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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN!SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM1M1 TO 4 PM / -��a,..i� <br /> I PROPERTYTAhq PEf�MjT'�� I - ��.. / <br /> �l �0 �s �.Uov�VA�I� 74v`� �V� �! <br /> LEGAL for new construction: Short PlaUsubdivision Lot No._ (a�lach copy of long legal description) <br /> OWNER �\ 7_N i E(Z ' H cr�T Phone/E�mail ��.5�- � ,� � 5� 7� 7 <br /> Address (L' I ,S (�C�vv� L�•<l�-� C.��. Ci�ylSlalelZip ��/c=i�-.-C'I I` <1 <br /> CONTRACTOR 1CC�•4�ciC Co••�TIL�crc2 �xi ���.� I��. l-lc.-zlGl �'ylft <br /> Address �G 7��jC � 7 / I��L.Lf�{'��U � � Phone/Email 2S 3 ' UG S� 7� �S <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT�,R,,,� /��y�cAN l�C� <br /> PhonelE-mail Z��-�� �UJ ' �G y-S <br /> BUILDINGPERMITAPPLICATION CONTRACTPRICEOFWORK I� G�CG GG <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use o(Building Gas_ Eleclric_ Other_ <br /> Building type: Single Family _Duplex_Townhouse Mulli-Family _Commercial <br /> Type of project: _New _Addltion _Remodel _Repair_T.I._Sign_Sprinkler_Demolftfon_Change of Use <br /> DesCription of Work(addilional space pmvided on fhe back): <br /> {ZtCc�:At=ont oFC.-,.A� ��.r-r� /L <br /> Have you started working witl�out a permil9 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATfON <br /> Typo of ProJoct: ,_New_AJdn _Alleration_Ropair Typo oi Project: _Now_Addn _Alleration_Ropair <br /> Show Number(pJ ollixfures Show Numbcr(#)ol(iztwes <br /> A/C-air handling umts _ Toilet <br /> Porced air systems _ BaihWb <br /> Gas piping _ � Lavatory(wash basin) <br /> Wa�er heater � Shower <br /> Gas fmplace _ Kitchen sink 8 disposal <br /> Gas range _ Dishwasher <br /> Clothes dryer Clothes washer <br />� — Water heater <br /> Range hood <br /> � Exhaust fan Sink(service/bar/mop(etc.) <br /> Heat pump _ BackFlow preventer <br /> I _ Unil heater = Urinal <br /> 8oiler I Drinking Founlain <br /> Refrigeration = Floordrain <br /> Wuodslove Grease trap <br /> Ducting _ Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM _ Olher <br /> Number ol Heads <br /> I herehy cedify Ihat I h.ve iead and examined Ihis applicalion and know the same to be Ime and corred.All provisions ol laws and ordinances governing <br /> lhis type of work will be complied�vith whether specified herein or nol.The granling ol a permit does nol presume lo give authority�o violate or cancel <br /> ihe pmvision of any olher state or bcal law regulating constmction or the pertormance ol consWction.That I am avthorized by the owner of Ihis prepeny <br /> lo pertonrvlfi vwrk lor whic(�appliCation is made and I comply with the Slnte Contraclors Law 1827 RCW and 296200 WAC <br /> i.,. <br /> r�_�.. /�L',�. ;-�� / /%-�� <br /> OwncrlAultiorized A9ent Si9naturc � Date (Revisetl 72/:010J <br />