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����I� ����,B���I� e� <br /> BUILDINGIM�G6iANICALIPLUMBINGlSIGN/SPRINKLER/D�tNOLITIOIV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Evereit, WA 98201 425-257-8810 FAX 425-257-8857 www.�eve���org <br /> SITEADDRESS: �—~ PROPERTYTAXff PE MIT# � <br /> ' � �� r� <br /> LEGAL lor new conslruclion: Shad PlaVsu6divislon Lol No._ (afl mh .opy of Ibng legal descuplion) <br /> OWNER �w f�e�AS PhonME-mail S. :_ � 'J)• �„i,, k�-,W� S •Ce�e. <br /> Addfess S/3V V1eJ (Jr '�A CilylSlale/Zip �Ve�� V2u <br /> APPLICAN7:_Owner _OwnersAgeN _,Contractor _GontractotsAgent ,Tenanll�n�:iPmdeemenuoimn:omwmmem.n�r�oa�won�mmespace� <br /> CONTRACTOR - S I I"- (7W <br /> Stale Lic. # Cily�us. Lic.# <br /> ' PhonclEmail <br /> Addtess <br /> CONTACT FOR PERMIT <br /> PhonclE-mail <br /> BUILDING PERMIT APPLICAI'ION CONTRACT PRICE OF WORK <br /> HF11T SOURCE: <br /> Fxisting Use oi Duilding � <br /> Gas Elecidc_ Olher, <br /> Proposed Use of Building � <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family ,Commercial <br /> Type of project: _New _.�dd�,tion __Remodel ._Repair_T.L`Sign_S rinkler_,Demolilion_Change of Use <br /> DESCRIPTION OF WORK(additional space prvwded on rhe back): <br /> fcw.c. d�� S�i� CroM mo i� Fl�.�.� �o baScn`ac�- CCo'�e� pau"wo.y� <br /> To.S�edr S�c,Yc ae�e�•rS - <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projocl: _New_Addn _Altoration_Repalr Type o1 Project: _New,_Addn _Alteration_Repair <br /> Show Number(JlJ o(/ixtures Show Number(p)o(fixfums <br /> NC-air handling units Toilet <br /> Forced air sys!ems dathlub <br /> Gas piping Lavalory(wash basin) <br /> Watcr heater Shower <br /> Gas Ifreplace Kitthen sink F.disposal <br /> �ishwasher <br /> Gas ran9e Clothes washer <br /> Clothes dryer yVa�c�healer <br /> Rangc hood � Sink(5erviceNadmoplelc.) <br /> Fxhaust lan <br /> HL_�P��P [3ackflow preveMer(inside bldg) <br /> Unil heater <br /> Urinal <br /> Hoiler Drinkiny Fountain <br /> Reiri9eration Flaor drain <br /> � Woods(ove Grease trap , <br /> � Ducting _ � Roof drafns . <br /> � Other Medical Gas <br /> SPRINKLER / SUPPRESSIOId SYSTEM olhcr: <br /> Number of Head, Olher. <br /> I hcrcby ecdAy Ihal I hovc rcad nnd c�amined t�is appllcalian und knvw IAc;nmc to bc Wc unJ concG.A11 piovisbre ol law,and ordinanr.c.9ovanin9 tl:lstypr.of work w:;l ba mm4���J <br /> �whelAcr:pen(�ed hercin nr nol.Iho 9renGn9 0l a pelm��daw nol plesume in 9ive authotily lo violale ar wncel�he pmvl,ion cl any other;lale or lowl law�egidatin9 consimclion <br /> fpat am:wlhonicd by Ihc uwncr ol lhi.pinpc�ry to perlortn Ihe wnrk bfwhich applicnfion Is m�dc and I rnmply�hlh Ihu Slatu CoMmclon:l nw 1n 7!Rf.VJ and 2��20�A WAC. <br /> L���/ _ _ --___�V�_�I_�1�— (Revi:uJ4i7015) <br /> N�(' <br /> Owncrl �n ioriral Agrnt Signa�nre <br />