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PEi�YVIIT APPLICATION <br /> BUILDING,(h�ECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3290 CEdar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 v✓v✓w.everettwa.org <br /> 5 —lf —1 3 <br /> SITEADDRESS: PROPERTYTA%p P x <br /> 1335' �-n>'�J� S� �Jeretf 98,�01 OS—O <br /> �LEGAL(or r�evi conslmction: Short PlaUsubdivision Lot No._ (attach copy ol lony legal description) <br /> OWNER ����rz.l} 1-}t+u�; �h:-l-/ior;�• Fhone!Email �/,�5- 3v3� 11��' <br /> nddress �jlp �ti� ,�{✓c � CilYlStale2ip �y� Y<� b1�f1 ���C' 1 <br /> AppLICANT: Ovmer OwnefsAyeat Contractor _Contractor'sPyent Tenant�m�sipronaaaieneroiwr„c:+.o-ommeo,�eriomN��hmmazpa��i <br /> CONTRACTOR i' �c + • s J17C. Slate Lic.� S/�O � City Bu�. lic.# ��> 0 4� <br /> Address � �j �nl/�yi ✓�. L .V Q VP� W �6.�D1 Phone/Email <}�,�j ' .�j�1? '�f�d b <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �;�` ��,I dynQ✓d <br /> lrverei-F }�cu5;rr� �u'��o���� � 6 <br /> Phone/Gmail �,Z. - �JC�-�"-��.�J <br /> BUILDING PERMIT AI'PLICATION CONTRACT PRICE OF WORK� <r� _ <br /> �xisling Use of�uilding 1\P� r.�en�ir•� ���`���%t1� HEAT SOURCE: <br /> �?roposed Use of Building �n;nr �i 5 z ��P- Gas �Eledric__ Other_ <br /> Building type: Single Pamily _D�plex_Townhouse ✓�lulti-Family _Commercial <br /> Type of projecl New Addition _Remodel _,Repair__T.I._Sign_Sprinkler_Demolilion_Change of Use <br /> DESCRIPTIONOFWORK(addifionalspaceprovidedonihebacki: J��r • �Y'CJPcY�#' .2D13'OI ��emeJ2 C'u5'�t�r.et <br /> e� e t5 rna[e, cus'h,n.cr su I;ea! - ln[�u Si�e. <br /> ex,7`I� n� �i r1e � �i�� �� �u =�n�}aI� ne�( y�is -Ft�rna[G C p� � <br /> r �,.Lt i <br /> �"v ��(G- -�C ��GW �r9� �f 71fn $ : /'r }G(fii C.II' �IP>1ari\� �GS �,��f�J� �q 5 �L4''J �ipn 1�olfG�P � <br /> Icvi J��Jn��: , �ir.r!- -+ 'i's� .new <br /> MECHANICAL PERMCT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of ProJect: _Nmv_Addn _Al�crali�n_Repair Typo of Project: _New_Adtln _Allcration_Rapair <br /> Show Numbcr(a)o//ixfures Show Number(N)o//ixfures <br /> � A!C-air hand!ing units ; Toilet <br /> � Forced air systems � Bathtub <br /> Gas piping ( Lavatory(wash basin) <br /> � Water heater I Shower <br /> ' Gas freplace Kitchen sink 8 disposal <br /> � Gas range � Dishwa;her <br /> Clothes dryer I Clothes washer <br /> I Range hood ', Water heater <br /> ; Exhaust fan I Sink(servicelbadmop/etc) <br /> � Heat pwnp I BackFlow preventer <br /> � I Unit heater '� Urinal <br /> I Boiler Drinking Founlain <br /> ' Refrigeralion �� Floor drain <br /> � Woedstove ' Grease trap <br /> � Ducting Roof drains <br /> � Olher _ ! Medical Gas <br /> SPRINKLER / SUPPRESSION SYS7EM I Other: <br /> � Number of Heads �' Other: <br /> I horeLy ceG.fy Ihat I have reatl and e.ammed Ihi;epphccCen and knos ihe same to Ce Ime onC mrre:l AII provisians ol laws antl ortlmances 9oveming t�is ryp�dl wrork will be comp!ied <br /> wah v:hether spen(ied nerein or nol.Tho 9ranting ol a pem+�l aoes not F«sume l0 9i�e aut�ority lo viola�e or cancel Ihe provision ol any ot�er s�ale or lowl law regulating conslmction <br /> Thai I am authorixea by�ha ownm ol lhis pmpetly to periarm I�a erork fo�which applicalion I5 matla onE I comply wilh I�e State Con��acloro Law 18.T RCW anC 296200A WAC. <br /> �, . / ' `�9 /3 <br /> ltEc% " �..�-�/�., �%• / - <br /> OwnadAu �orizod Agdnt S;gnatme Date ;R^vised 3207;j <br /> . _. _ _ _—_ .—._ __ <br /> ` 1 <br />