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P�RMIT H\PPLICATION� <br /> BUILDINGIMECHANICALIPLUMB�ING/SIGNISPRINKLER/DEMC)LI`fION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> ���—�j <br /> SITE ADORESS: PROPERTY TAx N PERMIT k I <br /> i �i s �,�b�.d A„L <br /> LEGAL lor r,ew constrUcuon� Short PlaVsu�drvrsion Lot No._ (attach copy o!long legal descnpl�on) <br /> OWNER Ghr�`S / � L� Phone�E�mad yZs• 7s0 • 7�0 <br /> Atltlress Q�S /t��,� CirylStale�ZiD Vt/G W • ( O�A� <br /> APPLICANT: _Owner _OvmeYSAgent �Contractor _ConlractorSAgent _Tenarn�m�.�em.r,o.,ier+�o�m�v���iromm�o.na•maown��meso�wl <br /> CONTRACTUR � O� �u r�4'd10i1 Stale Lic. # A a �RII96�lLT Gry 8us. Lic.# 05 3 <br /> ACdress y�� �/v10 YO'n� ��✓�. /��/ vi� `Ja('Z honelEma�l (o � - /�JCrj <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> PhorelE�ma��l <br /> �UILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �/VDO � <br /> Existing Use of Building HEAT SOURCE� <br /> PiOpOSed U5C ol Building _ Gas Electnc Other_ <br /> Building type: _Single Family _Duplez_Townhouse _Multi-Family _Commeraal <br /> T e ol ro�ecC New Addilion Remodel Re air T.I. S� n S rinkler Demolition Chan e of Use <br /> DESCRIPTIONOFWORK(addrtiona�spaceprowdodon�heeack):�5 P����y �.� F�� S.�„�' gq5 5 ��� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Pro�ecl: _New_Addn _Al�orallon_Repalr Type ot Project: _New_Addn _Alleratlon,_Repalr <br /> Show Number p o/�zfures Show Number p o!firfures <br /> A/C—air handGn, unds Toilet <br /> Forced air sVslems Bathtub <br /> )( Gas ii in Lava�ory(wash basin) <br /> Water heater Shower <br /> Gas fire lace Kilchen sink 8 dis osal <br /> Gas ran e Di;hwasher <br /> Clothes dryer Clothes washer <br /> Range hood Waler heater <br /> Ezhausl lan Sink servicelbarlmo /elc. <br /> Heal um BackOow revenler inside bid <br /> Unil healer Urinal <br /> Boiler Drinking Fountain <br /> Refri eraGon Floor drein <br /> W oodstove Grease lra <br /> • Ductin Roof drains <br /> Other � Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM other <br /> Nvmber af Heads � Ottier. <br /> 1 hera�y CUN'y Ihal l havo read dntl exam�ned➢iL• a0��'���Ilon anG Nnmv Ihe Snme Io be In.r:m�rcrrerl P'd prod5'on;ol la�a's dntl orA�nBnrr.c govumlr.91n15 Npi'^I xnrk w�l bn Comp <br /> ai:n�Melher sDoc�iotl herc�,n or noL T�a 5ranbra ol a oarmn Lcas not O�osume�o grvo a Whonty io v�ola'e cr ca^,ail tho prov e,�on cl any o:rur;::nu cr bcn��a.v reyala'n��ar;imcion <br /> Tnal l am au:ho'¢ed Uv IiA•ov:ver o'tn5 p�opnry lo Porlorm tho'.enM for whrcn aPpPeaLov 5 ma�e a^.0 I comp!y n�f�IM1e State f.cr.!nCec.La�.tfi?7 9CtV anC 2^5 200A:VAC <br /> (i�� � <br />