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PERMIT APPLiCaTION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINMCLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> qpPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM p MITtt <br /> PROPERNTAXp �� ' .,`, �� <br /> SITE ADDRESS: -� i� . I I t/� ' <br /> LEGAL for new construction�. S�ort PlaVsubdivision / <br /> Lot No._ (attach coPY of long legai descdplion) <br /> -":` Phone/E�mail " J1H � �Cb D <br /> OWNER <br /> City/StatelZip <br /> Address <br /> APPL�CANT:_�`�+�er OvmelsAgent _Ccntraclor _Contractor'sAgent _Tenanlo��siawaeebnaoi�"s°"'hp11�ro..nm�oao»vMmmesw�� <br /> � 'c j � COE Bus.Lic.# <br /> L&ILic.# <br /> CONTRACTOR � .� . . � ��� � , <br /> � . � /2� Z Phone/Emad <br /> Address t�0 �L' �• � �" • CONTACT FOR PERMIT <br /> TENANT BUSINESS NAME ��� L /� h Q-�� /+ <br /> // Phone/E-mail �C�7 L7/ J��J e y7 � � 4 G , ��� 1 •{u:1`' <br /> .,i f' L' f �li .: , i (t- _ <br /> BUILDING P RMIT APPLICATI N <br /> CONTRACT PRICE OF WORK �1' l'�� •�"� <br /> ----�-��� 1 ,�,� HEAT SOURCE: <br /> ..xisting Use of Building � — , <br /> 17 �!k• ' Gas✓ Eiecinc_ 06�er_ <br /> Proposetl Use of Building <br /> Buildingtype: _.SingleFamily _Duplex_Townhouse _.Multi-Family �Commercial <br /> T pe of ro'ect New Addition ✓ Remodel Re air T.I. Si n Sprinkler Demolition Chan e of Use <br /> DESCRIPTION 0��`.�ORK iaddifional;pace pmvided on ihe back): <br /> � � � <br /> � 7 111C. �Gi.iE_ �.<_,v�ll ��c� �`C�'r'.C� <br /> �I �� � ��<,yv�o <br /> ����r��(i I-t����L�..�( a: �_ C. �Cc ( n�'C..-�- <br /> MECHANICAL PERMIT APPLICATIOtd PLUMBING PERMIT APPLICATION <br /> Type of Projecl: ._Naw_Addn _P.�teration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Sbow Number(7i1 o/lxtwes <br /> Show Number(k)o/fixtures � TOilet <br /> � PJC-air handlin units gathlub <br /> '� Forced air s stems �avato (wash basin) <br /> Gas ipin � Shower <br /> � Water healer Kitchen sink 8 disposal <br /> � Gas fireplace �, pishwasher <br />„� Gas ran e � Clothes washer <br /> ' �� Clothes d er Water heater <br /> Range hood � Sink(servicelbadmopletc.) <br /> � Exhaust fan � Backflow preventer <br /> Heal um � Urinal <br /> � Unit heater � Dnnkin Fountain <br /> Bo�ler �p�po�drain <br /> � .Refri eration Grease tre <br /> � Woodstove Roofdrains <br /> Ductin � Medical Gas <br /> Olher <br /> SPRitdKLER I SUPPRESSIQN SYSTEM Other: <br /> Number of Heads <br /> Other: <br /> � ,�;ce�rty�nat 1�ave rea�muf examinetl mis applir.a�ron antl know Ne some lo Ce tme antl corzect An pmvisions ol laws anE or�inanres BoveminB�nis rype ol wod will Ee completl <br /> , ,.�i��.M1er specdietl herem or nct.T�e granlinB ol a permd Coes ml presume to pivo aut�onry to viola�e or wncel lhe pmvoion ol eny olher atate or loral Ww reBulatmp canswctan <br /> � �i:im aWhonced Ey the ovmer 'hn propeM�a Perlorm I�e work brwlirh epplication is maae anO 1 comptyvnlh the Siale Conlra<tors Low 10 27 RCW anE 2982�OA 4YAC. \I <br /> '�— , �—lCi— zc' ( 3 �. <br /> ,,✓ <br /> � (Revised 62012) <br /> OwnedAulhorize Agen S' aturo <br /> Dale <br />