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� � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES r�`(� `�� <br /> 3200 Cedar St., Everett, WA 98201 425-25�-8810 FAX 425-257-8857 wvnv.everethva.org �5 ��- <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SI AD�ESS' � PNOPERTYTA%q �Ty��� � � <br /> \ <br /> LEGAL lor new wnslruction� S�ort Plal/ u rvision Lot Na (altach copy ol long legil description) <br /> OWNER � PhonelGmail �^3 , �, <br /> ntlmess S � �U C�ty/State/Z�p �. �O 3 <br /> APPLICANT:_Owner _OwaeY;Agent _Conlr t ConlractofsAgeN _Tenant�mmi ,o.doake�ror�o.,seninommom.n�noao�.on,naesp�a� <br /> CONTRACTOR ,S L S 1 Lit.# � ID , �COE Bus. Lic.# <br /> nAdress/ �j �— 9 Phonc/Emaii ,3�^ sS r-7� <br /> TENANT BUSINE55 NAME GONTACT F PERMIT <br /> P�onelE•mail — � — / 3S�� <br /> BUILUING PERMIT APPLICI4TION CONTRACT PRICE OF WORK <br /> Existing Use of Bwlding HEAT SOURCE: <br /> Proposed Use of Bwlding cas Eiec�nc Other <br /> Ouilding lype�. �Single Famlly _Duplex_Townhouse _Multi�Family _Commercial <br /> Type ol project New _qdtldion _ Remodel _Repair_TJ._ Sign_Spnnkler DemoGlion Change of Use <br /> DESCRIPTIONOFWO Kldeinona�sr�acep�ovitledonlheDacx�. <br /> ��l'___ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Pmject: _New_Adtln _Alleratlon_Repair Type ol Projecl: _New_ntltln _Alterallon_Repalr <br /> Show Numbcr(pJ a//uWres Show Nomber(a)ollixlures <br /> AIC —an handling unds Toitet <br /> forcetl ar systems Bathlub <br /> Ga,nipmg Lavatory(wash basin) <br /> Wa1cr heatcr Shawcr <br /> Gas hreplacc Kitchcn sink 8 disposal <br /> Gas ranyc Dishv:asher <br /> Clolhes dryer Clothes washer <br /> Range hood Waler he�ler <br /> Erhausl fan Sink (service/Wdmop/e�c) <br /> Hcat pump Iiackllow preventcr <br /> Un4 hcatCr Unnal <br /> Ooiler pnnkinq Poimtain <br /> Refrigcration Floor drain <br /> Woodslove Grease trap <br /> Uuchnq Rool drams <br /> Othcr_ Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM otncr <br /> Number of Heads Other. � <br /> I�rzre�y crnry I�a!I p�va redE anE ecaminerl Inl:npPl�cal,on nnJ Anow Iho snmo lo Eo Irua nnd conttl NI pwvi;iam ol laws onJ oNm:�nces povem:n9l�n rypo Nwod vn1 pe mmp6ril <br /> vmA whelhar spen/ra qerein or nol Tno ryanlinq of n pemul�oc�nol pie;ume to prvo nNl�onry lo violale or contei tha pmns:on ol any u�ner:�ale or local bw iequbbn9 con JrvcLon <br /> Il�.JlamaWn`��eoHnrrolNl mpertylaperlortnihnwoAlonM'c�npPhculronlimuJeavU�nmp'�v,RimeSlalnCnnhactor.larvtf127Hf,'.4an0]96:MIAlN�C <br /> S i�-�9-i� <br /> Owncr/Authoriz A�enlSignalurc 1)alc �Rrm;c��W?Of71 <br />