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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLERIDEM�IL-.ITI__�\ <br /> CITY OF EVERETT PERMIT SERVICES � � <br /> 3200 Cedar SL, Everelt, WA 98201 425-257-8810 FAX 425•257-8857 / +. ve el a.org �� � <br /> ApPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> PROPERNTAXN PE �#O �11 <br /> SITEADDRES':��' C ����M � UkY ��� `J <br /> LEGAL for new conslruction: Short PlaVsu6divislon Lot�o._ (attach copy o ��SuW�^) <br /> OWNER ���� `%" �_��"-� PhonelE-mail <br /> W.z.S 3�',`r� c��.4� ! <br /> (1 c ' Cit"SlalelZi c � �`� ��'�'�' <br /> Address j' u 3�%x -�-�� '�y P�/ v�= �_ <br /> APPLICANT:_Oemer Owner'sAgent ConVactor _CoNraclarsAgenl pTQf1211�(m+slpro�iCeslaCetciccr.sert!rcmlCeonrer:aC�n='kinNeipace) <br /> CONTRACTOR L 81 Lic.# COE Bus.Lia X <br /> Phone/Email <br /> Addtess <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �-�,J� p��i,;.,1-[;�p5T7��1n7 .�c"� <br /> �Lv�=w/-�I C�: ��:�l�c.Li J�� Phonei6maa �b �lo�� C;�] `j <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK � �aC> _ <br /> N� _�, HEATSOURCE: <br /> Existing Use of Building — <br /> Gas x Eleqric,_ Other_ <br /> Proposed Use o(Bui�ding — <br /> Bwlding type: _Single Famiiy _Dupiex_Townhouse ,_Multi-Family _Commerciai <br /> T pe of pro'ecl: New Addition Remodel Repair T.I. Si n Sprinkler Demolition_Chan e o(Use <br /> DESCRIPTIONOFWORK�additionalspacepmvrdedontheback): 1 C,,} 1=1``^J S�L� ��S' <br /> , � �� ����—tC�J p= ��-c�,C,�,J•=�=��=] <br /> �`�-< i�.-�� ��_�°-�2 `7 . <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypootProJect: xNow_Addn _Alleratlon_Ropair TypooiProJeet: _Naw_Addn _Alleration_Repalr <br /> ShowNum6cr(p)olliYWres <br /> ShowNunrbcr(N)o(Iirfures � Toilet <br /> NC—air handling units � Bathtub <br /> � Forced air s stems , Lavatory(wash basin) <br /> h � Gas ipin <br /> ! Water heater I Shower <br /> Gas frepiace I Kitchen sink&disposal <br /> Gas ran e ! Dishwasher <br /> � Clolhes d er I Clothes�vasher <br /> Range hood � Water heater <br /> Exhaust tan I Sink(service/bar/mop/etc.) <br /> Heal pump I Backflovi preventer <br /> Unit heater I Urinal <br /> Boiler I Drinking Founlain <br /> - Refrigeration I Floor dram <br /> -- Woodslove I Grease trap <br /> � �uding I Roof drains <br /> I- Olher � Aledical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I Other: <br /> I � Number of Heads � Olher: <br /> i:.::��cy cetlAy Ihai I hava read and emm!ned�h'�s app'�ca:on an7 knon iha sama to�o Imo and mrmcl Aii pmvinana cl Irxa end ord�naneof Ba�e��'^7 Nis lype of work w�A Ce comp�ed <br /> w+N xheiher specTed�ereln or nol.The pranting ol o permA doea ncl D�esuma lo plvo autl:wity lo vblate or cantti Na pmvisbn ol any other state w loul I�w rzqulalbq construcibn <br /> Th�I I am eN�aizcd tr/lhe onnet ol Ni�D�opMy lo pMorm Ne wak 1a whkh aDD���b^��maOe�nC I compy wM Ne Stale Contractwo Lo-x 19 27 RCW�a 19e ZOOA VJ��� <br /> -- – —� _ � �-� � �� �� ��1� � _....._,.ann.v <br /> 1 <br />