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, <br /> ( ! <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION �� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �I-03'—�� <br /> TE DDRESS: ' PROVERiVTAXN PERMIT• <br /> OAYS V VE EVE.RE.'tT `KN• ' <br /> LEGAL for new wnslruction�. Short Plat/subdivision Lot No._ (altach wpy of long legal deunplion) <br /> OWNERVS ����P�T��'W� 1�' Phone/E-mail <br /> Address�3�� M AC Wp�1W�.1 �•�� Gty�State2ip �11►(2S�i1�►� N• � <br /> coNrancroR E�►T 1�o0.TNW T �a i uo.u 1\ENTNN'i9S13E <br /> Adtlress,21 � �y�� w`T� •�A' 9p�w PhonelEmail ?�, WL3-3�oc <br /> TENANT BUSINES5 NAME CO TACT FOR PERMIT <br /> Rp10 1023-3�eo <br /> SZ E,�ry q¢TT\71£ PhonelE�mail S�S�t r1EJ�TMNoRTN`�6ST.CDM <br /> BUILDING PERMIT APPLICATION coNTrt�CT PRlce oF woRK 3 / ,Do <br /> Exisling Use of Building S'f��Po-T T�T�-6 HEAT SOURCE: <br /> Proposed Use ot Building SZ+'o.`�w�RT TiM Gas Eiecuic O�her <br /> Buildingtype: Singlefamily _Duplex_Townhouse _Multi-Family _Commercial <br /> Type of project_New _Addition _Remodel _Repair_T.I. ✓Sign_Sprinkler_Demolilion_Change of Use <br /> DescriptionofWork(adddionalspacepmvitletlonrheback): C�ANN�.���r M�Nj� <br /> 1NSTAV�-A91DN Or�\� ONE \NTP.RNA�.VV \�7-VM�WNS'EA <br /> ON I� RAC6W�V ibt ��STOrrrRT�"T�'SI��.. <br /> Have you started working without a pertnit9 _YES ✓ NO <br /> MECNANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProJeet: _New_Addn _Allaratlon_Rap�lr Type o1 ProJaat: _New_Addn _Altantlon_R�pair <br /> ShowNumbar(N/offlxfuros ShowNumWr )olflrtures <br /> AIC-airhandlin units Toilet <br /> Forced air s stems BathNb <br /> Gas i in Lavato (wash basin) <br /> Water heater Shower � <br /> Gas fire lace Kitchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Clolhes d er Cblhes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink servicelbadm /eta) <br /> Heat um Backflow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refri eration Floor drain <br /> Woodstove Grease tra <br /> Ductin Rooi drains <br /> Olher Medical Gas <br /> SPRINKLER I SUPPRESSION 8YSTEM Otner: <br /> I Number of Heads Olher: <br /> I hereCy ceNy that I have read and evamined Ihis application antl know Ihe same to De true and wrtect All provisions ot laws and ordinances goveming <br /> this type ot v.urk will be complietl vnlh whelher speufieA�erein or oot.The granling ot a pertnit dces not presume to give aut�onry lo violate or wncel <br /> the provlsion ol any olher slate or local law regulating wnsWction or Ihe pedormance ot constnxUon.That I am authonzetl by the ovmer o(this property <br /> to peAorm the v.ork for wfiich a pliwtion is made anC I comply vnih the State Contredors Law 1827 RCW antl 296.200 WAC <br /> - ,y, 11 •3 -�I <br /> �rlAul orizW Ape p lun Date (Ravisad?l101 f) <br /> /� <br />