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PERMIT APPLICATIQN <br /> BUILDING/MECHANICAL/PLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.ora <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: i_ PROPER7VTA%u PERMIT# . � <br /> � .'�� c I�,c�� �,-� �� , >� � �'�'� ',oyn,� , ,�czsL,C, r �� _(r�,V <br /> LEGAL lor newconstructlon. Shotl PlaVsubdrvision Lo�No_ (attac�copy ol long legal descnption) <br /> OWNER Y� `j(rj �.0 /(�_ C( ) Phone�E-mail <br /> Atltlress /✓.7 j �j�'lc'Ry �"]L�C. 5c��-Z. C' GtylSlate/ZiP ( �l! I� YJBCI C�A � %7'��� I <br /> APPLICANT: __Owner Owner',Agent �Ceniractor Coniraaor'sAgent Tenant�m�sio�o.�aeebm�oico�.�mnommeo-.,�,e,��ao��+�-.:^�:c�.�� <br /> CONTRACTOR��'��" I�Ic"n��i1C- ar1il �C('I �i�q L81LIC.# C�I°�I��t HC:`IC-�C iJ COEP,uS.Lia# <br /> _ <br /> Atltlress f��i� 1X�� :-��lc j ���� �_��„�� L�.A `J� i i ; PhonelEmail y1J '��1�' �l�lj <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT ���i� ��,�u�I�',- <br /> �;� <br /> ��1.��� 1��� ;-�l.f . '.�irf�(� PhonelE�mad �/l-j-�<�� l�7'� �.�f'i�iiN� �� �li��" ��✓,�1�f'- .i�,f� <br /> BUILDINGPERMITAPPLICATION CONTRACTPRICEOFWCRK ����(%V <br /> Existing Use of Building HEAT SOURCE' <br /> Proposed Use of Building ����� �( � ��'��i f �II'l `�! Ges� Electnc_ Olher_ <br /> Building type: Single Fami�y _Uuplex_Townhouse _Multi-Family �Commercial <br /> T pe of ro ect New Addition Remodel _ Repair :X T.I. Swn Sprinkler_Demolition_Change of Use <br /> DESCRIPTIONOFWORY.(edtlftionalspecepmvldedonmebeeti)- ���.�����I � �l[�� (ec��:) .-�( 1..h �" � � IIC�< <br /> i . � <br /> ,>>_4�.a��-,� �t���- � � , �I :� ikw ���„ I I�rrri/� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofProject: _New_Atldn eqAlleration_Repair TypeolProject _New_Adtln _Alleration_Repair <br /> Show Numbcr(#J ol�ixtures Show Numbet jpJ ollixtures <br /> � NC-air handlin unils Toilet <br /> Forced air s stems BathWb <br /> I �I Gas pi in Lavato (wash basin) <br /> I Water heater � Shower <br /> Gas fireplace � Kitchen sink 8 disposal <br /> Gas ren e Dishwasher <br /> � Clothes d er � Clothes washer <br /> Ran e houtl '� Water heater <br /> Exhausl fan '� Sink(servicelbarlmopletc.) <br /> ' Heat um 8ackflow preventer <br /> Uni�heater � Urin;�l <br /> Boiier � Drinkin Fountain <br /> Refri eration � Floor tlrain <br /> Woodsiove �� Grease tra <br /> Ducting Roof drains <br /> Other � Medical Gas <br /> SPRINECLER / SUPPP.ESSION SYSTEM ' Other. <br /> Number of Heads Other. <br /> ..,-rty cetlAy�hal I l�ave ma�nn0 eaumine0l�n apOLcation and knrnv ihe seme lo be Ime antl cortect All provisions ol laws ond ordinancea Bovemmg I�ie type a�wvtle vnll Ee comCbeif <br /> ...... �Nior spe�dmd�erein or nol T�e p�antinp ol e permA does na1 presumo lo plve aulbonly lo molale or rancel t�o provi�ion ol ony olher ftole or bcal lax regulat�na cans�n¢I�on <br /> _,i.i..�:m�M1onted�y�tle owncr ol lhis pw0c�y lo pc�ortn Ue�wd loi whk�aoplialion Is made en01 compN�����e Sla�e CanVnc�ora Law 18 27 RCNJ anC 39G 300A WAC <br /> 7 ir <br /> i . 'j%;: � %!' , �I /`c��� ��� <br /> -'i. ' / ' � 7- i _ <br /> Owr.crlAuthol�tetl Agen�Signaturc Dats (Rev�seA62012) <br /> 1 � <br />