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PERMIT APPLICATION <br /> BUILDING/MECHANICAUPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES �j "I�I `� <br /> 3200 Cedar SI., Evereq,WA 98201 -425-257-8810-FAX 425-257-8857-www.everethva.org <br /> APPLICATIONS ARE ACCEPTE�FROM 8 AM T04 PM 03 Voo 3 <br /> SITEADDRE55• Qr�i�� ��Pe � r' VROPETYTA%p e� PERMITp <br /> ov P �' Z�o4o��� z er� <br /> LEGALIornewconsVuceorc ShonPlaUsuOdivisiDn �l LotNo._ (ailac�capYollongle9alCescr�oiion) <br /> OWNER f��l� �Df TnL PhonelE�nad y2S� �V7'6Y'73 <br /> adares: �).d0 ME•,r•!� CK¢l� I°�Kw� c,�yrsi�«mu FtM"G{�- ��✓�' <br /> coNrrucroR .S�n+�� !, �'rf S S1�^'�f'� i�ic.a S3Z, - SY-7 - O0 - 7 <br /> nea�o:: /[06 S�ffSAve E T��r..a w� 9asrzy ano�aemai z-3- 9z�-/f80 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT Jm k..1 Rg t,(�r fe r <br /> S�c l� I°o�- ano��:e.,,,i zS3 24d Z6S°J �jp4n r�s»���t�%� o„� <br /> BUILDING PERMIT APPLICATION CONTRAC7 PRICE OF WORN O �{O <br /> Existing Usc ol Building HEAT SOURCE: _ <br /> Proposed Use ol Building Gns_ [lecinc Otner._ . <br /> Duildingtype: _SmgleFamily _DupleK_Townhousc _Alulti•Family _Commercial <br /> Typo ol project: _New _AddAion _RemoGel _ReOar_T.I._Sign_Sprinklcr_Demoldion_Change ol Use <br /> DeSctipli0n 01 W Otk(ad0;bonai spa:c pmvidotl an fAa�nd): <br /> Have you started working without a parmit7 _YES X NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolPro;e:t: _New_Addn _Alternlion_Repalr TypaolP�o�ee1: _N�w_AEUn _Altention_Repalr <br /> Show Numbar(M)o/firturos S�ow NumDor(MJ a/�rtams <br /> AlC—�irhanaLn uniis Todei <br /> Forccd air s slems Ba1hWh <br /> Gas piping Lavalory wash bas�n <br /> Walcr hen�er Shower <br /> Gas firc 'ncc Kitchen s�nk 8 disposal <br /> Gas ran e DishwasAcr <br /> Clolhese ei Clotheswasher <br /> Ran e hooA Walcr�catcr <br /> Eehaust lan SmA scrv�ce'�ar/innpletc. <br /> Hcat ump Dackllow reventcr <br /> Unil hcater Urmal <br /> BoJcr Ormkm Fountnin <br /> RelnQeratmn Floo��Ura�,n <br /> Waudstove GieaSe ba <br /> Ducling Roal drains <br /> OlhCr A1nAital Gas <br /> SPRINKLER I SUP7RESSION SYSTEM otnr.r: <br /> � NumGcr ol Hcads Olhcr. <br /> I htte�y cetllly Ihat 1�ave read an0 c�amined tA:s oppl catlon anA knaw Ino same�o be We an0 couect.All piavislons oI laHs antl artlininces 9ooeming <br /> Ilus 1}7m of xo�k wtll Ge mmp6ed wl�whel�er�q�c�lictl hemm or nol.T�e granling ol a pertnit Joes not presume tu give aWhorily lo vida:e or wncel <br /> I�e provislon ol any ol�er slaie or lou�l lrw regulanng mnsWetion oe��e pe�formance of conslrucuon.ihal I am nuthorireel by ihe owne�ol l�is propeny <br /> Io pedorm I�C woM1 IGr buch apDl'Wlio � 'Oe'� omp�y vnlh tlm Slalc CoNriplors La��18.27 RCW md 796.700 W�C <br /> �2 a-��-�3 <br /> Own r/ ul�arimEAgenlSignaWro Ua1e (Hav�sea7l1077) <br /> l (j� <br />