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, '7 Y.. <br /> '1 � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <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 ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: j03�-3-DAKOTA WAY EVERETT PROPENTYTAXC PERMITM — O�� <br /> � <br /> �.3 � <br /> LEGALIornewmnswtlion�. ShortPlaVsubdrvisionVZRGIL SHORT PLAT �otNo� (aUachcopyoflonglegaltlescnption) <br /> OWNER SEATTLE PACIFZC HOMES INC PnonelE�mail `1z5-953-2800 <br /> Address 120 Slti EVERF.TT h1ALL WAY SUITE 100 CitylStalelZ�p EVERETT WA. 9820M1 <br /> pPPL�CANT: X Owner Owner'sAgent Conlractor _ConiractoYsAgent _Tenanllm�s�ww�aoaknmaconsemna�mama�M�000..an��naao.cei <br /> CONTRACTOR SAh1E AS ABOVE L&I Lic.#SeattPH005E3U COE Bus. Lic.# <br /> Address � PhonelEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Pnone�E�ma�i425-319-0122,stevesnyder.seaoac�3gmail . �om <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE PF WORK G O <br /> Existing Use o(Building Y HEAT SOURCE: <br /> Proposed Use of 8uilding S FI� Gas X Eieanc_ Otner_ <br /> Bwlding type: �Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> T pe of ro ecC k New Addi6on Remodel Re air T.I. Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTIONOFWORK(addihona/spacepmmCedonthebacA): CONS'PRUCTZON OF A NEW SINGLE FAMILY HOME <br /> PLAN 2180-37-8 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projec4 x New_Addn _Alleration_Repalr Type ol Projecl: x New_Addn _Alteretion_Repair <br /> Show Number(aJ o/Iixfures Show Number�77)ol firtares <br /> ' A1C-air handlin units 3 Toilet <br /> I Forced au s stems Z Bathtub <br /> 3 Gas pipin �1 Lavato (wash basin) <br /> 1 Waterheater 2 Shower <br /> 1 Gas lireplace 1 Ki'chen sink&disposal <br /> i Gas ran e 1 Dishwasher <br /> ! Clothes d er 1 Clc!hes washer <br /> 1 Range hood <br /> q � Exhaust fan Sink(servicelbar/mop/etc.) <br /> Heat ump � Backflow revenler <br /> Unit heater Urinal <br /> I Boiler Drmkin Founlain <br /> Refri eration Floor drain <br /> � Woodstove Grease lrap <br /> Ductin Roof drains <br /> Other ' Medical Gas <br /> SPRINKLER � SUPPRESSION SYSTEM Other: <br /> i Number ol Heads I Olher: <br /> I i��cu�:�y cendy t�at I have rea�and e.aminetl tnrs applc:�lron and know Ine same to oe W e and cortect AA provrsiom ol Wwe anG or0inences pavemnp Nia hpe al woA wJl Ce compbetl <br /> r:�.�i�:!�einerspecdaAhereinornol TOegranWpolapermnaoeenolpresumeloB��eae��ontytovioialeorwncellneprovivonalanyaNe�staleorbcellawrepWatinOtonsln¢Iron <br /> Ice I am ul�onmtl Cy l�o ovmer o110is pioperty lo pcilo�m t�c work lor w�ch u001rcation b maEo enE I compry mlh Ue Slnle Conlrnclon law 18 D RCW enE 29fi 2WA WAC <br /> Ownc�/Aulho �zed ilSignature � � Date (Revised6R0f2) <br /> I IG <br />