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PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF 6VERFTT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8610--FAX 425-257-9857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTEP FROM A qM TO 4 PM <br /> SIThADDRE99: r��Orermrnxn P rcMITK ` <br /> lU0 �Uv�nloai��� �10 -0� <br /> LEGAI.for new tonslrucllon: SfioA PIaU7uCdlvlslon lo�No.__ (atlach copy ol long logal dasulp0on) <br /> OWNER I I��U 1W� OV l PhonolE-moll �� � � ' G"1 ZV <br /> AAdro65 D� {� .V� Clly/5lnlo2lp �/V � �'V� <br /> CONTRACTOR I/�I� u�� ��'� ����� ��`� G <br /> Add�o59 ( I/J(/� �1 ('honalEmcll 4'�- 7y�j Z� l�I.7�- <br /> 7ENANT BUSING55 AME � CONTACT F0t7 PERMIT <br /> � Phvnc/E•mall � v � ���� � ' �/T <br /> BUILDING PERMIT APF'LICATION coNrrtAc RICE OF WORK 7.OD� <br /> Exl&ling Usa of Building � HEAT SOURCE: <br /> Prop:sed Uee oi B llding - . 6n, Flactdc Otner <br /> Building type; �Single Famfty _Duplrx�Townhouse _MuIU-Famlly _Commerdal <br /> Type of pro�ecL' _Ne++ _,Addilion �Remodei �Repalr_LL _Sign„Sprinkier_�emolilion Changc of Use <br /> �asCfiptlOn oF Work fadalN,on��sPaco pmdtlotl on fhe back): . <br /> � I�l�G(,����7� �`1,{iV�l ��Z�2" �'u�vt�Gf c P� <br /> Havc you alartvd wmklny wlthou portnit? _Y �NO <br /> MECHANICAL PERMiT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo oi ProjocU� 1,Now�/�ddn _Alterrotlon„_Ropalr 7ypa nt ProJacl: +,.,Now�Addn �Attoratlan_Ropulr _ <br /> ShowNumbor(N ol�xf�ros ShowNumbcr(M a/flxfumi <br /> A/C—air handlinq unlls Toilat <br /> Forced air s stems Balhtub <br /> � Gns i in Lavatory wash basin <br /> Waterhealar Shower . <br /> � Gns fifc laca Kllchen alnk&disposal <br /> G05 ta�qo Dishwashe� <br /> Clathes dryer � Clolhe�wusher <br /> Ran n IwUtl � Woter haater <br /> @ahaust fan Slnk(scrvicelharlmop�etc. . <br /> � Heat pump Backllow prevenle� � <br /> Urinal <br /> _ � Unil hcntef . Drinkin Founlcin �- <br /> � �ollor <br /> Rof�� crat�an � Floordrain ,.� <br /> Woo�ir.lovo Gmuve tro <br /> Ouctlnp Roof drains <br /> Olher_ Modicoi Gas <br /> SPRINNLER I SUPPRESSION SYS7EM Olher: <br /> � <br /> '� ^ Number of He�aUs Other. � . <br /> 1� i I��;roby codlty lhal l hnvo mnA tJ 0Y0 Od ihl9 A���IICH�IOOOIIA R110W II70 9�I110�0 bOINO OOd CA(MCI.All h!OVIA�(106 0(IpW3�fld ORI�ON�Ce3 QOV9lOIn0 <br /> ih�c IypQ of work wlll he comD�� willi whoU r spocl�ed horein ar uol.7he pranUng of p parmit doeG nol D�aume Ic pivo oUthodty lo vlalotu or enncal <br /> 1;u;proviglo I ony othar slslo col Inw � ulnlln0�onsWctlon or tho peAormonco ot eonglrvdion.Thal I am Outhadzed hylhe owner af Ihls pmperty <br /> m pe lUU rk larwhlch oppllca s uoda antl I comqy,wilh tho SIatO Conlraelore lBw 18.27 RCW nnd 296.20D WAC <br /> � �� ZZ 2 <br /> Ownu Aull .zadAp pnatuo �alo (RavisodZ2011) <br /> T:T '�� ��88�5?�chT �pl �IdO'J� SO�bO cLG�2-t-L-Nflf <br />