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PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <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 /> ' ROPE0.7YTN(p RMITO _ � <br /> ,� i .ti �� �t�� ' n <br /> LEGAL lor new construGion: Shon PiavsuDUivision Lot No._ (attach m0Y ol lorg iogai desrnp7on) <br /> OWNER PnoneiE-rra'J <br /> Address Cit��ISlale2ip <br /> CONTRACTOR C'J_ 7 �i'�—t:�:`?I,)�T+ . .�— •� /; /� L81 Lic.X (�_-L1�: `�,C` ��.�` <br /> / I � � ' ' �`r�':) - �- 'i�l4 <br /> Address � 1 z c �lti � �-1 �� t�Vl::a�L-1 r �� .'L ?honel[natl �,'. , / �. � `.�:I- ;r� <br /> TEIJANT BUSINESS NAME CONTACi FOR PERMIT - <br /> 7 KC�lv ' ,:+�c� <br /> (X4:< � -,�A �7(L� '� PI�onB/E�ma�l '.��� �/ r �� '� : Q-.C .i/i�y:/ <br /> BUILDING PERMIT APPI.ICA ION CONTRACT PRICE OF WORK�' �r!�arj, ��- <br /> Ezisting Use of Bu;iding HEAi SOURCE <br /> _� <br /> Proposed Usa of Bwidinu �,-. .;��_,�; •i i ,"� Gas Ucar�c Omer <br /> Buiitlmgtype: _SingleFamily __Duptex_lamhouse _Mutti-Pa ly _Ccmmeraal <br /> Type of project: _Naw _Addlllon _Remodal _Ru{fair T.t. Slgn_Sprinkler_Demolltlon_Chanpe of Use <br /> DescnpUon of Work(addlrimm apeae pmvdedm n,o bock/: <br /> Have you started working witlwul a pennit7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBiNG PERMIT APPLICATIOk <br /> Typeo(ProjecL „�Nc�_Addn _Altention_Repelr Typ�olProJeet: _Nnv_Addn _AIItnUon_Rcpdr <br /> Show Numbcr(NJ o/liYtums ShowNumbw(p o/DrturN <br /> WC—arthandlinpunits f' lodet <br /> Forcetl a�,r systems Oalbtub <br /> Gas pipirg Lava wash Wtin <br /> Water heater Shw.ar <br /> i Gas f�re lace Kltchen a�nk 6 AKpotsl <br /> Gas ran e pqhwasber <br /> I Clothes d er Cbtbes wacher <br /> Ranae hood � Wa'er neater <br /> E#�aust fan S�nk �serncelbar. MC. <br /> I Heat pump 3ack9cvr preuMet <br /> Uni!heatet W.�al <br /> I Bciler pnnk� Fourtam <br /> I Reln raGon Flppr tliair <br /> i Woodslovc Grcasc trap <br /> DoCin Rool dra�ns <br /> �_ � Olaer � . �v _ MeCica�Gas <br /> SPRINKLER I SUPPRESSION SYSTEM ah�� <br /> ___ Numbcr of Heads � <br /> I hereby ce7i'y tna;I have iea�ana uxarr,�ned Iha aDW�uiton and kncw t'�e samo to be NN alq pptnd.A1 provfao�tf pf i7we fn!DrtlMan[es Qorpmry <br /> 11�51yq:ol vr�ik wi0 Uc W��npliad mPl�Nwllwri bpeaf�ed Ir�en�p�itL i1M prurlrp d a pMmq 0on rq1 ptswrne 1p qlre�WhuAy!u�i•,letr,er lnvi <br /> the Provislon ot any otl�er�toM a bwl law tlyu4lYq epuf�Mlon p yy p�Apm�nw o1 eOnWuqipn,ih�l I Mn�a0 t,�r^.�. r,xner r,�!•..;t.r,..f^.+'y <br /> w cert lm�o work ror�ud�aw`nt�o��!�!e:ne�oomqy wnn nr sms camnaon uw tezr recw ana ue sm wn� <br /> � ' <br /> �. 1_.., j�:�'. � - z � - � � <br /> Ownor/AuthorireA Apent Sipnaturn �en rs:�.�,•, •<.��.�, <br /> �%z <br />