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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org7� � <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM S `� �/�� <br /> 51T jADDRESS: St �eY 11 PROPER7YTAXp PERMITN <br /> I1 ` S�2�'� Ib(( 3C.r - � <br /> LEGAL lor new constructlon: Shod PlaVsubtlivis�on lol No._ (attach copy ol long legal descdption) <br /> OWNER � o '1 � �nC A ' Phone/E-mail � 2 S -� 1..3 ' � <br /> ddress . �7 �� b� CitylStatelZip � - Vfl a���) � <br /> i <br /> APPLICANT:_Ovmer _OwnefsAgent 1,/Conlractor _Canlraclor'sAgent _Tenanll���o��••bb�o�wnsemiromneo�«mco�wnnms.P.ca1 <br /> CONTRACTOR � pa � �C � r�L L 8 I Lia k f L � ' ��� '1[ COE Bus.Lic.# �.� I � <br /> dtlress � Jrih �� _.f? .� t� V V ` S-��1 Phone�Email 5 - 3c� �� -`r 1C c <br /> TE ANTBUSINESSNAME A CONTACTFORPERMIT ��,•� ��'��,,/�,�� f�J <br /> ��r�z-���- �-�UIIS�iI� /tll,l-IC� i-E-� Phone/E•mail �"Ir�(�7'- ��� � � �r� � 0 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK � ��N� ��(� ��� <br /> Existing Use of Building � � ' �� n - � �1�� HEAT SOURCE: <br /> ProposedUseofBuilding r' �1'� ' AS Li��: �`' Gas Eleanq� Other <br /> Building type: _Single Family _Duplex_Townhouse ,_,Multi-Family _Commercial <br /> T pe of ro'ect: �New Adtlition Remodel _Repair T.I. Si n S rinkler Demolilion Chan e of Use <br /> ' �fC,JPcf �C13-Cl �cA'U1�2 CUSftn'm (� <br /> DESCRIPTION OF WORK(edditicnal space providedon me back): f�'i � r r�a Ce. C�u3�L nV�� ��-3y'1""�� <br /> cxisF,n� �, �leii� tti�� J2S �urnr.(r . _I_�i:;ir �� Ili' v�l JP,S �u <br /> �LnC lus�vc. c <br /> � 1�1i. .��tl�c,a��1� Gl����.Y7: i�� : f�hirr� n� r �IPn� ��a� ��.�"n� .�,:s -�'�nr� <br /> ' , Y,,� ._i�l.- •� �. , 1�„� vL�r� ,-- . ,>�� , r -t t��st n���v_ <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypoofProject: ,�New_Addn _Alteration_Repalr TypoolProJect: _New_Addn _Alteration_Repalr <br /> Show Number(N)a/liietures Show Num6er(pl o!!l.rtures <br /> NC-air handling units Toilet <br /> Forced air sysiems � Bathtub <br /> Gas pipin Lavato (wash basin) <br /> Waler heater I Shower <br /> Gas fireplace Kitchen sink 8 disposal <br /> Gas ran e Dishwasher <br /> Clolhes dryer Clolhes washer <br /> Range hood Water healer <br /> Exhaust tan Sink(servicelbadmop/elc.) <br /> Heat pump BackOow preventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refrigeration Floor drain <br /> Woodslove Grease trap <br /> Duclin Roof drains <br /> � Olher Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Olher: <br /> Number of Heads � Other: <br /> I here�y ceNly Inai�Oave reotl nnd e.amineC Nb npP�Kotlon antl knmv No same lo bo Irua nnE cortect.AA provi�ions ol lmn and oNinances gweminB�'�7Pa olwork elibe compbea <br /> vmh wAeNer spetilkd hercin o�noL T�a pmnling ol o pertnit doee nal Dresumo lo 0�'e nul�onry lo viclale or cenccl tho ptovision ol any oNer alate or lanl bw reOu�MA«^sWction <br /> T�al l mm�ulhodletl by t�a ownerolRiif propeM�o petlorm No woikforwhk�npPfKation ie m�de ontl I campN����thc Slata Cantratlon Lew 1817 ftCW onE 298200A IVAC. <br /> �J ��iii' 1� 'T/�ar�' ,7�11, �i 3 <br /> Owner/Autho md Agenl SI na�uro Date (ftev;'ed E/2014) <br /> i/ <br />