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e • <br /> PERMIT APPLICA�'ION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLIT60N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar Sl., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.or <br /> � -as �� � <br /> SITEADDRESS: �O D 1 _ PROPERTVTA%W PE Ii O ` ��O <br /> VJ <br /> LEGAL lor new construction: Siiod Piat/subdivision Lot No._ (aUach copy of long Iegal description) <br /> OWNER � 1/'� Phone/E-maii U � � <br /> r <br /> ndd�ess � e ( (� " CitylSlale/Zip � � g <br /> APPUCANT:�Owner _Owner'sAgenl _Can�ractor _Conlraclor'sAgent Tendnl�m�.�slpror.aoalclmiolcommllrammuo.rocrineowodinihozpace) <br /> CONTRACTOR � y y `l.�{/ Stale Lic. # City Bus. Lic. # <br /> F+dtlress PhonelEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> PhonelE-ma�l <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE Of WORK <br /> Exisling Use of Building 1 �_ �i� yHEAT SOURCE: <br /> Proposed Use of Buitding � � J Gas/� 6iectnc__ _ Oiher_ <br /> 8uilding type: _Singie Family �Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project� New Addihon _Remodel _Repair_T.I. _Sign _Spnnkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK (aad��iona�spaco proo�dedon ihe bace) <br /> Wofk ��n comm��a,l base-rvt�-� <br /> MECHANICAL PERMIT APPLOCATION PLUMBING PERMIT APPLICATlON <br /> Type of Project: _New_Addn _Alleration_Repair Typo of ProjecC _New_AdUn _Altera�imi_Repair <br /> Show Num6er(q)o/lixtuics Show Num6cr(N)o/lixfores <br /> NC—air handling untls Toitel <br /> � �orced air systems �atMub <br /> � Gas piping I Lavatory (wash basm) <br /> Waler heater Shovaer <br /> Gas 6replace � Wichen sink 8 disposal <br /> Gas range Dishwasher <br /> � Clolhes dryer Clolhes washer <br /> Ranqe hood Waler healer <br /> Gxhausl fan Sink(servicc/badmop/elc.) <br /> lieat pump Backllow prevenler <br /> Unil hea�er � Unnal <br /> f3oJcr � Drmking Founlain <br /> Re(rigeralion Floor drain <br /> Waodstove I Grease Irap <br /> Ducting _ � Roof drains <br /> Olher Medical Gas <br /> SPRINKLER / SUPPRESSION SY5TEM other. <br /> Number of Heaas � Olher: <br /> i hereby ceiLty Rin�I hnve eead antl e•aminea INs appSw'ion nnJ know Ihe,��me in be Ime avl cmme� MI p�o'vuiore ol laws and ortlinonee,9oveming Ihis rypr,nl wmF vwl be!ornpbeJ <br /> vn�h whether;pea6ed Ilere:n or nol The 9rar.ting ol a pnmit�oes nat presume Io q�,an aWhonty in violate or caneel ihe provislon ol any olher;lale or local law iequlaun9 corenruciir,n <br /> l�.al I am aut�onze�hy Ihe ovmet ol Vus propetly lo pedarm t�e vm�k lo�wh¢tl app'�calion is made an�I eomply wilh Ihe Slale Conlraclo�s low IB 27 RC W un�294200A W4C. <br /> Ow e /Aulhorizetl A��u��e Oalc (Rovised 9i:p17) <br />