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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: 7ROPERTY7AXtt RE,R;� p�� _ 1 "L <br /> S ,� �� � � '' <br /> LEGAL lor new conslmclion: Sho�PlaVsubdrvision Lot No_ (ettach copy of long legal descnpt�on) <br /> OWNER � J Phone�E�mad ���j —v�OC�� <br /> Adtl�ess l7 City/Stale/Zip � <br /> APPLICANT:_Ovmer OwnersAgem �Comractor Contractor'sAgent _Tenamim�.ipo.a•.rmracmuMn�rmao.,�ar�oao.�annmas�,c.� <br /> CONTRAC'!OR � �C-i L 8 I Lit.# —x COE Bus.Lic.# <br /> Address v v� Phone/Email �� <br /> TENANT BUSINESS NA E CONTA T FOR PERMIT <br /> c�k��. �—(�e., �- �3 I u.���,c, k� Ke�Y-Ko,�l�.u�'s <br /> Phone/E-ma�l <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK UO• �7 <br /> Ezisting Use ol Building HEAT SOURCE: <br /> Proposed Use of Buiiding Gas_ Eiectnc_ Other <br /> Buildingtype�. _SmgleFamily _Duplex Townhouse _Multi-Family �Commerciat <br /> T pe of pro ecL New Addition Remodel Repair T.I. Si n Spnnkler Demoldion Chan e of Use <br /> DESC RIPTION OF WORK�additwnai space pmvrdeo on the Deck): <br /> '�1 '(,i5��.�I �, r.tki.17 a CL''/:.tS��y�irnk�� ���5+� 1�5 . <br /> ��i� ,�1,�1I e�S 'i 'r:� �p '� i✓r'��% �i 'll _�.�a <br /> MECHANICAL PE MIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolProJect: _New�Addn _Alleratlon_Repalr TypealProJect: _New_Addn _Alteration_Repair <br /> Show Number(a)ol�xtures Show Number(#10l�rfures <br /> AIC—airhantllin uni�s Toiiel <br /> � Forced air s stems I Bathtub <br /> Gas ipin Lavato (wash basin) <br /> � Warer heater Shower <br /> Gas fire lace Kitchen sink d dis sal <br /> Gas ran e Dishwasher <br /> Clothes d er I Clolhes washer <br /> Ran e hood Water heater <br /> Exhaust lan I Sink(servicelbarlmop/etc.) <br /> Heal pump Backflow preventer <br /> I Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Relri eration F�oordrain <br /> Woodstove Grease tra <br /> '� Ductin Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM other: <br /> Number ol Heads Olher: <br /> � ��yceNlyNnll�avermd���e.am�nedlnisapp5cotionanCl.now�nesnmeloCalrueenOWrteel.Npm�mb�tollew�uMo�Uhanee�0ovemnO�NV°olwakwMEeeanD�4 <br /> .s�•mer sperlaA�mein or nol Tne prentin0 0l e D��a�s^ot D�esume to 0�eutlaM�a���e or uncel Rie O�n�a erry ot�ar�INa w lool4w�epub�np mnswc�wn F <br /> ��.�,n eul�o�t:eA Dy I�e wmer of��is D�M lo peNarm Ma work Id wl�lrl�eppYu4w�fs maCe e�M 1 comDN wM�he Suta Contrx�«f liw 18 27 RC W enU 396 200n V:nC <br /> 10� �G n�e � 2 <br /> _�.,��-I�' �- i� , yv� <br /> Ownrr/AulhorizcAApentSignature Date "' �/w'' (Rensetl&2011) <br />