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��RMIT APP�ICATION <br /> BUIL[�Ih1G;ii�IECHANICALlPLUMBINGISIGN/SFRINKLERlDEMOLITIC}N <br /> CITY OF EVERETT PERMIT SER'VICES � � � 7— �� <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADPRESS: PROPERTYTA%# PRR{`����� _ <br /> 2812 Lombard A��e 004391664020�00 yi a� <br /> LEGAL ler new construction�. Short PlaUsubdivision_ L�t No_ (attach copy of long legal descdpGon) <br /> owaeR Everett Trades Bldg Assn Phone/E-mail <br /> �810 Lombard Ave ciryisiaie2ip Everett, WA 98201 <br /> Address -� <br /> CONTRACT�OR W111iztilS Mechanical Inc L&iLic.# WILLIMI088PA <br /> nddr�5s 3903 Smith Ave, Everett , WA 9G201 PhonclEmai! (425) 303-0828 <br /> TENANT BUSINESS NAh7F CONTACT FOR PERMIT <br /> (206) 391-0�04 <br /> Labor '!T@Rlj�l@ phone/E-mail r ;roWi� � ' ^^`�-'^"^}�pn� �'�� rplil <br /> iUILDINGPERMITAPPLICATlON CONTRACTPRICEOF�!ORK <br /> �_— <br /> Existing Use of Building hEAT SOURCE� <br /> Propo,',ed Use of 9uilding Gas_ Electric_ Other_ <br /> Building Yype: _Sinple Family _Duplez_Townhouse _idulti-Family x Commercial <br /> Type of projecY _New _Addition X Remodel _Repair_T.I.._Sign_,Spnnkler_Demolition_Change of Use <br /> DesctipGon ef Work(eddAionel space provided on the back): <br /> Install 2-Toilets , 2-lavatories, 1-handsink, 1 3-cc!npartment sink & mopsin <br /> t lave you started working withcut a�ermit7 _YES X NO <br /> MECHANlCAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofProject: _New_Addn _Aiteralion_Repair 7ypeoiProject: _New_Addn XAlteration_Repair <br /> Show Number(A)ol fia(ures Show Number(p)o/�xtures <br /> � A!C-air handling units Toilet <br /> � Forced air sys�ems Bathtu6 <br /> Gas �pn9 � Lavato (wash basin) <br /> � 1h'ater heater _ ' Shower <br /> Gas fireplace Kitchen sink 8 dis osal <br /> � Gasran e Dishwasher <br /> Clo�hes Aryer Clothes washer <br /> � Range hood Water heater <br /> ' Ezhaust fan Sink(service/badmop/etc.) <br /> I � Heat pump �, Backfluw preventer <br /> � Unit healer i Urinal <br /> Boiler Drinkinq Founlain <br /> i Retriqeration � Floor drain <br /> '� Woodstove Grcasc trao <br /> Duciin� Rocf dr2ins <br /> ' OUier � Medical Gas <br /> ;'; SPRINKLER I SUPPRESSION SYSTEM Other. <br /> Number of Heads Other. <br /> I hereby ceN1y that I have read and ezamined Ihis apqica�on and inowlhe sam�to 6e tme and correct All pwvisiona of lav5 and ordinances goveminp <br /> tms type of wa�k v.dl be complied wth whelher speafieG herein or uot.The granony of o permd does nct pesumc to give authonry to v�.oiate or�ance! <br /> the pmvision of any other state or local law regulaEng construclion or the peAormanr.e of eonstmctioa That I am authonzed hy Ihe oemer ol th;s prcpe!ry <br /> to�t work� vfii ap � a0on is made and I comply�++ih ihe S!ata C:�nractors Law 1827 Ci.W and 296200 WAC <br /> .c,-y,i�l �� / �"� l l?--�-"L� I( _ <br /> OwnedAuthor' AgeniSignaWre <br /> Dat� (Rocised'L2017! <br />