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. ' � <br /> PE <br /> RMIT APPLICATION �`" O <br /> BUILDING/MECHANICAUPLUMBING/SIGN/SPRIN�(LER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8657 www.everetlwa.org <br /> APPLICATION:i ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDR � PROPERNTAXp �O PERMITN — <br /> LEGAL lor new consiruclion: Shoh Plal/subdivision Lol No._ (altach wpy o�long legal tlescription) <br /> OWNER PhonrJE�mai �� -60 33 <br /> tltlress �/�E City/StatGZi <br /> APPLICANT: Ovmer OwnersAgent Contracmr Comractor'sAgent TP�d01�mu�IDrovqa�bikrolcomenlrtomN�w�nabEonMmVnspan) <br /> CONTRACTOR L 8 I lic.# COE Bus.Lic.# <br /> tldress Phone/Emal <br /> TE ANT BUSINESS NAME CONTACT FO�R�PERMIT �p <br /> one/E-m�" -- — � " " —�O�� <br /> BUILDINGPERMITAPPLICAT10►i CONTRACTPRICEOFWORK <br /> Existing Use of Building <br /> � �,�,� HEAT SOURCE: <br /> Proposed Use of Building Gas Eieclnc other <br /> Building type: �Single Family _Cuplex_Townhouse _Multi-Family _Commercial <br /> T pe of ro'ect: New Additi�n Remodel Repair T.I. Si n Sprinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(additimal space pmvided on fhe bacN): <br /> �)C / D �o�n.t E2 - ���' �47C7` <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProJect: _New Addn _Aileratlon_Repalr T e ol ProJect: _New_Addn _Alterallon_Repalr <br /> Show Num6er(p1 0!lirfures Show Number(a)ol Artures <br /> A/C—air handling units Toilel <br /> Forced air s slems Bathtub <br /> Gas pipin Lavato (wash basin) <br /> Water heater Shower <br /> Ges freplace Kitchen sink 8 disposai <br /> Gas range � Dishwasher <br /> Clothes dryer olhes washer <br /> Ran e hood W r heater <br /> EYhauslfan Sink rvice/badmoplelcJ <br /> Heal pump I Backflo preventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fo tain <br /> Refrigeration Floor drein <br /> Woadstove I Grease trap <br /> Ductin Roof dreins <br /> Olher � Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � O�her: <br /> Number of Heads � Other: <br /> I�creby cerlRy Ihol l havercad und e+amined In�s aDplkntun onC knaw No samo lo Da Wo anC wrted.A9 provisions ollaa�untl orCnanca gavemup t�¢typo ol Ce eompied <br /> wMwhetherspecifMO�erelnoroot.TOaBramingoleperm:lEooenotpmsumatopNoauNorm/IONolaleorcancelNepmdfunolonyoNeraleteorlorallawrepulalln0�o Imction <br /> T�ot I om eu tl eC Oy Ihe ownerol lhia Dmperry�o pedotm 11�owoM tor w�kh opp&oiun ie maCe onC I compywt�Na Slete Conlraclwa Lew 18.27 ftCW entl 398 200A WA <br /> /2-/8-/Z <br /> ne ulhorizetl Agenl Slgnaturu Date (Revisetl G2017) <br />