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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 v,mnv.e�ereliwa.org <br /> <�_ �s _�� <br /> SITE ADDRESS• PftOPERTY iAX n PEE2M1t1T <br /> U u/h' ' oo�sa � o � � �8 /�`07- OD <br /> LEGAL far new consircchon: Shart PlaUsu6�ivision Lot No_ (attach capy ol long legal dcscnption) <br /> OWNER /vs' ✓ L, � S �� PhonelE-mail '� — � � — �� <br /> AJtlre55 ��� — . 6 t 7�� ,S/ F C�Iy/5�ate/ZiP S/v(J �� ..�� (� � <br /> APPLICANT:�O�vner O:mer'sAgenl Coniraclor ContraaoisAgent Tenanf�m�+iv:o.�a�r�n«<i«�:�.,wom�.�oo,��noa�..o«m�n,,,�,�o� <br /> CONTRACTOR ��� State Lic. # Ci:y Bus. Lic.k <br /> Address PhonelEmail <br /> TENANT BUSINESS N�f�1E CONiACT F,QR PERMIT <br /> Fhone�E�maii <br /> BUILDING PERMIT APPLICAYION CONTRACT PRICE Of WORK <br /> Exisling U5e of�widing %�C / �L FX HEAT SOURCE. <br /> Frcpo=_ed Use of Bmlding Gas_ Eleclnc___ Other_ <br /> 13u���dmg lype. _Single Famdy _�uplex __To�.�nhouse _ kiulli-Fam�ly _Cemm?roal <br /> Type of pre�ecl f�ew Addaion Remodel X_Repa�r T I S�gn_.., Spnnkler_Demolition_Change of Use <br /> DESCRIPTIONOFWORK/aCml�onaispaceprov�eedoninebackl. _ <br /> /�E-T�.4 i/c� �ACK T—�cr.��/� - _ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo ol Project: _Ne�,v_Addn _Alleralion_Repair Type ol ProJect: _New_Addn _Al�era�ion_Repair <br /> Show 17um6cr(a)ol Iix(ures Show Num6cr(b)olli+fures <br /> A/C—airhandlin9unds � Toilet <br /> I Forced air systems � �alhtub <br /> � Gas pipin9 I Lavatory(�vash 6asin) <br /> Waler healer I Shower <br /> Gas fireplace I Kdchen sink 8 disposal <br /> � Gaz range I Dish�vasher <br /> I Clothes dryer � Ciothes v.asher <br /> � Ran9c hood bV�tcn c�ater <br /> � Fxhaust lan � Siak(service/Gar/mop/etc.) <br /> � Heat pump � F3ackllow prevenler <br /> I UNI healcr � Urinal <br /> � Ooiler Drinking Founlain <br /> Refrigeralion � Floordrain <br /> Woods�ove I Grease Irap � <br /> Ducting � Roof drains <br /> � Other Aledical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � otner <br /> Number of Heads � Olher: <br /> �ncru7y ccn�ty i�a�1 Pavo ieai antl ea�m�ned ihs appi:wF>n ani kno�v ihe samc l0 6e Irve antl corrcct.Ail prcvlvons ol lo�vs nnd oiE�nances govemmg If:�s type al work adl bo camD��ed <br /> n::9 xnelher zpeuGeJ neiein or not.Tne 9raN�ng ol a peim1 does nol presumo�o give au�norny Io vio�ale ar canccl�no pmvisicn ol any a�ner state or lawl law ttgWat.]g cons�mcUon <br /> TullamaWfWrized6ylheo�weroll�iapmpetly,lopedormt�eworkfcrw�ichapp:'calionitmaEaan�Icomp1yw1111t1e51B1eConlrOClorSla�.v1877ftClVandl?62COAlM1'AQ � <br /> ����.�� �"j ��,�� % - �Z.�- l� - �---lz <br />