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PERMIT APPLICATION <br /> BUILDINGIMECHANICALlPLUMBIIVGlSIGNISPRINKLER/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 � —�-Z—� � <br /> SITEADDRESS: ���� I,�,�� VI f�/�f'��IVI� VROPENttTN(p �iM�tt`G� <br /> vv � Vy .� • <br /> LEGAL tor new construction: Shoh Platlsu6drvision � Lol No._ (atlach eopy ol long le9al tlescr�ption) <br /> OWNER L� U 'v1 L �. Phone/E�maii ^ , ' ��j� I j <br /> Address � l�1 y �I V/� � Cily/SIa�e2ip �/�/� � �1 � <br /> CONTRACTOR V�l. U'1 L 8 I Lia�i �� Y�.( I la �(^'1 Cy.� <br /> Address V . �'y ,�11 PhonelL"m - �5 ��� b� <br /> TENANT BUSINESS NAM CONTACT FOR ERMIT j�1�j� Q�{(,p(j}�/� <br /> Phone/[-mail �1�'" �,J�VI�) �C{ �� 1��v� <br /> BUILDING PERMIT APPLICATION CONTRACT PRI E oF woRK��� <br /> Existing Use of Building HE/1T SOURGE <br /> Proposed Use of Building Gas_ Eleciric_ Other_ <br /> Bu,lding type� Sm9te Family _Dup'ez_Townhouse _Multi-Family _Commercial � <br /> Type ol pro�ect �New _Adddion _Remodel _ftepair_T.I. _Sign_Spnnkler_Demolition_Change o(Use <br /> Descnption ol Wotk(adCrtional space provideo on mo DackJ: <br /> Have you starteA working without a pemiitT __YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypoolProfoct: �Now_Addn _Allenlion_Rnpafr TypuolProJecl: _Now_Addn _Alleralion_Repair <br /> Shaw Numbc�(M)of/irNms S�ow Numbcr(tl)of lixtures <br /> NC-air hanAhng unils Todet <br /> Forced alr syslcrns Ba1Mub <br /> Gas piping Lavatory(wash basin) <br /> � Water heater Shower <br /> Gas fireplace Nilchen smk&disposal <br /> Gas range Dislnvasher <br /> Clolhes dryer Glothes washer <br /> Range hood Water heater <br /> Fahausl lan Sink(servicelbarhnopletc.) <br /> Hcat pump f3ackflow prevenicr <br /> Unrt hcatcr Urinal <br /> t3oiler Dnnk�ng Founlain <br /> Refngerahon f-loor drain <br /> Woodstove Grcasc Irap <br /> Ducling Roof drains <br /> Other Medical Gas <br /> SPRINKLER 1 SUPPRESSION SYSTEM Other <br /> Numbcr of Heads Other � <br /> I here�y cenity I�al I have read and examined I�is apFlication and Anow the same lo be Ime and corted.All D�a�isions ol lax5 and ordinances governing <br /> Inis rype ol work wlll he wmplied wllh whelher specified nerein or not The granling ol a permlt Coes nnl pmsume to give aut�oriry to vialate ar cancel <br /> Ihe pro �sion ol any other state o uwl law regulaling consWction or Ihe pedormance ol conslruclion.Tha1 I am authanzed by Ihe owner al Ihis propeiry <br /> �o riorm he work foi whiCi pplica�on i; e and I compty w�lh Ihe State CoNraciors Law 1827 RCbV and 296.ZOO WAC <br /> OwnodA hodcad ant Slgna � � • ate (Rev�se0?R071) <br />