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c i� <br /> . <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBING/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 8 AM TO 4 PM Q ���I`— <br /> SITEAUDRESS: , r s PROPERTYTAXN PERMI =� �DO� <br /> l <br /> LEGAL for new construclion: Shor1 PleVsu6tlivision Lol No._ (attach copy of long legal descriplion) <br /> OWNER r-� V�' ��� PhonelE-mail <br /> Adtlress CitylStale2ip <br /> CONTRACTOR i.yn i L&1 Lic.# <br /> AtlAress r �� � j, honelEmail <br /> TENANT BUSINESS NAME CON ACT F R PERMIT <br /> EC� C'� � PhonelE-mail � �{3�� �LOYY'� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Buiiding �i��P�c.� HEAT SOURCE: <br /> Proposed Use of Buitding Gas electr�c_ Other <br /> Building type: _Single Family _Duplex_Townhouse _Mulli-Family _Commercial <br /> Type of project: _New _Addition _Remodei _Repair�T.I._Sign_Sprinkler_Demolition_Change of Use <br /> Descriplion af Work(eddifionalspaceprovidedon fhe backj: ' <br /> Have you started working without a pertnit4 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofProJect: New_Addn _Alteratlon_Repalr � TypeofProJ9ct: _New_Addn _Altention_Repalr <br /> Show Number(N)o/�xfures Show Numbar(M)oI flxtures <br /> AIC—air handiin units Toitet <br /> Forcedairs ste Balhtub <br /> � Gas piping Lavato (wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposa <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan - Sink(service/badmoplelc.) <br /> Heat pump Backllow preventer <br /> Unil healer Urinal <br /> Boiler Drinkin Fountain <br /> Refrigeretion Floor drain <br /> Woodstove Grease tra <br /> �ucting Roof dreins <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other. <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined Ihis applicalion and know lhe same lo bn Iruo and cortect.All provisions of laws and ordinances goveming <br /> this lype of work will be complied with whether specified herein ar not.The granling ol a permit does nol presume lo giva authorily to violale or cancel <br /> the provislon of any other state or local law regulaling conslruction or ihe peAormanco of construction.That I am authorized by the owner o(Ihls property <br /> to peAorm the work for which application is mado and I comply wilh Ihe Slate Conlrectors Lew 16.27 RCW end 296.200 WAC <br /> ��r�,t� 1�Y�c�.�i{ <br /> Ownor/A lhoriza AguntSlgnaturo Dalo (Revised?ROfi) <br />