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� <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., EvereH,WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> SITE ADDRESS: vROVEntt Tnx N M� <br /> �.`��O O; tiS � � �U� O" 0 <br /> LEGAL la new construction�. ShoM PlaUsubdivision Lo1 No._ (atl�copy ol bng kgal aescnption) <br /> ONMER �C1'� �J`LVCT'1' PhonelE-mail <br /> aaress (� . �u -, uthu ciry�state�2ip `Lti?`cV� y�l <br /> APPLICANT: O��er Ov.nefsAgenl `�Coniractor Co�tractofsAgenl Tenant��.++�nm,a.+i.n«mmm.m�o�mmso..^Ni000.mmm.w�ur <br /> CONTRACTOR -'JG��� �i c t��, S Y�C. L&I Lic.# A UL�—�J.L O`�4 GD COE Bus.Lic.# 0�1C 1 <br /> q`eJ�s' C i-l'JS 3`t�l- 5�"iti <br /> ddress q4.Jo 2-vbo�x�1�ei.. Sv� d 0 K i � Ptane/Emad � , � 1 � ' � . •c <br /> p CONTACT FOR PERMIT C�15�3'11' S C�i4 <br /> 'T�14- p���'f�✓� L�'w i. C ril\ 7�t,i�2or,\\o N'�C� � L't.v� <br /> \ � \� Phone/E-mail � <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK� I $C�',�' <br /> F�isting Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Eiectnc O�ner <br /> Building type: _Singie Family _Duplez_Townhouse _Multi-Family �ommercial <br /> T of ro' d: New Addition Remodel Re air T.I. �Si n Sprinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(admtanai spaca provrdce on tne oacel: <br /> S.v��ta�1 �usloor<<�'S 4�5.�jYe„�e .�iss�,� ��t�<\�r �vcJ��'t`•.�_� �c.�ti. w:ll <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Project: _New_Addn _Alteralion_Repair TYPe ol Pro�ect: _Naw_Atltln _Alteratlon_Repalr <br /> Show NumDar(N1 o/flRures Show NumDer Ml a�flrtures <br /> AIC—air handlin units Toilel <br /> Forced air s stems Bathtub <br /> Gas pipm Lavato (wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink 8 disposal <br /> Gas ran e DishM��sher <br /> Clothes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink(servicelbarlmopletc.) <br /> Heal pump Backflow preventer <br /> Unit healer Urinal <br /> Boiler Drinkin Founlain <br /> Refri eration Floordrain <br /> Woodstove Grease trap <br /> Dudin Roof drains <br /> Olher Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heatls Olher. <br /> i nrre�y r.ett�y I�al I nave reaU onC eamm�eJ this appYr�lon xnA knav Iha same la�e buo a�M conecl A1 p�owona W iews anC atlnences govemnp Ine IypG ol waM mp Ee com��'eE <br /> wnt�whel�er ape�Actl he�en or no� T�e Brening ol a penn9 tices noi presume lo B�'e nuil�onry lo vqlale w�'antN Me pmvam W enY M�e�eiale a bca��ew n!BuWOng cOnatruttion <br /> i n,it I om oulhorvM by thc ovmer ol Nn proq.+ry lo MMorm ine wak Iw whicT noDlrulun p m�e anG I mmoN�M1 Ne Slate Canlrodm Law 1 B27 RC W anC 298 200A WAC. <br /> ", .C\;�� (�CEi✓C � 3��I.''�a. <br /> OwnedAuthodzed Agerrt'Signature Date (�����012� <br /> 1I„ <br />