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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / —D (� —I� <br /> SITEADDRESS: PROPERTYTAXp pEp �Lp Q <br /> Z�� EJEeE�f AJe. KET � Co y� �G08�60D S Z <br /> LEGAL tor new cpnslrudiort Short Plat/subdrvision Lot No_ (attach copy of long legal tlescrip6onj <br /> OWNER �o�p L�AS� cv c.�� Phone/E-mail Z� Z ZH68 <br /> AdtlreSsjb gyK 1 6l MAR vi��E Wl4 98270 CiryfStale2ip <br /> APPUCANT:_Owner _Owner'sAgent �CoNractor _ContractoYSAgen' TenaM�m�vo�o.d�a�r.�•ia�onx.,,ii,wnu,ea,,,ern,noxort,..,me�,��i <br /> CONTRACTOR - I d• L 8 I Lic.# COE Bus. Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTAC7 FOR PERMIT p�.: .�25 yGb 76 N6 <br /> N�c�ch�alc �S Phone�-ma� �ZS'�Y�S��k �*1:RYA V5E5kY�2coRe-� .co <br /> BUILDING PERMI7 APPLICATION CONTRACT PRICE oF WO K O nco, 9s— <br /> Existing Use of Buiiding _ HEAT SOURCE: <br /> Proposed Use of Building / cas Electnc Other <br /> Bwlding type: _Single Family _Duplex_Townhouse _Multi•Family Commercial <br /> 7 pe of pro'ect: Naw Addition Remodel Re air T.I. Si n Sprinkler Demolition Chan e ot Use <br /> DESC RIPTION OF WORK ladd�tional space pmvided on the back): <br /> �f(�n� PEP�Itr APPtiU�P��. <br /> (J(Lit�'ft4QJ Sfin�S — AI AZ �I 62. C f� 13uItD� 51 nl5 — � <br /> , � "i S FI,�� �,1� 12 �}i �z �iTz <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of ProJoCL' _New_Addn _Alleration_Rep�ir Type of ProJoct: _New_AAdn _Alteration Ropair <br /> Show Number(p)of/ixturns Show Number�#J ollixtures <br /> AIC—airhandlin units i Toilet <br /> i Forced air s stems I Bathtub <br /> I Gas pipin I Lavato <br /> I Water heater (wash basin) <br /> I Shower <br /> I Gas fire lace I Kdchen sink 8 disposal <br /> — I Gas ran e I Dishwasher <br /> I Clothes d er I Cbthes washer <br /> I Ran e hood I Water heater <br /> I Exhaust fan Sink(service/badmoplelc.) <br /> � I Heat mn I Backflow reventer <br /> I Umt heater r Urinal <br /> Boiler I Dnnkin Fountain <br /> Refri eralion i Floor drain <br /> Woodstove Grease trap <br /> � Duclin Roof drains <br /> Other Medical Gas <br /> SPRINKLER /SUPPRESSION SYSTEM I Other: <br /> I Number of Heads � Olher: <br /> I L�.•��•Ay cetltly Ihal I havo roa0 anU ecamined Uus appYwlun anE know iha;ai�lo�u huo and eoReq.AY pmrispps ol Uws antl ortl�nance5 goveming Mis rype ol wwk vnll t�e cu:;�p�,.��I <br /> v.'n�MathM specAietl�ermn or not.7To graning ot a pertnit 0oe6 aol pmsume lo prvo authonry lo vblale or W ntel I�o pmvaan ol any ot�er s�ato or bfal Ww reguWtng fAnstmcbon <br /> inal I am aul�otlio0 by I�e owner oI lAa pmperty lo peAorm IAo woik lor whch appUwhon is made and 1 wmpp wdh t�o SWte Contraclon Low 1827 RCW anC 2DO.pppA WAf. <br /> ��� \ 1� '�/. <br /> Owner/A ithoruetl Agent Signalum Date �Revrse�l�✓'Ot21 <br />