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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.e!g <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / —a b`�Z <br /> SITEADDRESS: PROPERTYTAXp P� ��N n <br /> Za�� EJEEEi( AJE. RE7 � oo�t ioo8�6ao �-i� <br /> LEGAL br nCw constNGllo¢ Shon PlaUsubdrvision Lol No_ (altaU copy ol long legal descnpuon) <br /> OWNER �OLD LEASi cd L4C Pnonc/E-mail Z 2 ZNGS <br /> Aaaress� goK � 6! +�AR v��.E tJA 9'bZ70 C�tylState2�p <br /> APPLICANT:_trwner Owner'sAgent Comraclar _ConlraaorsAgent Tenantl�+�+�c��b��k�era�^�^��'�in01eO'^^M�°�ow�«��,r�rM.,:�� <br /> CONTRACTOR I CO� L& I Lic.# COE Bus. Lic.# <br /> Address PhonelEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT p�: .�25 �06 76 H6 <br /> �c�cNa�< �S c�none/E�man I`iCtl'FY�SOI� �1: RYA �5E5kYB��-� ��o <br /> BUILDING PERMITAPPLICATION CONTRACTPRICEOFWOf�K .r� ooa, �-- <br /> Exisling Use of Buildmg FIEAT SOURCE: <br /> Proposed Use of Building / Gas_ Eiectnc_ Omer_ <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family �Commercial <br /> T pe of pro ect: New Addition Remodel Re air T.I. Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(adUltione�spacepmvidedon me back): <br /> hrr,n� �EP-�,�' t1Pv�-�wnm(. <br /> �Drc�v�Tda� s���Is — AiA�,B� Bz c p �u�cfl��5�4�s — fi,�2 �t, l,�. �i �la �iTz <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> 7ype of ProJect: _Now_Addn _Alteration_Repair Typo ol ProJoct: _New_Addn _Alteration_Repair <br /> Show Namber(M)af/ixmres Show Number(#)o//ixfures <br /> A/C–airhandlin unds Toilel <br /> ' Forced au s stems BalhWb <br /> Gas pipin Lavato (wash basin) <br /> i Water heater Shower <br /> � Gas fire lace Kitchen sink 8 disposal <br /> ' Gas ran e i Dishwasher <br /> � Clolhes d er I Cbthes washer <br /> I Ran e hood I Water heater <br /> I Exhausl fan I Sink(sernce/barlmo /etcJ <br /> I Heat um I Backflow reventer <br /> i Unit heater � Urinal <br /> Boiler I Drinkln Founlain <br /> � � Relri eration I Floor drain <br /> � Woodstove I Grease trap <br /> Duclin Root drains <br /> ' Other I Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I otnec <br /> ! Numt=rofHeads � Othec <br /> I Iwret�y cently Itmt I havo�ead end ewmmetl Ilus appYeilwn and luww 1�o S]me lo Ga INa end LOffltl.Nprovisbns ol Ww50nd ddNanC0590vemin9 Uis lypf ol wak w�ll�e con�pled <br /> wAn vAellier spocil�e0�eroin or not.lhe yianln9 ol a permit does noi pmsuma to prvo auNo�ity lo rbWle a tentel l�e pmvision ol any oAer slale or bwl law regu�ing consuucur.n <br /> inal I am auNarimd Gy No owner ol lhisVropeiry to petlorm t�e xork lor which npptication ia maGo and I wmply vnN i�e Stalo ConVactors Law 1827 RCW anE 2fNi 20�A WAG <br /> OwAerlA Ihodx�5ignelure Date (Revisedfi2012) \�L <br />