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• s <br /> 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.evereltwa org <br /> APPLICATIONS ARE ACCEPTE�FROM 8 AM TO 4 PM —J .. � �-I <br /> SITE ADDRESSf7 PROPERivTA%p p <br /> —�� <br /> LEGAL br newconsimciiorc Shotl PlaVsu�tlrvision Lot No_ (allach wpy of long legal Ocscnplion) <br /> OWNER P�anNE-mail L�— — p (� <br /> AUdress � � f (/,,J' QIY/5�atelZip E� �J ,� ��-- <br /> i <br /> APPLICANT:_Owner _OwnefsA9ent _Contraclor _ oNraclor's�geni �enanl�m�.ia�o�bo��rc��m«�;�:ou«mm�w..�onoao�.on�.�mesaaAl <br /> CONTRACTOR - L 8 I Lic # TA�L S S�I tf�D��COE dus.Lia N <br /> Addre;s Q�(,� �j � n ��� PhonN6nJil <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT 'L (o .. S�_ � ( ,, <br /> ` ' � �7 �L ,�i c�s ,� (�' ^ �- - �� � c�,,,-�� <br /> T �1'1 `� A I � N �/�T PhonelL�mail �t �� '"� a' �' <br /> BUILDING PcRMIT APPLICATION CONTRACT PRICE OF W RK l�� — _ <br /> Ezisting Use ol Bwlding IiF1�T SOURCE: <br /> Proposed U5e of Building Ws,_ Eleclric_ Olher,__ <br /> 6wlding lype: _Singte Family _Duplex_Townhouse _Mulli�Family _Cvmmercial <br /> Typc of prolect: New __Addilion Remodel Repair T.I. Sign_Sprinkler _ Demolition Cha,�ge of Use <br /> DESCRIPTION OF WORK(adomonal space provivetl on Ine bacwl: <br /> 2 <<�- w� (l s�y � s — ZZ. � �� �-�+-- �°�. . <br /> MECHANICAL PERh11T APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Pro�ecl: _New_Addn _Alteration_Repair Type ol Projec�: _New_Atltln _Alleration_Repalr <br /> Show N��m6cr(dJ ol lixlures Show NumGe�(p)o!lirlures <br /> A/C-air handlmg uni�s Todet <br /> Forced air systems Balhtub <br /> Gas pipin� Wvntory(wash basm) <br /> Waler heater Shower <br /> Gas lireplace Kdchen;ink 8 disposal <br /> Gas rangc Dishwa,hcr <br /> Clothes tlryer Clolhes washer <br /> Ranqe hood Walcn c�a�er <br /> Exhausl lan Smk(servicelbadmop/efc) <br /> Heat pump [lack(low prevenicr <br /> Unil heater llnnal <br /> fioiler Drinkinq Fountain <br /> Rclnqeralion Floor drain <br /> Woodslove Grease Irap <br /> Duclinq Haol drains <br /> Other Metlical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM o�her <br /> Number ol Heads Other: <br /> I tu•rc�Y eetlfy Ihal I Ir.mu ranal,n.il c.nm�nr�ilva applmniqn nntl Fnow Ihu samc lo Ga buc and cortccl MI p-ovuion�ol L�w�and oNln�ncc�povcminy Itus IYPn ol vmik vn'I�u compLrd <br /> v�AM1 vA�rl�cr SpcaGCJ Imicin or nol tne�yanim9 ol:i p Wlnil Uoea nol pmsumo lu prvo aut�onty lo violaln ol cancvl lhn piovi;inn nl,my ol�e!�Anle nr lo[al L�w rCpu'ullnp con•dmcl�on <br /> ❑ial l am nulpatlreJ�y I wmer nf Ipis p�opciry to peAum I�o woM lor whic�vppicuuon n ma0n nn�I eomply wiN Ine$Inle Contncloi�law 10 2]Rf.W ond 75�200�WAG <br /> , ���- 1�z 2 - I ��z <br /> OwnertAulhor7vacTAgent Si9naWre �ule � (Rnvised 590I7) <br />