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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98207 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM –� _�� <br /> J PROPERTYTA%M PE MITf �j <br /> SITE±DOD E3�S• UI'� F �LI W p 1 l�L� C� <br /> 1{ <br /> LEGAL for new consiruction: Short PlaVsuUdivislon <br /> Lot No.� (atlach copy of long legal description) <br /> OWNER /a ��1'�1Z �����5� Phonel[-mail <br /> Address CitylStatelZip <br /> APPLICANT: Owner Uwner'sAgenl CoNractor Conlrador'sAgent _7enanlfm�+�c�ora^aiene�oiw�se�u�omu+eo+�M�iomwo+��me.�uei <br /> CONTRACTOR Z � W V !1�r �1 <br /> i L& I Lic.# I T�'«��� .5 COE Bus.Lic.# <br /> Address ��U �.L T� n � �rz3 /7r� �.U�7 ri�u�reiE�nail – .�- 7ZZ� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �wf�� n–{�•(�n� <br /> �r / <br /> �'I : ,�q� ztiA / Z. �- SZ�-Qi707 <br /> l� � Phon=l[-mail ' 7 C�' ` /�� 5 � S <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK J, �f L� � <br /> HEATSOURCE: <br /> Existing Use of�uilding <br /> Gas Eledric_ Other_ <br /> Proposed Use of Ouilding — <br /> Building type: Single Family �Duplex_Townhouse _Multi-Family _Commercial <br /> T pe ol proiecl: �New _Addition _Remodel _Repair_T.L_Sign_Sprinkler Oemolition,_Chan e o(Use <br /> DESCRIPTION OF WORK/additlona�spacep�ovidedon tne back/: <br /> 1�s � is� r.v ` s ����nk��_� s , s� ��r <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type af ProJecL• _New_Addn _Alleralbn_ftepalr Type oi ProjecL• ShoweNam6er(k)o11i A�t erstlon_Repair <br /> Show Number(N)ol/IaYures Toilet <br /> A/C–air handiing unils � pathtub <br /> Forced air systems I <br /> Gas piping Lavatory(wash basin) <br /> Water heafer � Shower <br /> Gas(ireptace Kitchen sink d disposal <br /> � Dishwasher <br /> � Gas range I <br /> � Clothes dryer Clothes washer <br /> Range hood � Water healer <br /> Exhaust fan � Sink(service/bar/mop/etc.) <br /> Heal pump BackFlow preventer <br /> � Unit heater � Urinal <br /> � Boiler � Drinking Fountain <br /> � Refrigeralion � Floor drain <br /> VJoodstove Grease trap <br /> Ducting I Roof drains <br /> Olher � Mediczl Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I Other. <br /> Number of Heads I Othec <br /> ,herety cetlily ihal I ham reed end examined Ihis appli:alion end know Ihe same to be Ime and wrrect.All provisions ol lawa and ordhances gcveming th�e type ol work wiit be complied <br /> vntS whe��er specRed hereln or nol.The qranting ol a permil Doea not presume to gNe authority lo violate or cancel the pravisiun o/any other slate or local law regulating cons�mtlion <br /> Tha11 am aWhorized Ey Ihe ouner N tMe pmPerty b pedorm the work lor whkh aDP�ication Is made end I comply with Ihe Slate Controctors Lew iB 27 RCW and Z°5 200A Y�'AC. �� <br /> �/ ' ' � _2z - pZ <br /> ,� ,� t 1��, , S .._,_ ....._..�n�,,, <br />