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/ 9 <br /> � t <br /> PERMIT APPL.ICATIAN <br /> BUILDINGIMCCHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOL.ITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTF�:FROM 8 AM TO 4?M <br /> SITE ADDRESS: PROPER7Y TAX p PERMIT# <br /> lr�� (�. � ! � � C� Z�JI�Z:�00 '1 � - �. <br /> LEGAL for new conslmction: Shotl PlaVsubtlivision Lot No. _ (a!tach copy ol long legal tlescription) <br /> OWNER �j ��'� jL. ' /"IaI 7 /'�� Phone/En�all = �- � " 1� <br /> Adtlress� �j��7�j �71/�".VI<�iA1 ����� n City/State/Zip �"�. �1�� J� Z"I l�5 <br /> CONTRACTOR ��j�,7?�"r I� IU�/�l'r'� � / r �" L&ILic.# ' �C.f'����(!� �7 L� <br /> Address � �j �,Ci{I1 �]� Nt- 1���1✓ /l� �8�z3 PhonelEmail � ZS'7��T- ��7�Z <br /> TENANT BUSINESS NAME � CONTACT FOR PERMIT <br /> ����� PhonelE-mail ,!/!�/ fjiJ'IJi'� L�G.J- � l- �'� �5 z <br /> BUII_DING PERMIT APPLICATION CONTRACT PRICE oF 1iJORK �'3a".DU <br /> Exi,�ing Use of Building �--r'���-�'� HEAT SOURCE: <br /> Proposed Use of Building Gas_ Eledric_ Other_ <br /> B�ilding lype: _Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Typ��of project: _New _Addition _Remodel _Repair_T.I._Sign,_Sprinkter `�Demolilion_Change o(Use <br /> Descrip�ion of Work(additional space provided on the back): <br /> 7a,�,�,� ���.ir�r���, �U� ��; 4-ir� <br /> Have you started working witliout a permit7 _YES '�NO <br /> MECHANICAL NERMIT APPLICATION PLUMBINCv PERMIT APPLICATION <br /> Typa of ProJecQ _Now_Addn _APoratlon_Ropair Typo of ProJecl: _New_Addn _Allaratlon_ft�palr <br /> Show Numbcr(W)oI lixfuros Show Numbcr(p)o/(ixtures <br /> � NC-au ha�dling units � Toilel <br /> � Forced ar syslems I BathWb <br /> Gas pin�ng Lavatory(wash basin) <br /> Water L•eater Shower <br /> � Gas fireplace � Kitchen sink&disuosal <br /> Gas range Dishwasher <br /> � Clothe=dryer Clothes washer <br /> � Range hood � Water healer <br /> Ezhaust fan Sink(service/bar/mop/etc.) <br /> Heal pump � Backtlow preventer <br /> Unit hea�r.r Urinal <br /> Boilcr Drinking Founlain <br /> Refrigeraticn F!oor drain <br /> Woodsfove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Olher: <br /> � NumberofHeads Other: <br /> I hereby cmtdy thnl I have read and examined Ihis applicalion and kno�v Ihe same fo be true antl corted.A'I provisions ol laws and ordinances govemin� <br /> this type of work will�e complieA�v�lh whethcr specified herein or noL The granting ol a permit does not piesume�o give aulnority lo violate or cancel <br /> Ihe pmvision of any olher state or local law regulaling constmction or the pedormanco of conslmction.That I am authorized hy the owner ol this property <br /> to pertorm Ihe work lor which applicalion is made and I compl�wilh�he Stalo Conlraclors Law 1 tl27 RCW and 29fi2U0 WAC <br /> i- <br /> ..�i'�-:_/� .� '!/' ./i <br /> OwnorlAuthorizod Agont Slgnaturo Dute (Rev�s_d?/20171 <br />