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� � <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERInEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320C Cedar St , Everett, WA 98201 425-257-8610 FAX 425-257-8857 �v�w�.everethva org <br /> SITE ADDRESS: /�Z y ����w�� G,L PROPERiY TAX 4 F MJi�o�,,.,^ <br /> � E v i � o � �� <br /> LEGAL for new consiru[tion� S�ort P!aUsub.lrvislcn Lc;No (ana✓�.capy o"�onq iegai eescnFtion) <br /> OWNER � /�� PnonelEmad <br /> / 0 <br /> noa�ess /7Zy �i+��4^�f/��e �y crtyist��ezoEvl� /� ze�� <br /> APPLICANT:_Ownc� _OnnersAyenl _Con:rac;or �Conttapto!SNyer.; _Tenanl�m„io�o.�:ui<e�,o�a�++om�T�v+oa..��uao+.on�.....o»�a•� <br /> CONTRACTOR ��S�� � c State L�c z City Bus lic.��T�'i`l <br /> Oo o� 4zS'-1z7-': ci <br /> address P�.0 3 pV Ev /p Wnc^•e�cma�l q�'qfSCc ,�(.., �C� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT ' <br /> P�.o�clE-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exi;Lng Use of Bwitli^g HEAT SOURCE <br /> Proposetl Use of Bwltling Gas___ Elenrc _ Otner _ <br /> Owld�nglype � SingleFamdy _Duplex_Townhouse __MuIt��Family _Commeraal <br /> T e ol oro ect New Atldit�on Remr�el � Re a�r TJ. Si n S nnkler Demohtion Chan e cf Use <br /> DESCRIPTION OF WORK(aoa,t�o.aai space c�o�ae7 c�me eacti) <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projecf. _New_Addn _Alteration_Repair Type ol Pro�etl: _New_Addn _AlMration_Repatr <br /> ShowNumbcr(nlo/fialures ShowNum6er alol�xm�es <br /> NG—air hanQl�n untls Todet <br /> Forcetl air 5�stems Oathlub <br /> Gas o� �,n Lavato wash�as�n <br /> Water heater Snewer <br /> Gas hre late KrtChen siok A Ois asal <br /> Gas r�npc Uishwasher <br /> Clothes d e� Cl�lr�es washcr <br /> Ran c hood Water heater <br /> Eanausl fan S�nk (service�6ar/mo 'etc 1 <br /> Heat um Backficw reventer <br /> Umt heatcr Unnal <br /> Botler Unnkm Fountain <br /> Refu eration Floordram <br /> Wocdstove Grease fra <br /> DucUn Rool drains <br /> Olher ��ledical Gas <br /> SPRINKIER / SUPPRESSION SYSTEM Omer ' <br /> �_ Number of Heatls Other <br /> 1:teic�y cenRy P. . '�.lve ivatl,n�e•Tm neJ 19i:dppL'utl��pn dn11 kna.v I�c SYne lo be INe dnd certN.t A'I p�OvuiOns ol Llws anC el11Y12nUs qOVClIIinB IMs IypO of werk����I;v:.an�,p <br /> �.:�n w�el�cr spcofnC�c�e�i or nol T�c q�ani�n9 0l a pertnd Ooes nal p�esumo io g�vc au�nonty lo vuiato o�wncel ma pmvis�on ol any ol�c�slalo or lowl law mguNbng[om:�uq�o� <br /> •R�ai i am awnonxca b I�e ownrr ol ms propeM�o petlarm Nc�voa�orwhiN apD4W�o/n 5 ma0e an01 wmpy wnn me Siam Comraclors Law 78 27 RCW antl 39G 2�On tvaC <br /> �/��� 3�/�/�OjS' <br /> Own�AT+o�ri�ictl Agent Signalure .C,��e (Recacd P/.'Oi�) <br />