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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/dEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St_ Everett, WA 98201 425-257-8810 FAX 425-257-8857 vrww everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRE55: PROPERTV7A%# PER 17pO —D <br /> � � <br /> LEGAL(a new conslruction Snon Pia suba���s�on /'O OJ� �ot No� (anac7�wpy o�Isng iegai descr.pbon� <br /> OWNER rJ' �(/. 9L /1$�• Pnoncl6mad �'O G� .l CO <br /> nadress �p /� ��v � c�ry�sia�erz�o Q . $�O <br /> AFPLICANT:�Owner _Owr�eYSAgenl Co.T,iador _ContradofSAgen[ _Tenanl�m�.,:iec.Wea�mrmmne��o-cm.mem.�e�accw+�^m•v;,.:��: <br /> .:ONTRACTOR CI C 5 � O!/ L&I lic # COE Bus. Lic # <br /> AtlGress Pnonel'cmad <br /> TENANT BUSINESS NAME COtJTACT FOR PERM17IT �yy�COp <br /> oC.�c� I�n�S � � <br /> PnonelE�ma I ���`� <br /> BUILDING PERMIT APPLICATION CONrRaCr PRICE oF woRrc �rQ_� <br /> Existmg Use of B�tlding HEAT SOURCE�. <br /> Propo52d Use of Build�ng�� Gas _ Eiectnc_ Otner_ <br /> Bui!dmg type� �j5ingle Family _Duplez_Townhouse _MWU-Family _Commercial <br /> T Ce of pro ecC New Atlddion Remndel Repair_TJ. __Sign_SpnnY.ler Demolihon__COange ot Use <br /> DESCRIPTIONOFWORK�aad;oonaispaceprowtledonthetack)�. / �a�J/� � � <br /> �hs �rucy� Si%�- � � Ps� �i �� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolProject: _New_Addn _Alteratian_Repav TypeotProject _New_Addn _Alterution_Repair <br /> Show Num�cr(k)ol fixfurrs Show Num�cr�p)o!firfures <br /> NC–au hantlling umts '3 I To�le' <br /> Forced air s stems I �a�hlub <br /> Gas pipinq I Lava!ory�wash basin� <br /> Water heater Shcwer <br /> Gas lrteplace Kitchen smk&disposal <br /> � Gas ran e � Uishwasher <br /> � Clo�hes tl er i Clo�hes washer <br /> � Range hood I Water healer <br /> Exhaust fan I Sink(sernce/bailmo /etc) <br /> HCai Dump I BaCk�iow preventer <br /> Und heater I Unnal <br /> Boiler Dnnkin Founlain <br /> � Re1ri er7tion ( Floordrain <br /> � Woodstove I Grease irep <br /> � Ductma I Roof tlrains <br /> � Other_ � Medical Gas <br /> SPRINKLER 1 SUPPRESSION SYSTEM � olner. <br /> I Number of Heads I O�her. <br /> I neieoy ceNry Inal I nave reaG ana eaaminetl Uus appCwlron ana tnow��e same to Oe Ime ana corter.A�I pmvis�ons ol Wws ane avinances govemmg Inis iyDe ol work vnA oe compLetl <br /> m:n xhetner sDeaGeE�erem or nel Tne B'�n4r.g ol a pertnA�oe[.nol presume tv g�ve aul�onry to vwlale or rancel ilie pmviT.en al any o:ner slalc or IOUi��aw mguNtin9:A�slmpion <br /> Tnai I am aul�ontee Oy Ne owner o'Inrs D'opeM�o perlorm I�c wen lo:w0ic�app}:abon is matle enC I compN wd�I�e Stale Coma:iors Law f 8 2]RCVJ ana 796 200a l\'AG <br /> �� �/�/� <br /> 0 dAu hori etl Ag ignaWre �— 1�ate (Revisetl620�2) <br /> ��Z <br /> ---- ---- --�---�-- - — -- - — - --- . _ <br /> ,>.. .. _ h .c�•.,, " <br /> _n,�.-. .. . . ._� ._...«�'_»a::<aaGti+xa;+R1�i'^e„"_"_ . ..,efn�n._._._ ` <br /> �:....,e 4 �..Y�iz'%E" -+ss�. . , � ._'��-.....� <br />