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( �. <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBINGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810-FAX 425-257-8857-www.everetlwa.org <br /> APPLICATIONB ARE ACCEPTED FROM t AM TO 4 PM �.'�j"� <br /> $ DDRE83: � � � PROPERTYTA1fN PE • _ <br /> P 2 <br /> LEOAL lor new consWdb�: Short PlaVsubdlvlsion Lot No._ (NIaM copY W!aq MYd ds�alplbn) <br /> ONMER ��r 7 ' L� �- Phona�E�mdl <br /> ms ;Z 0� S F cxY/Suts2lp n ' 9 r <br /> CONTRACTOR (_r Q � d✓( � �_ L 8 I Lic.# � �+ � ? <br /> nu � A�" �N�l�l �LC P1anNEm�il S^ ' � S� <br /> E A CON A <br /> ' r F, � P���,.�� " 3/ R3 ' sor '!� <br /> dU1LDIN0 PlRMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exieting Uee of Building r �� OrGS O HEAT SOURCE: <br /> . <br /> Proposed Use ot Building �"' a�' E� � <br /> Building type: _Singb Femily _Dup ex_Tovmhouee _Multi•Femily �Commerdel <br /> Type ot proJecl: _New _Addit(on y�Remodel _Repeir�,T.I._Sign_Sp�inkbr�DemolRion_Cherpe oi Usa <br /> DeecripUon of Wo�ic(edationai specs pmvided on fM Deck1: �i .,,�i,�i t. j%f i s-�i�� �n�-ri�i o rl uJ�i-J � <br /> n��a I� u.�u.� I w•;�tl�t ..T.�PC �c ,h�f ro � * ca�F, �n <br /> Zns f a/� /11�> -s i h/�� c.a� 1 ��t�U �zlnn � � <br /> Haw you�taRad wo without�psrmk9 _YES ,�NO <br /> :,1lC ICAL PERMIT APPLICATIO PLUMdINO PERMIT A PLICATION <br /> 7yps of P t: �tNw_Addn _Albntlon_R� ryw a Prol.� _�+�5l��° —RM�� <br /> SMwNumAer(yo/fl+tunr S�w� °���a <br /> A/C—air handlin u e Toilet <br /> Forced air a stems Bethtub <br /> Ges i in Lavato wseh baein <br /> Water heatar Shower <br /> Ges fire lace Kitchen sink R dia sa <br /> Ges ran e DfaM�nsher <br /> Clothes d er CbMes wesher <br /> Ran e hood ' waror txaror <br /> Exhausl fan � S(nk aervice/badm etc. <br /> Heat um Badcflow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountai <br /> Refi eration Flaor drein <br /> Woadstove Groue t <br /> Dudin Roof dn <br /> Olher � �s <br /> SPR KLER I SUPPRE�EION sYlITEM � <br /> Number of Heada a�r <br /> I hereby ceAity that I have rc nd e�emined thin applludon md k�row tM se true and carod.All providoru ol l�ws and udin�noe�povamMq <br /> Ihis lype ol vrork wfll be camplbd vn r spacHbd I�aroln wnlinp ot a pertnit doec not proaums to yWs�Wl�orlly to vb4te ar unal <br /> Ihe proWslon of eny ol�er slete or loul law repu e np corohucllon or Ihe perlormence ot conelruUbn.Thal I�m�Who�itad by d�a ownar o�Mb Wops�tY <br /> to pertorm the work for y'hich a Ii� lian Is mede n I compry with tM State Contnclors Lew 18.27 RCW�ntl 298.400 WAC � <br /> -� la <br /> Own� o AgantSpn�tun b � (MvlsM7/20f7) <br />