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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLI�MBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> PROPERTYTAXtt � . P RM;Ltl� ,\� _ L � <br /> SITE ADDRESS: /I C � <br /> l � � ' <br /> LEGAL lor new cnnslruclion: ort PlaVsubdivision Lot No._ (atlach mPY of long legal desuiplion) <br /> PhonelE+nail ' � � <br /> OWNER • p <br /> �! G�y151a1c/Zip �O� <br /> Address �- �� � <br /> APPUCANT:_Ow'ner Owner genl � Contmctor _CoNradorsAgent _Tenanln,n,s�r�owaseknno�cm�mnomme�^nmaowon�w,mesr�e�� <br /> CONTRACTOR <br /> � J � &I Lic.# � COE Bus.Lic.# <br /> Address � I '� � �1 C . onrJEmail �7� � 7 <br /> TENAN SIN SS AME . CONTA T FOR PERMIT <br /> � � <br /> Phone/E-mail ` <br /> BUILDING PERMIT APPIICATION CONTRACT PRICE OF WORK 7CC'C� . '� � <br /> HEAT SOURCE: <br /> Exisling Use of Building <br /> Gas Elacfric_ Other_ <br /> Proposed Uso of Building <br /> Buildiny type: �Single Family _Duplex_Townhouse _Mulli-Family _Commercial <br /> T pe of pro ecl: New Addition Remodel Repair T.I. Si n S rinkler Demolilion Chan e of Use <br /> DESCRIPTION OF WORK(additionul space provided on Ihe buck): <br /> �,(,�D��,��. ('�(l.S i Il.� �CC'� <br /> J <br /> MECHANICAL PERMIT APPLICATIOi�I PLUMBING PERMIT APPLICATION <br /> ?ypu of ProJecl: _New_Addn _�UteraUon�,Repalr Type ot Prof act: _New_Addn _A��eraqon_Repalr <br /> Show Number(Nf olfirfurcs Show Namber(p)ol firtures <br /> A/C-air handlin units . Toilet <br /> Forced air s slems I Bathtub <br /> lavato (wash basin) <br /> Gas pipin �. Shower <br /> �� Water heater � <br /> � Gas fire laco I Kitchen sink 8 disposal <br /> i Dishwasher <br /> i Gas ran e � Clothes washer <br /> � Clothes d er ; Water heater <br /> I Ran o hood Sink(service/badmop/elc.) <br /> � I Exhauslfan , <br /> , Backflow preventer <br /> ��� Heat pump <br /> '�� Unit heater I Urinal <br /> Drinkin Founlain <br /> Boiler Floor drain <br /> Rclrigcration � Greaso trap <br /> � WcadstovQ Roof drains <br /> �uclin I <br /> ! Medical Gas <br /> Olher <br /> SPRINKLER I SUPPRESSION SYSTEM � other. <br /> � NumberofHeads � Other. <br /> I hereEy ceitih'Nai I have�ead and eumned Nis oppFwlicm and know Ne wme lo be tn+e and corteU.PB iKov�sb�s a�W`'s and adinenu's gaveming�his ty{a o/work will be comD���d <br /> .Nth whelher spe�d hemin or nol.Tho ganting of a pertn�dcee out Dresume to gNe euNordy lo vioWle or cencel Ne provsian ol any othm slele a kwl law mgulatmg wnslmction <br /> Thal I a��aut o�ed by Ne awner of Nu propeM�a 7e�°^^u'������aP���y mede and I compy�+th Ne 51a�e ContraUon Lew 78.27 RCW anC 296.IOOA WAC. <br /> � ./ / 7 7 <br /> a1e (Revised fi20f 2) <br /> Ow e u t e Agen-Slg Wre <br />