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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: PROPER TA%N PE IT• <br /> 14lD C�r�✓�d V�. oo�" r�G�aS'000 -- v <br /> LEGAL(or new conslruclion: Short Plal/subdivision Lot No._ (a��ach wpy of long legal descriplion) <br /> OWNER e� !_ IL�� PhonelE-mail �s' S /�(��. CI11 e D/1��I• n� <br /> Address 1410 G-���.nd 1/�• CitylSlale2ip C� (�11 �0lh,l <br /> CONTRACTOR ►�� � ttiAO CO✓y% ��1 I�C• L&I Lic.# RBRu�N � �OOJ <br /> /� �t n�` <br /> Address �� U �1�U c rn . 1 D 83 830 PhoneJEmail yas� �a ' f J (� <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT�,� C.} �f��+,�I P <br /> Phono/E-mail �CS' '�Jf� J � � m�•n� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK�►� � <br /> Exisling Use af Buiiding 5���'� � HEAT SOURCE: <br /> Proposed Use o(Building �J �� � aml� Gas Electric_ Other_ <br /> Building type: �Single Family _Duplex_Townhouse _Multi-Famil� _Commercial <br /> Type of project: _New�Addilion _Remodel ,_Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> Desctiption of Work(addifionalSPece provided n fhe ackJ: <br /> Rdd ro�c to ��s+�r�S c�e� y;�s <br /> Have you atarted working without a pertnit7 _YES �NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypoolProJecl: _New_Addn _Altoratlon_Rapalr TypeolProJect: _New_Addn _Altaratlan_Repair <br /> Show Nam6er/N)ollixturas Show Number(N)o/�fxtures <br /> � A/C—air handlin units Toilet <br /> Forced air s stems Balhtub <br /> Gas piping Lavato (wash basin) <br /> Waler hea�er Shower <br /> Gas freplace Kitchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/barlmop/etc.) <br /> Heal pump � Backflow preventer <br /> Unil heater I Urinal <br /> Boiler Drinking Fcuntain <br /> Refrigera�ion Floor drain <br /> � Woodstove Greese trap <br /> Ducting Roof drains <br /> Olher Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I herehy certify thal I have read and examined ihis applicatlon and know the same lo be irue and correcl.All provisions ol laws and ordinances goveming <br /> this type ol wotk will 6e complied with whelher specifed herein or not.Tha granting ol a permit does nol presume to give aulhoriry to violale or cancel <br /> Ihe provision ul nny other�tayl",°�local law regulating conslruclion or the performance ol conslruc�ion.Thal I am aulhonzed by the owner ollhis property <br /> to pedo��e work for +iEF).apf Sicallon is mado and I comply witl tho State Can�ractors La�v 1827 RCW and 296.200 WAC <br /> C.-�� / �,�,. 7 I <br /> OwnodAutho odA onb5i naturo �ato (Revised?/I0f7) <br /> ��2 <br />