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PERMIT APPLICATION <br /> BUILDiNGIMECHANICAL/PLUMQINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I � —I 3`��-- <br /> PROPERN TAX p P MIT p <br /> SITE ZRESS• �ry� �e (� � ' G(J� <br /> LEGAL ror new constmcuon Snon PiausubC�vision_ - <br /> Lot No_ (attach copy o�long legal Oescnption) <br /> OWNER Plwne/E-mail !J-'6 - /�+0 (� <br /> tldress I.7�� , �7 � Cily/Stale2ip (y. � �11� <br /> APPLICANT:_Owner OwnetsAgent Contractor X.ConlractofSAgent _?enant��,�,.iprmce•�oim�+enm�m�e+^�rwao+�.�mmesw�l <br /> CONTRACTOR M C I L 8 I Lic.# OOTSD 31� COE Bus.Lic.#�/-1 1 7S <br /> nddress �� pryy�Q,�/�� . ,//�^+ i3'1 � P�nelEmad Q ,�6 0 �7 / `� <br /> TENANT BUSINESS AME CON ACT FOR PERMIT <br /> PhoneJE-mail lvl p 0 - �� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK J •L'S <br /> Ezisling Use of Building <br /> Slllc.i-E� f f�M i�v R ES�y��=�S�J HEAT SOURCE <br /> Proposed Use of 8uilding 5� Gas_ Eieclnc Other_ <br /> Building type: ,�Single Family _�uplex_Townhouse ulti-Family _Commercial <br /> Type of project: _New _Addition-- Remodel Repair � T.I._Si n Sprinkler Demolition_Chan e of Use <br /> DESCRIPTIONOFWORK(addihonalspacepmvidedontneoack): d �� I� n�� S���s w/ n� <br /> (�� .L1t� 1� 1�♦ <br /> �^+tovG �X�.�i���la. 'jY'Bnl" U<I,t.F P.IIIYy Slri(S A✓1 <br /> l�tiv�c�Y`a�iSi RC��ntc. 7:c+C. �Curt� 9af'�G.. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLIGATION <br /> Type ol Project: _New_Atldn _Alteralion_Repalr Type of Pro�ect: Show Number�(0)o//1Ytu`res"on_Repair <br /> Show Number(M)of Oxtums <br /> A1C-airhandlin uNts i Toilel <br /> ' Forced air s stems ' Bathtub <br /> Gas piping Lavatory(wash basin) <br /> � Water healer <br /> Shower <br /> Gas fire lace Kitchen sink 8 disposal <br /> � Gas range � Dishwasher <br /> Clothesd er I Clotheswasher <br /> Ran e hood Waler heater <br /> �I Exhaust fan Sink(servicelbarlmo IetcJ <br /> � Heat pump BackFlow preventer <br /> Unit healer Urinal <br /> Boiler <br /> Drinkin FouNain <br /> Refri eralion Floor drain <br /> Woafstove Grease lrap <br /> Roof drains <br /> Duclin Medical Gas <br /> Olher <br /> SPRINKLER 1 SUPPRESSION SYSTEM ' Other. <br /> Number of Heads Other: <br /> 1 IimebY�ertM vial l hmu mnd:u W vaxinneE O�b aPPlrcalun and Anuw O�e smna 10�o wo uod wnocl.M Vmvwmt ollaws und wdne�x�s 9rneinYiB I�u�YPo ol v.ak vn10o comVYW <br /> vnili xfieVie�b`peu�cd�ermn w nol.l�e gr�nOng oi a D��'�a°C°^ol prcwme lo pNe aulhorily to v�nln�e or cancel l�o prowson ol ony ol�tt slale or bcal Lmv regubbq consUuc�on <br /> 1 hal I am ou��7y I e m al t�is pmD�M��P�°^^��e�la wiirh oppiwlun rs m�e ana I compN�h Ne$tate Contractus Low 18 27 RCW en0 208200A VtlAC. <br /> � , �� i i 3d �r z ���,5��o,:, ��Z <br /> \pwn�}IA dzetlAgenl5lgnaturc Dalc <br /> `J <br />