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PERMIT APPLICATION <br /> BUI�DING/MECHANICAL/PLUMBINGlSiGNISPRINKLER/DEMOLI i ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everetl,WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APFLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: � � PftOPERTV TAX q PERMIT# <br /> ��{UT A L��,�.<; ''��. �r�13 381�0010o Rnr' �r� ^ -(YJ� <br /> LEGAL lor new constmc�ion: Short Ptatlsubdivision Lul No._ (attach copy of long legal descnption) <br /> OWNER ��'�y'J� �1G�h 1�'�'c= �LG Phone'E-maA 59�1-3��r- 4�b� �nl� ��'1�,1�2J 'fZ�cwln� I.CNti+ <br /> l ' /,.� ��,�r <br /> Atldres, �(j �ib� 1�)Z'I Citv/State/ZiP U� �.���✓�, v� � ����' <br /> pPPLICANT._Ovmar OHner'sAgent �Conirzctor CoNractoi'sAgent _Tenant��-us�o�o.ae.ieee�iconsenino.Tmeo+�e�maowa�mesoocel <br /> CONTRACTOR � �S-� �i��n��r L&I Lic.# COE Bus.Lic.# <br /> Address PhonelEmail <br /> 1"ENANT BU$INESS NAME CONTACT FOR PERhiIT <br /> t•� IF- PnonME-mail �n�' a", A��`-� <br /> BUII_DING PERMIT APPLICATION CONTRACT ?RICE OF WORK ZOO _ <br /> l�� � L/ � (cci��-��"��j R'-+)CJ HEATSOURCE:` <br /> Existing Use af Buitding / �/ <br /> � �;�.Q_ Gas Eleciric /� Olher_ <br /> Proposed Use of Building_ — <br /> Eiuilding lype: �Single Family _Duplez_Townhouse _Mul�i•Family _Commercial <br /> Type of ro'ect: New Addition Remodel Re air T.I. Si n Sprinkler Demolition Chan e of Use <br /> DESC RIPTION OF WORK(additionalrspace provided on the back): � ,r <br /> 1�_ ",�t "`��t1F„� ��frt- ��Pq��''i�� �A���V `� (V��� „nrt�� �COYb�i�,� �rl ' fGl��Cv1�' <br /> � i�v�.��. . . �/, <br /> ie:��.:✓�;. <br /> MECHANICAL PERMIY APPLICATION PLUMBING PERMIT APPLICAI'ION <br /> 7ype of ProJect: _New_Addn _Allero�ion_Repalr Type of Pra�ecl: _New_Addn _,Alteratian_Repalr <br /> Show Number(a)o(lixfures Show Number(#J o/�xN�es <br /> AIC-airhandlingunits I Toilet <br /> Fo:cedalrsys�ems � BalhWb <br /> ; Gas pi in I Lavato (wash basin) <br /> � Walerhealer Shower <br /> Gas�ireplace Kitchen sink&disposal <br />-�- � Ij Gasran e I Dishwasher <br /> ', I � � Clothes dryer Clolhes washer <br /> r� Range hood W ater heater <br /> � Exhaust fan I Sink(servicefbarhnop/etc.) <br /> � � Heal pum Backflow preventer <br /> � Unit heater I Urinal <br /> Boiler �rinkin Fountain <br /> I�.� � Refriger2tion Floor drain <br /> � WooAstove � Greaselrap <br /> ' Ductin Roof drains <br /> ' O�her Medical Gas <br /> SPRINKLER 1 SUPPRESSION SYSTEM other: <br /> � '� Number of Heads Olher. <br /> i <br /> � <br /> � I hoieby cenAy m:n I navo maJ antl ozaminetl Ihls nyplicolan antl know Ine sanm to be Iruo anJ cona<L NI pmvis�ons oi laws anJ ordmonce`91�lu'm looal IewVregt WI rg�u 0'rwtpp��eU <br />�„ Han whelhm sVcuficU I�ero�n or not-iho g�anting ol a pmnut Uws nat V�owme lo grve ouNonly lo voWta or wneal lho pmws�on ul:my utlis <br /> 1 nat I.m aut�ercea by I�o ownor ol this pro�erty lo poAomi Ine wvrk/or wtiKh applealan I5 moEe anC I eompy w�t�I�o State Cortracmrs Law 1827 RC W z�d 2i 62COA�"AC <br /> ;`��-)- --� � �`�U <br /> "�'i - r�.� I�i�n�lO:ri S �J <br /> J Date (4evisetl6/2012) � <br /> Ownor/Acthorized Agont Slgnalure � .� <br />