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PERMIT APPLICATION <br />BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT tS�ERVICES <br />3200 Cedar St.. Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereltwa org <br />1 -,'2j -1 9-IS <br />SITE ADDRESS: T26PkOP�E <br />TA% �2 M <br />P 7T I O , <br />LEGAL for new construction: Short PlaVsebdlvlslon Lot rJo_ (attach copy otlong legal descriFhoo) <br />OWNER t <br />Phone/E-mail I <br />M/�,1«4l� <br />Address n 2 S-.V-1V xxlWhil, <br />CIt7ISlateOp ft. I <br />t <br />APPLICANT: —Owner _Owner's Agent Contractor Contractors Agent i Tenant t.vuw•.C••l•biM•m••n�M1wd i^•^�^•�e ev.on .•m. •S•••1 <br />CONTRACTORKjkl�j. <br />/ <br />Stale Lic h W lL City Bus. Lic. h <br />Address 2 �n 'd Lk phone/Emad CL� `A (,�•'1 <br />TENANT BUSINESS NAME <br />CONTACT FOP PERMIT. <br />lPhOMNE-nia I I � `�-1 • 14y <br />BUILDING PERMIT APPLICATION <br />r <br />PRICE OF WORK <br />CONTRACT' <br />Existing Use of Building HEAT SOURCE: <br />Proposed Use of Budding Gas Electric Omer <br />Building type' _ Single Family _ Duplex _Townhouse _ Multi -Family Commercial <br />TvDe of roecl: New Addition Remodel Repair T.I. S' II Sprinkler Demolition Chang of use <br />DESCRIPTION OFWORK ,(additional space pmvidedonthe becT <br />2-t l� <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typeot Project: _Now _Addn Allorallon _Rapalr <br />Show Number a of fixtures <br />Typo at Project: _Now _Addn _j.lteration_Ropair <br />I Show Number d of fixtures <br />I A/C - air handling units <br />I I <br />To let <br />Forced airs stems <br />1 <br />Bathtub <br />Gas i ing <br />Lavatory (wash basin <br />I Water heater <br />I <br />Shower <br />Gas fireplace <br />I <br />Kitchen sink 8 disposal <br />Gas range <br />I <br />Dishwasher <br />Clothes dryer <br />I <br />Clothes washer <br />Range hood <br />I <br />Water heater <br />Exhaust fan <br />1I <br />Sink serwcelbarlmo lets <br />Heat pump <br />Bockflow preventer <br />Unit heater <br />I <br />Urinal <br />Boller <br />1 <br />Drafting Fountain <br />Refrigeration <br />I <br />Floor drain <br />Woodstovd <br />I <br />Grease trap <br />Duclin <br />I <br />Roof drains <br />Other _ <br />I <br />Medical Gas <br />_ <br />SPRINKLER I SUPPRESSION SYSTEM <br />( <br />Other: <br />Number of Heads <br />I <br />Other. <br />I Rattly tun•ly Ihot I havu rued and emmmed run apphrAllon and know the same, to bu Inn and caned, A! prowionh of lawe and arolmnded govlmlog this type of work wil be CAmP <br />with whelharnpeuned retain of not The grading of A Penn Does Sol pmsumeto ONO amnonly to vbwte 161 unwnhe pmviwn 01 any omit stale or local law tegupUng cansuuoian <br />That lam auihonled Sy me owner oil i to Peripf•'• the won for wit hU�11� made and l tmpty wan the Slate ConlnM law 1E.77 RCW and 706200A WPC. <br />�- 3 <br />OwnorlAuthorrr A on Signal D l (RCvrsetl 0/IO IO) <br />I <br />