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i <br /> � � li <br /> I <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBINGISIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810—FAX 425-257-8657—www•evereltwa.org ^� <br /> AppLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ZO ��O C�� <br /> PROPER7Y TAX PERMIT M <br /> SITEADDRESS: � � I val,�� �� �� 3 qJ 42 � bV� <br /> r- <br /> LEGAL tor new conslruction: Shod PlaVsubdivislan Lot No._ (allach copy of long Iegai descnptlon) � <br /> OWNER Ul'�CMr �0• �G��S PhonelE•mall <br /> aa�e:9 31�-S 2 �t� S �-� CirylSlairJZlp S�h wdo W �1 �-q Z <br /> CONTRACTOR (1, L&I Lfc.# <br /> PhonGEmail <br /> ddrese CONTACT FOR PERMIT <br /> TENANT BUSINESS NAME � <br /> Phone�E-mall � 7J— ��� � <br /> BUILDINGPERMITAPPLICATION coNTRncTPRICEOFWORK <br /> HEAT SOURCE: <br /> Existtng Usa of Building <br /> Gas_ Eleclric Olher_ <br /> Proposed Use of Buiiding � <br /> Buildingtype: _SinglaFamily _Duplez_Townhouse _Multl-Family _Commercial . <br /> Typa of proJecl: _New _Addilion _Remodel _Repai�_T.I._Sign_Sprinkler_DemoliUon_Change of Use <br /> Descrfpllon of Work(addilional spaco pravfdedon fhe bacW: �1�� )��a� <br /> d <br /> Have you started working withcut a permft? _YES _NO <br /> MECHANICAL PERMIT APPLICATION <br /> pLUMBING PERMIT APPLICATION <br /> TypaafProJect: _New_Addn _Alleration_,Repalr TypaolProJect: _New_Addn _Alteratlon_Rapalr <br /> Show Num6er(M)ol flxtures <br /> Show Num6er(M)of llrfures Toilel <br /> AIC—airhandlin unils Balhtub <br /> Forced air s stems Lavata wash basin <br /> Gas pipin Shower <br /> � Water heater Kitchen sink&dis osal <br /> � Gas fire Iace Dishwasher <br /> Gasren e Clotheswasher <br /> Clolhes d er Water heater <br /> Ran e haod Sink service/badmo /etc. <br /> Exhaustfan Backflow revenler <br /> Heal um Urinal <br /> Unil heater Drinkin Fountain <br /> Boiler Floor droin <br /> Refri eralion Grease lra <br /> � Waodstove Roof dreins <br /> Duclin <br /> Medical Gas <br /> Other <br /> SPRINKLER!SUPPRESSION SYSTEM other: <br /> um ero ea s <br /> I hereby certiy Ihat I have read and examined Ihls applicallon and knav Iha same to 6e irue and correct.All provisions ol laws and ordinances governing <br /> th�s typo of vrork vnll be complied vnth whelher specifed hereln or not.Tho granling of a permit does not presume to give authonly lo violale or wncel <br /> rt�e pmvlsion ol any other stalu or local law regulaling wnstrucll�o h Iha S ate Conlrec�lots Law 8�27 RCWa and 298.2o0 Wq� �he owner ol ihis property <br /> tu ped rm Iho vroik for whieh applieation Is made and I eompN <br /> y-6- �z <br /> Own rlA iorized A9ent Signaluro <br /> Oate (Revked 7/2011) <br />