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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 982G1 -425-257-8810—FAX 425-257-8857—www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROPERiYTA%p PERMIT# � <br /> SITEADDRESS: �l� 1�.. - U I L <br /> h� <br /> LEGAL for new construction: Short Plat/subdivision Lot No.,_ (attach copy ol long legal description) <br /> OWNER i'TI V� �xL¢(?CJ PhonGE�mail v�' �!!/ ���� <br /> ddress a,� Ciry/State/Zlp � I/�rT <br /> CONTRACTOR <br /> � L&ILic.# <br /> Address <br /> � PhonelEmail <br /> TENANT BUSINESS NAME CONTACT POR PERMIT <br /> Phon�JE•mail <br /> BUILDING PERMIT APPLICATION CON7RACT PRICE OF WORK <br /> Existing Use of Buitding HEAT SOURCE: <br /> Proposed Usa of Building Gas_ Electric_ other_ <br /> Buildingtype: _SingleFamily _Ouplex_Townhouse _Multl-Family _Commercial <br /> Typeo(projecl: _New _Addilicn _Remodei _Repair,_T.I._Sign_Sprinkler_Demolilion_Change ofUse <br /> Descriptlon of Work(addilional spaco providedon Ihe back): <br /> Havo you started working wilhout a pormtt7 _YES _NO <br /> MECHANICA� PERMIT APPLICATION PLUM8ING PERMIT APPLICATION <br /> Typa of ProJecl: _Naw_Addn _Alleration epalr Typo of Project: _Naw_Addn _Alteralion_Repalr <br /> Shmv Num6cr(N)n�llxNres Show Number(p)ol Ilrfures <br /> AIC—air handling unils Toilel <br /> � Forced air systems I Bathtub <br /> Gas i ing I Lavalory(wash basin) <br /> � Waler healer I Shower <br /> � Gas fireplxe Kitchen sink 8 disposal <br /> Gas ran e I Dishwasher <br /> � Clolhes dryer Clothes washer <br /> Range hood I Water heater <br /> Enhaust fan I Sink(servicefbar/mo /etc.) <br /> Heal ump � Backllmv prevenler <br /> Unit heater I Urinal <br /> Boiler Drinking Fountain <br /> � Refrigeration Floordrain <br /> � Woodstove Grease lrap <br /> � Ducting Roofdreins <br /> � Olher MedicalGas <br /> SPRINKLER I SUPPRESSION SYSTEM I other: <br /> Number of Neads � Other. <br /> I hereby certiy Ihat I havo read and exomined this appiicaUon and kna�v the samo to be We and correcL All provisions of laws and oMinances goveming <br /> this type of nork will be complietl�hth whelher specifed herein or not.Tho g�anting ol a permM1 does nol presuma to give authonty to violale or cancel <br /> tho pmvision ot any olher stata or laai law regulaling construction or the peAormance cf cons Wction.That I am authodzed by t�e m.vner ol Ihi;properry <br /> to peAorm tha xrork fw xt�icn appLcation is made and I comply� th tho are Conirectors Law 18.27 RCW anC 299.200 WAC <br /> � 2orz <br /> OwncrlAulhorizedA9e gnaturo Date (ftevised7lZ011i <br />