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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLI�MBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES �oZ —I'�l/ <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810–FAX 425-257-8857–www.evS ttw�rg/ �� <br /> ApPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS; PROPERTYTAXp P MIT# � <br /> Z215 ' C.�� � � b o2 0 0� � � I os -D'� <br /> LEGAL for new construction: Shotl PlaUsubdivision Lol No._ (attach copy ol long legal description) <br /> OWNER � .� PhonelE-mail <br /> C,o <br /> Address � L, CilylSlate/Zip w O <br /> / I <br /> CONTRACTOR � ��(,/i''^ 'r ? l` L&I Lia# <br /> 7/��1�� PhonelEmail <br /> Address v <br /> TENANT BUSINESS NAME CONTACTr�F10�R?iRM�^;}� <br /> �i^ � PhonclE-mail Zo 5 �' 4' <br /> � • <br /> BUILDING PERMIT APPLICATION coNTRACr PRICE oF WORK ��. o0 0 <br /> Exisling Use of�uilding � � - '�"-�� HEAT SOURCE: <br /> Proposed Use of Building � h Gas_ Electnc_ Other,_ <br /> Building lype: Sinyle Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Type ot projecL _New _Addilion _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> Description af Work(addrtional space provided on fhe back): <br /> ��,��-��.�� ���:�-�!'� i�. ..� � •� ��X f S..�i .t � S/� <br /> � � � <br /> Have you slarted working without a permil9 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typa of ProJoct: _Nuw_Addn _,Alturatlon_Ropair Typo of ProJeet: _Naw_Addn _Altaratlon_Ropalr <br /> Show Number(N)o/lixfures Show Number(p)o/(ixfures <br /> AIC—air handling unils I Toilet <br /> Forced air systems Bathlub <br /> Gas pipin Lavatory(wash basin) <br /> Water healer Sho�ver <br /> Gas freplace Kiichen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer I Clothes washer <br /> Range hood I Waler healer <br /> Exhaus�fan Sink(service/badmop/elC.) <br /> i Heat pump � Back(low prevenler <br /> � Unil heater I Drinking FouMain <br /> Boiler <br /> Refrigeration Floor drain <br /> Woodstove � Grease trap <br /> Ducling � Roof drains <br /> Olher hledical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I Otner: <br /> INum6erofHeads � Other: <br /> ��,. I hereby ceitify Ihal I havo read and enamined Ihis application and knmv Ihe same lo be We and conect.Ail provisions of la�vs and ordinances governing <br /> Ihis type ol work viill bo complied with whether specifed herein or noL Tho granling ol a permit tloes not presume to give aulhonty to violate or cancel <br /> Ihe provision ol any olher slate or local law regulaling construclion or the pedormance of conslruction.Thal I am authorized 6y the owner of Ihis propedy <br /> to Ihe�fo�tn(h apP�ion is made end I comply with ihe State Conlraclors Law 1827 RCW and 296100 WAC <br /> OwnorlAuthorizadAgent`gnaturo 1 Date (Revised?/20f7J ' <br /> /� <br />