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� <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8610-FAX 425-257-8657-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO�PM <br /> PROPERIY TA%p PERMIT i <br /> � I�OS GrAf+SmAn �AY ��I^�I . � r*61��` O - <br /> LEG AL br new conaWGioa: ShoA PlaVsubdivis(on Lot No._ (attaUi copy o(long legat descriptbn) <br /> OW 1ER Pnorw/E-moil <br /> q�;,�s CifylSlete2lp <br /> CO�ITRACTOR �D�(-C �IvM�JA LSIUC.N �:���--1-L �Ln�:� J <br /> N,�.: �as 17 3 .Z T e S� S E zl a Pnonelema� 360 �9N �ILII <br /> iENANT BUSINESS NAME CONTACT FOR PERMIi - �j�i�I ! ''A�/C �l(Z�\ <br /> 'C:� �rF� �C-�.11 <br /> `>e...t}Ie �..t1' 3�c,a.�S Co. Pno�„�ea ���e I f n,r� - �I( � ,�, � �, <br /> DUILDING PERMIT APPLICATION coM7rvrcT PRiCE oF WORK � � ' <br /> �,� � <br /> F..,�ting Use of BulWing HEAT SOURCE: <br /> Fa oosed Use of Bwldmg cas eleane otner <br /> ��+�.� ding type: _Single Family _Duplex_Tovmhouse _Multi-Family ,�Commerdal <br /> Ty,�eo(proJacL• _Naw _Additlon _Remodel _Repair�T.L_Sign_Spdnkler_Demolition_Chanpe ofUse <br /> Uc tcripUon of Work(ea�ionN apeoe provaM m me oork): <br /> ���.A: ��(�Il��hr! � ���i: ���I<�* �tf i '_�.,. , r.� ����.�,- -�.r �1' (.�Ic�Li �Y a,�ir � 5��.��i.l. /C.,J �,f,i�f°/ <br /> �. <br /> INzve you eGrted workinp wlthout a permil9 _YES _NO <br /> � MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Ty io of ProJoet: �New_Atldn _Allora�lon_Rep�ir Typo of ProJxt: ,�Naw_Addn _Aluntlon_Ropair <br /> Show Numbtv(MJ ol lixtures Show Numba f1)ol�xtures <br /> NC—airhandl�n units To:let <br /> Forceda��rs stems Bath;ub <br /> Gas ipin Lavato (wash basin <br /> �11 Water heater Shower <br /> �_ Gas nrc ace Y.nchen smk 3 dlsposal <br /> Gas range D�shr+asher <br /> � Clotbes tl ef Ciolhes washer <br /> Ran e hood Watcn c�ater <br /> Exhaust lan S.nY.(serncelbar/mo etc.) <br /> Hcat pum Backllow preventer <br /> � _ Und hCJ'0� I Un�al I, <br /> � �ciler Drmkmg Founlain i <br /> ( i Keln �.ahon Floordram <br /> � Woodslove Grease tra <br /> ' Dudm Rool drains <br /> I O�her Alcdical GOS <br /> ! SPRINKIER/SUPPRESSION SYSTEM _ Other <br /> fNum0aro1Nea0s <br /> �eieGy ceNfY Inat I twve�eaa a�d exam�ned Ihis a�pbcal�on an�know tne same to bo Irue anC oortetl M pwuWn�ei laws and or0inencoa povemMq <br /> .•�:ly{re ol vroik mN be comP4ed rnih vfielher speofieC herem or nct.1 ne prantinq ol a permtt Aon nd prowme W prve sut�onty to vldate or rancel <br /> . e pwbbn ol+nY al�ar tt�le a bcal law rep Wtlnp consl udan a tM peAormsnce ol cauWdbn.Thtl I am au�Maized 6y the oM.ier ol thle P�oP�M <br /> �� petlpm lhn work fa MfYfi appliulbn N ma0s ard I oompty wN�lhe S41s ConVadon Lnr tE37 RCW and 2B8.Y00 WAC <br /> (�� ' <br /> 'i / � 7 ' � <br /> (.wncrlAulheNved Apent S{gnsWD - - -- W�e (Rwiaed f7/10f0) <br />