tltd on fhe 6ack)� G f�p A.N� ✓lN J N6,�-,..11.� �S G,.w . �L� <br /> ri /"' *1 —✓.� �vY.N'� <br /> G[khNL-� c�t- <br /> Havc you slarted working withou!a permit7 _YES �NO <br /> MECHANICAI, PERMIT APPLICATI�N PLUM9ING P6RMIT APPLICATION <br /> TypeofVro�eeL' _New_Addn _Altoration�Rcpair TypeolPtqvct: _New_�ddn �Allantion_Repelr <br /> ShowNumher(Efo��Aurwc SryowA',�mbor(# olfix:��es <br /> AIC–nirMndli units I Toilet <br /> Forcod 3ir S Stems 6athtub <br /> G25 pi in Lavalory(wash basln <br /> Waler h2ater Shower <br /> Ga5 fireplace Kilchen sink 6 disposal <br /> Gas ranye Dishwasher <br /> Clothes dryer Clathes washer <br /> Ranye hood Water heater <br /> Ezliaust fan Sink(servicelbarlmoplatc. <br /> Heat pum Backllow ptevenler <br /> Un�t��eater Urinal <br /> Bo�IN I Dnnkinq Founlain <br /> ftefri emlion I Floar drain <br /> Woctlslove I Grease lrap <br /> Ducting Roof drains <br /> Olher_ M�diwl Gas <br /> SPRINKLER/SUPPRESSION SYSTEM other. <br /> � Numhor of Haads Olher. <br /> I he�e0y cortily Ihat I have fead and exam:ned th�s ap0�itahon and know fhe 5ame lo be Ir�e ancl CArt9ct All provisions of Ww and ordinanCe9 governing <br /> tnis lype ol work wili 6e mmplied�dth wMether specilled herein or noL The granU�g of a oertnit doas iwt prcsumc lo give euNo�lry tp oiolatc or caixel <br /> (he Grwision af eny olher 51ate or bwl law regUliGnq ton:Irt'ction o�IOe pedormence of conglfutCpn.Thal I em eulhon:ed Oy(he owner of Ihis propeRy <br /> l�tor i�he d (o�appllCetlon IS made and I wmpty�.i(h 1ha SWIe ControtlOro Law 18.27 RCYJ and 290,200 WAC <br /> OwnedAWhori:edAqent519nsWro �pate (RovisadL1011J <br />