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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 vnvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />AF-7 xx� _ <br />I1 f1 !I /I PROPERTY TAX # <br />ADDRESS jLi7�5C GVe•-�.-(I /f In �1�na c� �5!-p0.3'Ri� Go <br />1L for new construction: Short Plat/subdivision <br />No, (attac' copy of long legal description) -5 . a <br />Phone/E-mail "?OII '_ ;1_3 & - 1'/ 77 � M <br />7S/ <br />Owner <br />iR ( Tt <br />715f City/Stale/ZIP 1U-z4ft� / 1 1� <br />Ownefs Agent _Contractor _ Conhaclor's Agent _Tenant lmuvo�wae�er:r et mnserns�meo+.asrwao woM �n ux wvsa) <br />8 1 Lic # <br />TENANT bUbINCJJ r.nn�r. ri /� per", <br />-4111.1 <br />/>L -7 Q,� ` Phone/E-nail dS - 1ofz ` 7(n <br />BUILDING PERMIT APPLICA CONTRACT PRICE OF WORK _ <br />Existing Use of Building o <br />Gas <br />Proposed Use of Building ) <br />Building type: _Single Family _Duplex __Townhouse _ Multi -Family XCommercial <br />r ve.•,e.tet Rnnair T.I. Sign _Sprinkler _ Der <br />RIPTION nP wncrr <br />_.....:a„x..� the back): <br />r <br />Bus. <br />of <br />MECHANICAL PERMIT APPLICA7WN <br />PLUMBING PERMIT APPLICATION <br />Alteration <br />Type of Project: _r,ew_Addn _ Alteration _Repair <br />Typo or Project: _New_Addn _-Repair <br />Silov Number or fixtures <br />show Number M of fixrures <br />Toilet <br />AIG - air handling units <br />I B0Ih'ub <br />\ Forced airs stems <br />Lavalo (wash basin) <br />•. Gas pipin <br />I Shower <br />Water heater <br />I Kitchen sink &disposal <br />I Gas fireplace <br />I Dishwasher <br />Gas range <br />I Clothes washer <br />I Clothes dryer <br />I Water heater <br />_ Range now <br />I Sink(servicelbarinlopletc.) <br />Exhaust fan <br />II <br />) 83c0ow pievenler <br />Heal pump <br />I Unnal <br />Unit heater <br />I Drinking c ountain <br />Boiler <br />'� <br />Fldor drain <br />Refri eration <br />1 Grease trap <br />Woodstove <br />I Roof drains <br />Ducting <br />I M^dical Gas <br />Other <br />_ <br />I Oth^r. <br />SPRINKLER / SUPPRESSION SYSTEM <br />,., r.l i' Number of Heads <br />I Other. \ <br />I hereby alBfy that I have read and examined this appicotion and know The same to be two and correct- lJ pmvlsions of laws and ordinancesochr Bove or to This type or work Will sl mmp0od <br />VIM whether specified herein or not. The granting of a permit does not presume to give authority to violate or anal the prevision of a other stale orbp�aw regulatlng Wnslr coon <br />That l am authonzod by the ownerolthis property to perform The work forwhicn oppGcmion is made and l comply with the Slate Contractors Law 1027 RCW and 290.200AVJAC. > <br />vOatc V (Revised&12012) <br />Owner/ Authorizod Agefit ag attire •� _�� /A//.? <br />