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�ERMIT APPLIGATIO• <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERcTT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 425-257-8810 FAX 425-257-8857 v✓vnv everettwa org <br /> SITEAOURESS: �-.'�/lZ5 11�GLV �� ��y'�f"I' PROPER7VTAXq P tnl7a <br /> 7 // J ��� <br /> LEGAL for new con;lrucfion Shotl PlaVsubCrvision Lot No_� (attach eopy ol lo��g legai descripUon) <br /> OWNER ��E SFy€ � Phone/E-mail . �y J' .Lf�6FI a _'� .[1vy <br /> �da�es: Z � City�State/Z�p � r�f� �,tf,.� . Cfe�yp� <br /> APPUCANT: �Orvner _ Ov:r=r'sAgenl _Contraclo� _Conlracir . ._ -rTenar.l�R�+:c,o.,ee:r.�n<�nc�-.:�..ioo�iruc..�<<ioa,.,�n;����:o�:�l <br /> CONTRACTOR ��,,p�pp,T- Sta�� ' - - Ciiy Bus. Lic # <br /> nddress <br /> F ,ai <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E�mad Q,��e Cl� Qt70ve <br /> sUILDING PERMIT APPLICpT10N CONTRACT PRICE OF WORK <br /> Exist�ng Use of Buitd�ng HEAT SOURCE <br /> Proposed Use of Bwlding Gas_ Eieclnc_ __ Otner <br /> �wlding type� _Single Family _�uplex_Townhouse _Fdulti-Fam�ly _Commzrcial <br /> TyGe ol proiect Ner+ AddiGon Remodel Repair_ T I. _Sign_Sprinkler_ Demchfcn_Chanqe of Use <br /> DESCRIPTIONOFWORK�aeotro�a�s.acepro.-�eedc�rnebacK): `1 �� <br /> ..l��vhQ SioRp�e/SGco� ,l�ui/v��'n� � L�f � �r C1 'he.-� G�c�-Sf'"�GfiB7-� . <br /> -r0 r2 SS I 2' Q(�"i <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APP'LICATIOW <br /> Type ol Projett: _New_Addn _Altenlion_Repair Type ol Projcel: _New_Addn _Alteraiion_Repair <br /> Show Number(a)ol fixfures Show Number(#)o!In(wes <br /> NC—air handlin9 dmts I Toilet <br /> i Porced air systems � �a�htub <br /> � Gas piping Lavatory(wash basin) <br /> � Water heater Shov:er <br /> Gas lireplaCe � Kitchen sink R tlisposal <br /> � Gas range Dishw25her <br /> � Clothes dryer i Clothes washer <br /> � Range hood � Waler heater <br /> � Exhausl fan Sink(servicelbadmoU�e�c) <br /> Hcat pump � Oackflow preventer <br /> � Unit healer � Urinal <br /> � Ooiler � Drinking Fnvntain <br /> � Refrigeration I Floor dra�n <br /> � Wootlslove � Grease trap <br /> Ducling � RcNdrains <br /> � Olher � �dedical Ga5 <br /> SPRINKLER / SUPPRESSION SYSTEM I Other <br /> � NumberotHeads � Olher. _ <br /> I ne�eby cen'ly lhal I�3�e rea0 an0 eRamineC In';app[ca'�on and knor.Ihe,ame lo�e Irve antl correq.Ali provis��.ans ol laeis and ordinances govemmg I his type o1 rmik rn9 Ce mmph�a <br /> rn'n v:neiner sDenllea�srein or nol.Tne granfn9 0l a perm��i does nol p�e:ume lo give auiCoriry�o vio�ale or cancel ihe provision ol any olner slale ar lowl law�egulavn9 constmarcn <br /> Tnat I am aul�oraetl�y rtie owner ol lhls pmperty to pedorm��e work 1or u��c�aOGI¢a:ion s maae antl l cornply�vAh I�e State CONra;mrs Lari 18 27 RCYJ an0]95 200h VdAC � <br /> � 1 � <br /> GGOf�Snl' .Pi � �!�/� �- / �'J� <br /> OwncrlA�ehorizedA9ent '3natur �ale (Revised3R013) <br />�� <br />