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PERN6IT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 ww�v.evereriwa.org <br /> SITEADDRESS: � \ PROPERTVTl+XN P��T� <br /> I �.7i Z 1�1t� �C. � - CC�3 <br /> LEGAL for new constmclion: Short PlaVsubdivision Lot No._ (attach copy ol long legal description) <br /> OWNER �ab , I� l � / Phone/E-mail 'yLs '��]"L. 57 9 �i'� ( � ) P11�1�� ,N <br /> Addmss �' 3�� � �i�r• '1'�`�G l�-1 CilYlState/ZiP 1�—� �h 1��� \��P� '- !� <br /> APPLICANT:_.Owner _Owner'sA9ent _CoNractor _ContractofsAgent _Tenant�m�:iP�oraeaier,erorw�:e�ano�mo�.�er.oeo.:�n�,in=�,,_^� � <br /> CONTRACTOR�� S�l�Ci �\`T • �'J�� State Lic.# Cit Bus. Lic.K � <br /> Atldmss Phone/Email ��� �5 3 ��-�� 3 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT'J����� �.1� C�e_c1'�,C '72����A � <br /> uC� "j'l 2_ 57e(-� � f,� 1� \� (.1 <br /> Phone/G-mail Y'O �K,f^T P�Q`��>``n51`" ���\�h\+� J <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 2��<�h � � <br /> Existing Use ot 8uilding C' P � r c'��'��� l�� HEAT SOURCE: � <br /> Proposed Use of Building � c=(. n��" Gas Electric_ Other_ <br /> Building type: _Single Family _Duptex_Townhouse _MWti-Family��Commercial <br /> Type of project: New _Addition _Remodel _Re air x T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(additionol space provided on the back): � <br /> �r�>�'�7C'(�, C_� \i"<1C�.Q � (��a�Uc��\\ f%� ���tS �P,Q �X"1Ci. �b �l? � N�c�`� E�Y��_ <br /> � �� �,_ �� <br /> \�1 \ l=> �-���_ 1�\ ��, ��h '� t' `� 1 �c, <br /> MECHANICAL PERMIT APPLICATION PLUMB�NG PERMIT APPLICATION <br /> TypoofProjeet: _New_Addn _Altoration_Repair TypootProJect: _New_Addn _Alluratlon_Ropafr <br /> Show Number/#)ol Iixtures Show Numbcr(8)c!/ixtwes <br /> � A�C—air handling units I Toilel <br /> I Forced air syslems I Balhtub <br /> � Gas piping � Lavatory(wash basin) <br /> � Water heater I Shower <br /> � Gas freplace I Kilchen sink&disposal <br /> I � �as range I Oishwasher <br /> � Clo�hes dryer � Clothes washer <br /> Range hood I Water heater <br /> � Exhaust fan ' Sink(service/barlmop/etc.) <br /> � Heat pump I Backflow preventer <br /> � Unit heater � Urinal <br /> I Boiler ' Drinking Fountain <br /> � Refrigeretion I floor drain <br /> � Woodstove I Grease trap <br /> Ducting ' Roofdrains <br /> � Other_ ; Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM ! I other: ^�. �,�, �, <br /> � Number of Heads � Olher. <br /> I hereby ce�dy ihal I have reetl and eaamined Ihis appLwtion antl kno�,r Ihe same to be lme and cormcl.FII provisions oi'aws anC ordinances goveming Ihis�yFe ol nork will b_c:mp6M <br /> .�:'i v.l�ether specifieC�erein or not Tha granling ol a pertnit tloes not prescme la gM1e au^�,:'y lo v o'�ete cr arcel Ihe Fmvivon cl any ct�her sial^er I:cal:aw re9ula;'�,rg ccnstmr,:en <br /> That�n au, oriEea b I�e owne�ol his pi epe�y to pedorm Ihe work lor whicn ap=l�caua�is n�asa:����I ccmpi7 o rh;Ya 5'ate Ccn'ractors La�.v 19 2 i RC','J an]256 Tl'7A l":AC. <br /> ��)��'� ll� � � � �l _ <br /> t�__ <br /> Owned uthorizedAgontSi aWro i / Date (Revised3R013) <br />