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� � <br /> PERMIT APPLiCATiON <br /> BUILDING/MF_CHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 wv✓w.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � Z <br /> SITEADDRESS: , PRoaeRrviaxa v RMiia <br /> i ��3c��� — l-l��i I�� /��;', �'� ' � � O) <br /> LEGAL/or new wnsiruction� Short PlaUsubdrvision HOLLY DRI VE Lot No A (attach mpy of long legal tlescripuon) <br /> OWNER SEATTLE PACIFIC HOMES INC PhonelE-mail ��5-953-2800 <br /> �ddress 120 SW EVERETT MALL {4AY SU1TE 100 City/StatelZip EVERETT WA. 98204 <br /> APPLICANT: x Owner Ovmer'sAgenl Contracror Contracror'sAgent _TenantiT�:io�o�.meaieneroi�o�:�,,�nu+�meo..�e�ioa�.������:r�sr.a:�i <br /> CONTRACTOR SAMF. AS A60VE L&I Lic.#SeatCPH005DU COE Bus.Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phor,NE�ma�1425-319-0122,stevesnyder.seapac�3gmail . ���. <br /> BUILDING PERMIT APPLICATION coNTtuCT PRiCE oF woRK <br /> Existing Use of Building HEAT SOURCE�. <br /> Pmposed Use ef Building 5/iJGr� F/�M/eY. Rr�s�o�� Gas X eiectnc_ omer_ <br /> 6uilding type: X Single Family _Duplex_Townhouse _Muiti-Family _Commercial <br /> T pe of pro ecC. x New Addition Remodel Repair T.I. Si n Sprinkler Demolition Chan e of Use <br /> DESCRIPTIONOFWORK(addmonalspaceprovidedoniheback): CONSTRUCTION OF A NEW SINGLE FAh1ILY HOME <br /> O ��1 �Z �S � �� '� �l `��-L��'-' <br /> — .�jC�_;�C �-1c�� <br /> �� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofProjecL x New__Addn _Alteration_Repair TypeofPmjetC E New_Addn _Alteration_Repair <br /> Show Number(q)oI firtures Show Number(k)o/!ix Wres <br /> � NC-airhandlingunits 3 Toilel 1l <br /> 1 � Forced air s stems 2 � Bathtub 1 1 <br /> 3 �� Gas pipin �� ' Lavaro Iwash basin)� � <br /> 1 �� Water heater 2 � Shower <br /> 1 � Gas fireplace __ 1 Kitchen sink&disposal <br /> ' T— Dishwasher <br />` i Gas ran e 7 Clolhes washer, <br /> Cblhes d er �, <br /> � 1 � Range hootl � Waler heater <br /> A Exhaust fan � ' Sink(servicelba0mopletc 1 <br /> Heat um Backflow preventer <br /> Unit heater Urinal <br /> Boiler '� Drinkin Fountain <br /> Refrigeration Floor drain <br /> Woodstove � Grease crap <br /> Ductin Roof drains <br /> Other <br /> � Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Othec <br /> �� Number ot Heads ' Other <br /> I hrmpy ceiLty Iha1l nave rene antl examine�Inis appbwtan ano know tne same to be We ana correct A�pmvismng ollaws an0 ord�nances povemNq�his type ol wcik will pe comC��etl <br /> r;�n r,I�rR�sr specitre0�crein ar nol The grantinp o�a pemii�tloes not prcsume lo Bive aullmnty lo violalo or cancel l�e pmnsron ol any ol�er slale or bwl law reBu!a6nB�onsVuclion <br /> tna!i:nn ��M1onied by 11 ovmer o�IM1is propetly lo pertorm Ihe woik/or whKn aDP����ion is made and I wmpy mtn the Slate Conlractors Law 1827 RCW anG]96 2WA WAC. <br /> /��— � � l o �z <br /> pwnedAuthorizedA m5i�nalure Date (Revised6R0f2) <br /> �� <br /> �;,., � � ...�,� ... <br /> �,, <br />