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� �_ <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT 8ERVICE3 <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810-FAX 425-257-8857-www.everellwa. <br /> APPLICATIONS ARE ACCEPTED FROM!AM TO 4 PM "I � I <br /> SITE ADDRES8: M��T�K <br /> LEOAL fu new conaWelbn: Short PkVeu6divielon �b�'�0�— (�K������������) <br /> OWNER PhonelE-m��l <br /> �ssa ���b <br /> CONTRACTOR 'r GKt v L 3 I Lic.� <br /> rsw PhonelEm�N _ <br /> IN F c -N 'k Oo <br /> { Pha�dE-m�M - � <br /> SUILDINO PERMIT APPLICATION <br /> CONTRACT PRICE OF WORK � 3w� �s <br /> Existing Use of Buiking � f HEAT SOURCE: <br /> Propoaed Use of Building R<s�/n .� �� E�B � <br /> Building lype: _Singb FemAy _Duplez Townhouse _MuIH-Femily �,Commerdal <br /> Type of projed: _New _Addition _Remodel ,�(�Repeir_T.I._Sign_Sprinkkr_Demolition_Charqe ot Use <br /> Deeaiption of Woilc(addiNanai spece provfded on�he eedrl: Q�P In � t /r���e d..� Fl�e oQ . �1 rRz Q►.� r i»F s <br /> A pis� n„�s� .�µw� � l�n,ldwoo.�•+ inC. YCnwv�w� l.uG�•e t � 3rs•••p+r� <br /> H°"'t / Ac1d�� �, ^;�� h n o n <br /> Haw you�tarbd workin9 without a p�rmit4 _YES _NO � r 3 Ne�.P s��!s <br /> MECHANICAL PERMIT APPLICATION PLUMBING PlRMIT ArPLICATtON <br /> Typ�of ProJ�eh _N�w_Addn �Ibr+tlon_R�pdr TrwaP� —►�"—�" �N°iritlon—� <br /> ShowNumbr oI/I+funa SA°M'MumMr o/�xh�+ <br /> AIC-airhendlin units Toibt <br /> Forced air a alems BaMtub <br /> Gas i in Levete wasA basin <br /> Water heater Shower <br /> Gas fire lace Kitchen eink !.tli I <br /> Gas ran Diahwaaher <br /> Clothes d er Clothea washer <br /> Ran e hood Water he�ter <br /> Exhaust tan Sink urvlaNbadm et0. <br /> Heat pum Bedcflow reventer <br /> Unit heater Urinel <br /> Boiler Drinki Fourrt�in <br /> Re ' eration Floordrain <br /> Woodstove ��� <br /> Dudin Root drofna <br /> Other Medicel Ges <br /> SPRINKLER/sUPPRlEs10N sYSTEM �� <br /> Number ot HeWe Olh°r <br /> I hereEy certlN that I�eve read end examined Ihit appNcalbn end know Me s�ms to ba liue�nd carecl•AN ProvNbm a I�S x�d ad�^u�W��Y <br /> this rype ol worlc wlll be complied with whetMr apadlkd herein or nol.The pnndrq of�pa�mN daet nol proswne to piw wM�aXy M WWah a ranal <br /> the provislon of any ot�er atate or loul law regulalirq conaWcUon w tM perlormmce ol comin+Ubn.ThN��m�ulhalxed bN ths owns�b MIS ProDMf <br /> to peAorm the work or whkh Ilution le matle and 1 wmply wiM Ms SUts Conl�don L�w 1l.27 RCW�nd 2i6•Y00 WA� � <br /> \ 01 /�. <br /> Own�MAutlwriad Ay�M 81y m D�h � (Rsvlasd7/101 f1 <br />