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PERMlT APFLICATION <br /> BUILUINGIMECHANICAL1PLlJMB16VGlSIGNISPRINKI_ERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8357 www.everettwa.org <br /> APPLICATIONS AREi ACCEPTEO FROM 8 AM TO 4 PM <br /> PROPERNTA%k PERMI7q ,- .. _ <br /> SITE AODRE55' � -�� r� � _ - ?�L.j� - �, ,..� <br /> I32� � '�l�'� h b2 � <br /> , <br /> IEGALIornewconsWclion'. ShoriPlaVsubaivision � Il�-�.1: LatNo.�""�� latlachmpyoilonglegaldesrnption) <br /> OWNER ��L ��� �1�����^�_ Phone/E-maA �j <br /> ���Arc:�S '�� V ���`�L.T� \ 1'1 Y� CitylSlatC/Zip �y���l��� I� ` '-7 C� O��J� <br /> APPLICANT: Owne� Ovmer'sAgent X Contractor Contrador'sAgen� _Tenanl�mus�ero�ke�Hzro�«,nwm�mm^eo�..:emeo�nnmmew�c•7 <br /> CONTRACTOR {-�Y�� �I,l`,!>�C��"ll � 1, �1�111�5 �B�Lic.# la4�K�.UBl�q � J� COEBus.Lic.K <br /> 1l'1Ct� �v� Il �' Cq 3ltC. u�, ���3'I <br /> qAdress �L �j��.X ���Z� � ,�1:�� �O2�-L Phone�Emai�YCl_ �lC..�•:CL1�lU��t�lrt� i•,[:, t� .� <br /> lENANT BUSINESS NAME CONTACT FOR PERMIT ��� � (�� � p�Y bi��1 L���"��,�. � <br /> I��.u1C��, � �!i l�n(� 5 c�w� <br /> Phoner�-mad .34"C-lf���'�13� <br /> BUILDING PERMIT APPLICATION CONTRACrPRICEOFwoRK �� � �C'��' — <br /> HEAT SOURCE�. <br /> f_xisting Usr ol 9uildiny — <br /> i <br /> Proposed Use oi Building�� �`�('(I�"f"(���'`��( � /���7��� l� C��� Gas_ Electdc_ Omer_ <br /> 6uildiny type�. _Single Family _Duplex_Townhou�e _tdulfi-Famiiy _Commercial <br /> 7ype of projecC New Addilion Remodel Repair T.I. Si n Spdnkler Demolilion Chan e o(Use <br /> DESC RIPTION OF WORK(addrtionn�space nrovided on the 6acq): <br /> �=� x yC x I(� Storac�e c�ct��ctc�e �'�t ��2t me_ CC;r�st�"��et�r i� <br /> wi�-I� �a.,p `'�;c�inc� � C�mP���� ic,�� rC� �=,�� <br /> MECHAKICAL PERMIT APPLICATION PL.UMBING PERMIT APPLICATION <br /> TypaofProject: _New_Addn _Alteration_Repair Type�TProject _New_Addn _Alteralion_Repair <br /> Show Numbcr(NJ ol�itwas Show Numbcr(k)ol firtures <br /> AIC—air handlin units � Toilet <br /> Forced air s stems Balhlu6 <br /> � Gas pipin lavato (wash basin) <br /> Waterheater I Shower <br /> i Gas fim Iace I Kitchen sink&disposal <br /> ��' � I I Gas ran e _ Dishwasher <br /> � Cluthes dryer Clolhes washer <br /> I � Walerheater <br /> Range hood <br /> I � I Sink(servicelbadmo le�c. <br /> Exhausttan <br /> Heat pum Back�ow prevenler <br /> ' � ' Unit heater � Urinal <br /> ���I �� Boiler ' Drinkin Fountain <br /> Refri eralion � Floordrain <br /> Woodstove <br /> � Grease trap <br /> Ductin � Roof dreins <br /> Other ' Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I other: <br /> � <br /> ' Number ol Fleads Other: <br />,` i�.-��', �:eNry Ina�I�ave rea�an!e.nm�netl N'�s applmalrori aM know lne sama In be We enE eortac4 A1 provisbns ol bwv antl ortllnBnces Boveming l��,s type ot work wl7 bn compl�zd <br /> . ...��.emer specAiod�ero:n or nal.ihe grxntm8 of a pennn Qoas nol pivsume to grve aulhwrcy to va�alo ar eencel Ne provisbn of eny at�er slete w lofa�lew reBulaling aonsmiC,an <br /> . �,I nm outhodicA by the owncr al llns pmpotly to pertorm tlm woA lo��h apWlwlbn is maCe end I comply wrt�the Stalo Contracton Lew 18.27 RCW ena 2B6100A WAC. <br /> � ' ��Z <br /> � � � � � � <br /> ' ' i��t. (;������c�_ �4- � i <br /> , <br /> Gwnr.dAutl��arized Agcnt Siqna!we , Doie (Ravisetl 6/20 <br />