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i <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERE7'f PERMI7 SERVICES <br /> 3200 Cedor St., Everett, WA 98201 -425-257-8810—FAX 425-257-8657—�wnv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I� `oZ�—� �' <br /> SITEADORE99: n ' /', ,� _ � �� � PfIOPERTrTA%ll ���(�tA, <br /> Vv�NV <br /> LEGAL lor now construGlon: ShoA PlaVauhdlvielon lot No._ (elloch copy of long Ie0a1 tleccrlpUon� <br /> OWNER �, vl V� l � PhonWE-mnll ' � ' -J J I <br /> Addro�a �Y�/ CIIY/S�elo2lp W'C��JLI �' `��� ��� <br /> CONTRAC70R Gl liLi �UVI �&}i,«��I,n A� 1 G <br /> Addmss '�1� �l � PnonuiEn I �'� ' ��' � O� <br /> TENANT'O1151NESS'NAMG-� �� � � ' � � C NT CT FOR PERMIT ^� �7 ri <br /> Pl�un ' �AJiI�� � '"J "_✓rt[�� � `�O� <br /> BUILDIIdG pERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Fxisting Use of Building HFAT SOURCE: <br /> Proposed Uue of 8�/ullding � (7ne Flncfdc Otna� <br /> Bullding typo: —d S�nglc Faii�ily ._Duplex Tvwnhouse _Mullidemily _Commerclel <br /> Typo ot proJecC �Ne�v _Addition ,_Remodol ,�Repn�r_'IJ._Slgn„5prinkier_Demolition_Chnngn of Use <br /> Desc�pliOn oi 1Nork(o itl nnl spaco provided fh ncW: �/�/� ��� <br /> � n � y <br /> /i/j ' �: lh <br /> Havo you etor�ad work�n9 w��hout n p mit? ,YE3 NO V <br /> MECHANICAL PERMIY APPLICATION PLUMBING PERMIT APP�ICATION <br /> TypeofProJacl: � Now�„AdAn _Alterallon_,,,Rapalr TypoolPro�acl: _New_Addn �Iloratlon_Repalr <br /> ho W Number(N)of fixfure! Show Number(�)o/flxfUre! <br /> qiC-oirhondlin un�ts Tollet <br /> Forcenntrs slcm� �atMub <br /> Gos Ipin Lavalo wnsh basln <br /> Wele�heole� Shuwcr <br /> � Gas(Ire laco Kilchan einh 8 Jis osal <br /> Gas r[�n e <br /> ❑ishwasher <br /> Clothen Ji or Clothea wasAor <br /> Ran c hood Wator hoalor <br /> - Exhausf tan Slnk aerviedburlmo lotc. <br /> Dockflow revanter <br /> IiCal pump Uti091 <br /> Unil henler Dtinkin7 Founloin <br /> [ioilcr <br /> Rofrlgcrollon Floor drpin <br /> Woodsto•�o � Greese trn <br /> Ducting Roof draine <br /> Olhor Mxlfcal Oas <br /> SPRINKLER I SUPPR!'SSION 3Y9TEM Other. <br /> ' t<uinbar of Hcads Olher: <br /> 1 horoby cortify Ihat I hnvn mad enA exnm' IA e ICU�Ion et7d kOOW Iha 6Gf11010 b0 WO UOtl fAttCCL All ptOV16i011B 0(IIIWO C11d Ofd�00�CA6 60W fPlqp <br /> li„q iype ork will be CoiTU��Od wllh wh Ihcr cpoot�o haroln or nol.The proN�ng ol o pern�il doec nol pmsume lo givo aul�adty lo vlo�ala or cancol <br /> p�e p� Ision 1 onv mher stoio or local la eguioUng anatruct�`„ryo 51aea COf1�IfuC�OIS LoW 76C27 RCW aad 290 200 WACY tl�e ovmer of lhl�propuHy <br /> ta rfomi Iha work forwhlch appllcalion i9 m c o p Y <br /> OwnorlAu dx d Apont naturo <br /> 1 oeio 1y f�„sed�noi�� <br /> j,T •,� L588LS�SZbT �Ol ��JO�d �£�00 2LOZ-8i-�flf <br />