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PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www•evere�a.f rJ<g_/ <br /> PROPERNTAX H �ERMIT# <br /> SITE ADDRESS: /' � � ' <br /> � C ' ✓ � <br /> � Lot No._ (attach copy of long legal descriplion) <br /> LEGAL lor new conslruction� Short PlaVsubdivision <br /> OWNER �� �0(' e ��� Phone�E-mail <br /> Address _ � + 1f� CilylStale2ip <br /> ApPLICANT:_.Owner Owner'sAgenl• �CoNraclor _CoMractor'sAgent _Tenanl(m�s�vmhaeaienermco�semwmu+eo.�erioaowoM�nmaspxal <br /> �7 Slate Lic.# (�1� �,'i2 City Bus. Lic.# <br /> CONTRACTOR t�1L ���L <br /> /1 ��„ ✓ ' � G' 'L�� phonelEmail .$ o� �V �� �f�M <br /> Address P Q (}r�X �Z� CONTACT F PERMIT � <br /> TENANT BUSINESS NAME p���/ �,���L J .fJ }7���(����//C�S-� 'Iy <br /> PhonelE-mail L$ ,3(+ � '7ss <br /> BUILDING PERMIT APPLICATION <br /> CONTRACT PRICE OF WORK OOE�.--� <br /> �n HEAT SOURCE: <br /> Existing Use of Duilding � <br /> Gas Electric� Othar_ <br /> Proposed Use oi Building �� <br /> Bullding type: �'Single Family _Duplex_Townhouse _Mulli-Family _Commcrcial <br /> Type of project: _New _Addition Remodel _Repair_.T.I.__Sign_Sprinkler_Demolition_Ch��nge of Use <br /> DESCRIPTION OF W ORK(addit�onai space pmvided on the back/: .�.�--� <br /> p P�s�J A,�ld�'�,, s���wts- a,o E��s-!�'� �'il��.�h . Z�-�!'� <br /> �, - . <br /> �� lu-�'� ` -f- �.�� / /J / <br /> r 14�[` , C.,�N �Z .,rd{� lM.fd /L lk�G <br /> � � � � PLUMBING PERMIT APPLICATION � <br /> MECHANICAL PERMIT APPLICATION <br /> TypoolProJact: _Now_Addn _Alleratlon,_Rnpalr TypoolProJoct: _Now_Addn ,�Alluratlan_Ropalr <br /> Show Number(#)ol lixfures <br /> ShowNumbcr(N)of(ixfures � Toilel <br /> � A/C—air handling unils � 8alhtub <br /> � Forced air systems � Lavatory(wash basin) <br /> Gas piping Shower <br /> � Waler heater � Kitchen sink&disposal <br /> Gas fireplace � Dishwasher <br /> � Gas range � Clothes washer <br /> Clothes dryer � Waler heater <br /> � Range hcod � Sink(service/barlmop/elc.) <br /> Exhaust fan � Backflow preventer <br /> Heat pum� � Urinal <br /> Unit heater � Drinking Fountain <br /> � Boiler Floor drain <br /> � Refrigeration � <br /> Grease lrap <br /> Woodstove � Roof drains <br /> Ducting � Medical Gas <br /> Other <br /> SPRINKLER / SUPPRESSION SYSTEM I Other: <br /> � Number of Heads I Other: <br /> I��ereby certdy Inal I havo reatl ond e.aminetl Ihls appLcation nnd know Ihe samo to be Irue nnd wrced.All provisions ol laws end ordinances goveming Ihis lypa ol work�nll Oe complietl <br /> v.ah�4nelher specifetl herein or not.70e grantin .�1 a permit Coes nol presume lo qive authomy to violate or cancel tne pmvision ol any dher s1a1e or Iocal law reguleting constrvclion I/� <br /> That I om aumori: tne owner ai tnis prope y � pedorm tna work lor HTich appiiwtion is matle entl 1 wmply wnn tne S�ate CONractors Law 1827 RCW antl 29b YOOA N'AC. <br /> � �� � � (RevisedY1073) <br /> pwnod uthorizadAgontSlgneWro <br /> D le <br />