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PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLI710N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Eve�ett, WA 98201 -425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: PROPERTYTAXk PER 17� <br /> r <br /> LEGAL for new construaion: Shotl Plat/subdv�sion Lot No._ (atlach copy of long legal descriptior.) <br /> OWNER L�l/�.:�� PhonelE-mail <br /> Address CitylStatelZip <br /> CONTRACTOR L&I Lic. # <br /> Address PhonelEmail <br /> TENANT BUSlNESS NAME CONTACT FOR PERMIT <br /> PhonclE�mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK_ <br /> Existing Use of 6uilding_ _ _ HEAT SOURCE: <br /> Proposed Use of Building _ Gas_ Eledric_ Other_ <br /> Building lype: _Single Family _Duplex_Townhouse __Multi-Family _Commercial <br /> Type of project: _New _Addilion _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> Description of Work(additional spaco pmvided on tne back): <br /> /'iu�n6�,�j/�'h ,�� �f r�c��v ��roo� <br /> Have you started workfng without a permit7 __YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typoo(ProJacL _Nnw_Addn _Alioratlon_Ropalr TypoolProJoct: _Now_Addn _Altoralion_Repatr <br /> Show N�nrbcr(M)ol lixfuies Show Nurtt6er(NJ of fixfures <br /> � A/C-air handling units ; Toilel <br /> Forced air systems BathWb <br /> Gas piping � Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kilchen sink 8 disposal <br /> Gas range Dishwasher <br /> Clothes dryer Ctothes washer <br /> Range hood Water heater <br /> L Exhaust fan � Sink(servicelbar/mop/elc.) <br /> Heat pump � Backflow preventer <br /> -- Unil heater Urinal <br /> 6oiler Drinking Fountain <br /> � I Refrigeralion Floor drain <br /> � � Woodstove � Grease trap <br /> � � Ducting Roof drains <br /> - I ��hQ� _ Medical Gas __ <br /> � SPRINKLER I SUPPRESSION SYSTEM I Other: <br /> Num6er of Heads I Other: <br /> I hereby cedi(y thal I have read and examineA this applicalion and know the same to be U.:�and corect.All pmvisions of Iaws and ordinances goveming <br /> Ihis type ol wotk will be complied wilh whelher specifed herein or noL The granting ol a permit ducs nol presume lo give aulhorily lo violaie or cancel <br /> the provision oi any olher stato or local Imv regulating cunslruction oi the pedormance of con:lmction.1 i��at I am aulhorized by lhe owner ol Ihis pm0etly <br /> lo pedorm the work for�vhich appiieation.i,�ma le antl I comply wilh u•e Stale CoNracrors Lari 1827 RCW and 296.200 WAC <br /> - � <br /> ��� <br /> -'���' � Date lHews=d 7J20�7i <br /> oNAulhodze� d A9o��5�9na���� <br /> „_�_i �, , - ��P=., _ <br />