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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8610 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE AC�EPTED FROM 8 AM TO 4 PM <br /> SITEADDRE55: PROPERiYTAXp P MITR <br /> � ':�a: � M IJ.aY 5".� 1 �. — <br /> LEGAL for new conslruction: Short PlaVsubdivision Lot No._ (attach copy ol long legal descriptian) <br /> OWNER 1"uCT O� �J=� PhonelE-mail �2r7 3v� '��� � <br /> Address � (3f3x �j CitylSlatelZip � V^.��G_-- 1��. �'2'C <br /> 6 <br /> APPLICANT: Owner Owner'sAgenl _Contractor ConlreclafsAgenl ,�TenBn�(mustcrcnaenter.ercicensemfom:rea.nenoaowortmmasFa:o) <br /> CONTRAC70R �1 E,d.�t.1"— 1� I Vi � L 8 I Lic.# COE Bus.Lic.# <br /> PhonelEmail <br /> Address <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �a,�,J �,.,,,�,a�7,V <br /> PhonelE-mail (o - 36`� '�'73 y /,}'JN�b�JE.,r–'�r�� t����1q <br /> [�L��T�2 1��5�1VLin7 �Q'� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 1�� <br /> HEATSOURCE: <br /> Exisling Use o(Building – <br /> proposed Use of Building Gas_ Eleanc_ O�her_ <br /> Building type: _Single Family _Duplex_Townhouse ,_Multi-Family _Commercial <br /> Type of projecl: New _Addition Remodel _Repair_T.I._Sign_Sprinkler Demolilion_Change o(Use <br /> DESCRIPTION OF WORK(edeitiona�spaceprovrdedon the aack): <br /> '�j�s!^=.t�5i0t.� Oi L�C7HTIN(r� t=YLru���- <br /> MECHANICAL PERMIT APPLICt1T10N PLUMBING PERMIT APPLICATION <br /> TypoofProJect: _Now_Addn _Alteratlon_Rapalr TypoofProJoct: _Now_Addn _Altorallon_Ropalr <br /> Show Num6cr(R)o/lixfures Show Numbcr�p)ol/lxturcs <br /> � A!C–air handling units Toilet <br /> I Forced air systems Bathtub <br /> � Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas(ireplace II Kitchen sink&disposal <br /> Gas range I Dishwasher <br /> j � Clothes d er I Clolhes washer <br /> � Range hood � VVater heater <br /> Exhaust fan I Sink(service/badmop/elc.) <br /> Heal pump I Backflow preventer <br /> Unit heater I Urinal <br /> Boiler � Drinking Fountain <br /> - � Refrigeration I Floor drain <br /> � Woodstove ! Grease trap <br /> � Ducting I Roof drains <br /> � Other j Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other. <br /> � Number of Heads � Other: <br /> i���_reEy eeNly t�at I have reaA and e.emineA Ih:e oppi�cnuon onC kno�n Iha sama to Ce Irua ond coned.Ap D���sions o11aHa enC ordinencas goveming this rype af evrk wiA be mmp'.eC <br /> :.r.n�Mol�er spocdmtl hereln a nal.Tl�a qmntinp M e pertnil doee not preeuna to pNe aut�ority to vioWte w cencel Ine pmvision ol eny otner etata w lacal law rryulalinq wnstrudion <br /> �t nat I om eN�orizeU by Iho ovmer o11Me pmpMy to pedam��e xrork lor wTich apD����ion le matle en01 compy wM Na Slate Ca+tredars Lew 1 B27 ftCW ana 296 POOA WAC. <br /> 7 �i <br /> �j/ � r��J�IZ Z <br /> OwnadAulhorizodAgontSl�naturo , Dalo (Revised620f2) <br />