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( C <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810-FAX 425-257-8857-www.everettwa.org <br /> MPUCATIONS ARE ACCEPTED FROM 6 AM TO 4 PM s�I $ �- 'Z. <br /> SITE ADDRESS: ' � f MOPERTY TAIf M P IIMIT/ - <br /> `�' <br /> LEGAL la new consWclfon: ShoA PlaUaubdivlalon Lot No.___ (attach copy ol bny Ispal tleaulplim) <br /> OWNER � Plane�E�ma�� T.�S � <br /> reas � GylState2ip � <br /> CONTRACTOR � 6 I Lic.M <br /> rsse �� Q(.� PAone/Emafl � 77 �'3 <br /> A FO�RMIT �. S{✓�U <br /> � � � <br /> � PhonelE-mail <br /> dU1LDING PERMIT PPLICATION CONTRACT PRICE OF WORK — <br /> Eziating Uae of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Ebcaic___ Omer__ <br /> Building type: _Single Family _Duplex_Townhouse _Mufli-Family ��ommercial <br /> Type of project: _Naw _Addition __Remodel �Repeir_T.I...�/Sign_Sprinkler_Demolitbn_Change of Use <br /> Descflption Of Work(eddRional apace pmvided on fM backJ: <br /> l�1hS�r[.F-�P L`►�,.�- uJ�C.�� �i �,z�y� <br /> � <br /> Have you shrted workiny wlthout a parmit7 _YES __NO <br /> MECNANICAL PERMIT APPLICATION PLUMBING PERMIT ArPLICATION <br /> Typa ot Proj�et: __!Nw__Addn _ AlNntlon_Repalr Typ�01 Pro�l: _N�w_Addn _AHvatlon_Rpdr <br /> ShowNumMr o/flxtur�s ShowNumMr o/flxfuns <br /> AIC-airhandlin units Toitet <br /> Forced air s tems Bathtub <br /> Gas i in Lavat wash basln) <br /> Water heater Shower <br /> Ges fire lace Kitchen sink d dis <br /> Gas ran e DishwaaMr <br /> Clothes d er Clothea washer <br /> Ran e hood Watx heater <br /> Exhaust fan Sink servicelbed etc. <br /> Heat um Backfiow venler <br /> Unit healer Udnal <br /> Boiler Drinkin Fountain <br /> Refri eration Floor drain <br /> Woodstove Grease tra <br /> Ductin Roof draina <br /> Other Medical Gas <br /> SPRINKLER/sUPPREss10N sYSTEM Othar. <br /> Number of Heads OtMr. <br /> I here6y certHy that I heve read and examined this application and krww the aame to ba Vua aM eortect.All proviabna oi laws end oMinancee poveming <br /> lhis type of v.otk will be complied with v.hether spedfled hereln or not.The pmNnp o(a pertntt does nol preaume to yiva�uThaily to vblats a cancel <br /> Me prov(slon of eny other atate w bcal law reguladrp wn+trupbn a lM peAo�mance ol conslnidlon.That I�m auMorWd by Ihs wn�er d Mb properry <br /> to perform lhe or which applkation is mede and I compy with Me Stete Comroctors Law 18.27 RCW end 298.P00 WAC <br /> __��,� ��f3��� <br /> Owmrl M 14rm 8lpnalun b (ReW�ed?lY011J <br /> �Ii <br />