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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMSING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , [vere:t, WA 98201 425-257-8810 FAX 425-257-8857 w,rr�v everetlwa.org <br /> � - - � S <br /> SITE ADDRESS: PROPEHTVTn%a P �I.9�, �,q� <br /> 'i7 Q 1\ l� `v I �.1 . Z.D3 � a`�.� <br /> LEGAL lor new wnstrucnen Short PiaUsabtl�vison Lo1 No_ (attaeh eopy o'�ong le9ai descnphon) <br /> OWNER T n Phone/E-ma:l �- - (�a <br /> �I n � ' Zs� <br /> nda�ess 4 atylStatelZ�p �/y�, <br /> APPUCANT: O�ener _Ov.nersAgene ,�Conlractor _Ccntractor'SAgeN _Tenantlm,s�:�o..aoaimc�o!co,+cmrommco..�:r.000.�cn-.n���,;��e7 <br /> CONTRACTOR .�� j-n J�� � C. Stale Lic.#1,J�R�Cv \� S C�ty Bus Lic tiv.� <br /> A�dresszyZz IJ��(J'- S�$" a'J PnonelEmad - � - �� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phonc�E�mail n� - Z� " ab <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 3�0�7�— <br /> Ez�sting Use ot Bwltling HEAT SOURCE. <br /> Prnposetl Use of Bwlding Gas Eiectric_ Omer _ <br /> Bwldmg lype� �Single Famdy _Duplex_Townhouse _��4ulti�Family _Commercial <br /> Tv e of ro ecl Ne�.v Add�tion Remodel Re air T.I. S� n 5 rinkler Demolilion Chanae of Use <br /> DESCRIP�T1IONOF�Ot�RK(adC�honalspocep�Pv;detlonthecD�ac4) • �II� t� \ <br /> Qv1�U �. �2.— 4�Oo� PUSF o-+�V, bq.tr��-�F+aZ�w� WG'4c1�^Ou1 �C�-Q.. S�«-�-� G��C�� <br /> f <br /> �I�S�c.�� Cv �����1a�. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type oi Projecl: _Nrw_Addn _Alteralion_Repair Type ol Prqech _New_Addn _Allemtion_Repair <br /> Show Num6er(�)o!fiitures � � Show NumUer(k)ol�xmrc5 <br /> PJC-air handhn umts Tode; <br /> Forced air s stems �athtub <br /> Gas � �n Lavato wash basm <br /> waten c�ater Sho�.ver <br /> Gas lire lace Kitchen s�nk 8 dis osal <br /> Gas ran e Dishwasher <br /> Clolhe5 tl er Cloihes wa5her <br /> Ran e hootl Water heater <br /> E*hausl fan S�nk servicelbadmo letc) <br /> Heat oum Hackllow reventer <br /> UnJ healcr Urmal <br /> E3o�ler Dr�nkin fountain <br /> Relu eration Flaordrain <br /> Wootlstove Grease tra <br /> Duclin Roof drams <br /> Otner Metlical Gas <br /> SPRINKLER 1 SUPPRESSION SYSTEM otncr <br /> Number of Heatls Other: <br /> I nete�y Cen��/t0al I�T:2 rea0 anG e�dmned IOis appliUiqn anC know I�e 5dme lo De W^antl coneU An provisians ol laws an0 or��nances govemmg IMs IyDe ot work wnl Oe eomp <br /> w:n w�elner speoM1ca�rrem or nm.Tha 9rantin9 0l a perml Ooes nm pmsume lo nn'c aN�onty Io v�olale or cancel t�o pmvlsion ol any otner slale a�bwi�w R9ulabng consVuciwn <br /> fiai�Iy�m�u'�anzetl ov���e o��ncr ol mrs Croperry lo DeAorm Ne wod lorr�n�cn apP'�.cai�on is ma0e anU i compy wM I�e SIa'o Cvnlra�lors Law 18 27 RCW anE 296.10UA WAC <br /> G\n.,� :�.j (LF�.L�,�. 5�13�1s �f 2. <br /> OwnerlAuthorized Agrn�Si9naNre Date (ReviseU820fa1 <br />