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��RMIT APf��9C�47'9�dJ <br /> BUILDINC/M�CHANIGAL/PLUMBING/SIGN/SPRINKLER/DEMAL,ITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett. WA 98201 425-257-8810 FAX 425-257-8857 www.everelhva.org <br /> SITEADDRESS: � `ag��5 <br /> ���/ �� / // ,p PROPERTVTA%11 PERMI7# <br /> /< <� �i , <br /> LEGAL(or new construclion: Shoh PlaVsu6divislon _Lol No._ (attach copy of IOn�Iegal description) <br /> OWNER Phone/E-mail <br /> l.Jdres, Cirylstale/Zip <br /> APPLICANT:_Owner _OwneYsAgeot _Controctor _CoNraclotsAgent _Tenant�mo:iProdeea;eimrmoonsemrro:nmeowncrmavwoamme:pace� <br /> CONTRACTOR � � ' /+ -�e �� �' �3 <br /> 2QV ��� �i Stale Lic, p 0 City Bus. Lic.# <br /> Address � PhonclEmail �� <br /> � CONTACT FOR PERMIT <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WURK <br /> Existing Use of Buitding HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Olher <br /> Building type: mgle Family ,[�Duplex_Townhouse _Mulli-family _Commercial ' <br /> Type o(prdecL __ ew _Addition _Remodel _Repair._ T.I._Sign__Sprinkler_Demolition Change of Use <br /> DESCRIPTION OF WORK(add�fional space pmviaddon IAe back): �O��/.n G �C C�e� <br /> , � <br /> MECHANICAL PERMIT APPLICATION PLUMBIHG PERMIT APPLICATION <br /> Typn ol Project: ,_New,_Addn _qlteratlon_Repalr 7ype of ProJect: _New_Addn _Alteration_Repalr <br /> Show Number(q)ol/isfurcs Sbow Numbrr(pJ o/TxNms <br /> NC—air handling unils Toile! <br /> Forced air systems �athtub <br /> Gas piping I.avalory(wash basin) <br /> Walen c�atcr � Shower <br /> Gas fireplace � Ki(chen sink R disposal <br /> Gas ranyr. Dishwrishcr <br /> Clothes drycr - Clolhes wn,her <br /> Kangc huod Wntcn c�atcr <br /> Fxhaust fan Sink (scrvicclbadmop/elc.) <br /> Hea�pump Dackflow preventer(insidc bldg) <br /> Unit heater Urinal � <br /> f3odcr Urinkinq Founlain <br /> � Relrigeration Floordraln <br /> Woodstove Grease trap <br /> Ducfing � Houl drains � <br /> � Olher__ r— Medicai Gas �— <br /> SPRINKLER / SUPPRESSIOM SYSTEM o�hcr: <br /> Number of Heads Olher: <br /> I heicby cetlltylhaf I have•e,+d and eaamined this applic;tllon and know Ihe:ame to be Ime nnJ conec�.pll pmvfsions ol laxs,nJ main�nces 9overni��p Ihi,lypr.ol waik wJl bn compiieJ <br /> wiih whclher spedled herein n�nol.7he 9r.m�in9 0l a permil Joc;nol piesumc la give nNhodty lo violale or wncc��pe pmyision al nny olher slala or local l.'rw m��ufaliny mnslmciion <br /> ihat 1 am aulhnnacJ 6y Ihv owr.m o11Ais p�apmy fo pcilumt Ihe�.vork loi w�kh appGtalin ' madc o� A I com�A�wiR�Ihu Sta�o CoNmclor.I.IN 10 T.7 RLW dnJ 7.9G200A WAC. <br /> �r/.�,�/ia'✓/ i /6"Gl�f�r� (���`�_?/� �`-//� <br /> OwnedAuibonzn$Agent Signa�urr. Uaic (Rr.viscd 4/7015) <br />