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• ����9� ,��,�����,���� <br /> ��QJIa..�itdC�li�1��G�s�aBdV����IP�..l11VIE31Rl(�l�l[�f�1���9�F��.��1��9l1I���.E�'I��! <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Lverett, WA 98201 425-257-8F110 FAX 425-257-8857 tivw�v.evereltwa.org <br /> SITEADDRESS __ �� PROPERTYTA%p �� f ERG71T# ��� <br /> 300� �V�� �� � � �D Ih(a—D0� <br /> LEGAL for ne�v construclion: Shmt PlaVsuhdivislon � Lot No._ (atlach copy of lung tegal descriplion) __ <br /> OWNER W{iie..D ID.�,`�� PhonelE-mail 4'� ��Z —�� �7 / <br /> Address Z�Z ' hyC./C� �G Cityl5lals�17ip ��✓✓ /'r 7 o LQ <br /> APPLICANT:�Or:ner _Owr.er'sAgeN _Contreclor _CoNractor'sAgent _Tenanllm����proriaoatmcrmconsumir+mmco�nermaawo�winne-va«1 <br /> CONTRACTOR :✓� � O��� State Lic. # N � Ci�y f3us. Lic. � N�^s– <br /> Atldress N �f � PhonciEm�il <br /> � CONTACT FOR PERMIT �y`/ �y�, <br /> Ph�o��/�� CJ� ,r 885 donnies�fi�C..�' a°�/� <br /> BUILDING PERIVIIT APPLICATION CONTRACT PRICE OF WORK <br /> � HFAT SOURCE: <br /> Existing Use of Building <br /> Gas Eleclric_ Othcr_ <br /> Proposed Use of Building — <br /> Building type� _Single Pamily _Duplex_Townhouse _A4ulii-Family ,_Commercial . <br /> Tyne of projec!� _New _Atldition _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(ad���ionalspace pro�•idedon the back): <br /> D�mo�i5 N . OG���HAti'fr nU��. �2Ar�1 P. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolProject: _New_Addn _Alteralion_Repair TypeotProject: _New_Addn _Alteration_Repair <br /> Show Numbcr(H)ol fi#ures SMw Num6er(N)ol fixtures <br /> A/C–air handling units Toilet <br /> Forced air syslems Bathtub <br /> Gas piping Lavatory(wash basiN. <br /> Walen c�ater Sho�ver <br /> Gas�ireplace Ki�chen sink&disposal <br /> Gas range <br /> �ishwasher <br /> Ctothes drye� Cbthes washc� <br /> Range hood Wafe�healer <br /> Exhaust fan Sink(servkelbadmop/etc.) <br /> pack9oiv preventer(inside bidp) <br /> Heal pump Urinal <br /> Unit healer Drinking Fountain <br /> �oiler <br /> Refrigeration Floar drain <br /> Waodslove Grease Irap - <br /> � Ducting _ � Roof drains <br /> � Olher _ _ Medical Gas <br /> SPRINFiLER / SUPP42�.�iS10M .''iY�YIEM Other: <br /> Number of Heads Other: <br /> I hmeby�ctl�lytAat I h�ve icad���i:appllcalion and kno�n IAa san:e lo Ee Itie and wrrecl AII piovi:lons ol law.and ardinances goveming Ihis lype of work wCl be�omp:ed <br /> wl�h whelher specil�ed herein or not The 9�aNin9 of a Perm�t dae,nat presume lo give authonry lo violate or cnncelthe provisian of any olher.��ie or lowl law reyulalin9 conalrvcuon <br /> lhal I am��Ihorrccd 6y Ihe owner of t�is prepeiry to pedortn Ihe work(ot wM���ppiication is made and 1 mmply w;ih�hu Slatu Contluctof.LaW 10.27 RCW and 29G.700A WAC. <br /> 1��p� , o/a-� I e� (Revised 4Q075) <br /> �w erl �honzed gentSignaWrc � <br /> �/� <br />