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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98?01 425-2F7-8810 FAX 425-257-8857 www.everettwa.oro <br /> - /o �3�.-/ <br /> SITEADDRESS:/ � � PROPER7YTA%p PE MIT IO O� <br /> LEGAL lor new conslruction�. Short PlaVsubtlivision Lol No._ (attac�coDY ol iong Iegal description) ' <br /> OWNER OP w PhonelE�maA y�s- 3y7-��.1d8 �_�"K��'V�� <br /> Address � �O(Q(Zje. �/Q.. CilylState2iP � erGJC/1 ( pa�L�—j <br /> APPLICANT; � Owner Owner'sAgenl Coniractor ConlracloYsAgent TenaNlm�sipanaoamr.�roiwnsemrtcmNee..��ormco,oa�nNeswco� <br /> CONTRACTOR W� Slate Lic.q City Bus.Lic. # <br /> Address P�one/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-mail <br /> BUILDiNG PERMIT APPLICATION CONTRACT PRICE OF WORK � �p0� <br /> Exis�mg Use�(Dudtling HEAT SOURCE: <br /> Pron05ed Use Of Bu�lding Gas_ ElcUric_ _ Olher_ <br /> BuAtlmg type: �Single Famdy _Duptex Townhouse _Multi-Family _Commercial <br /> T pe of project New Addnion Remodel _Repair T.I._Sign_Sprinkier_Demo�ition_Change of Use <br /> DESCRIPTION OF WORK fad��honai space prc�,�ee on tne back): <br /> � ►'15�a.�� �v� a Il�e.� Pe-�Ie..� `�-Eo�le �N TH� N�J Gor�i¢r QF <br /> , <br /> l.-� v� R.00rY1 , <br /> MEC PiICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Pro�ecl: _Now_Addn ,_Allerotion_Ropair Type o1 Projact: _New_Addn _Alteratlon_Repair <br /> Show Numbcr(N/ol firfures Show Number(p)o!lixtures <br /> A/C—air handling unils I Todet <br /> Forced air syslems Oalhlub <br /> Gas piping Lavato (wash basin) <br /> I Water heater Shower <br /> Gas fireplace � Kitchen sink 8 disposal <br /> j Gasrange Dishwasher <br /> Clothes dryer i Clalhes washer <br /> Rangc hood Wa�cr heatcr <br /> Eahaust lan Sink(service/baRmop/etc.) <br /> Heat pump � BackOow picventer <br /> Unil hCatCf Urmal <br /> � Boiler Drinking Fountain <br /> Refrigeration � Floor drain <br /> Woodstove Grease Irap <br /> Ducting Root drains <br /> Other Mediwl Gas <br /> SPRINKLER I SUPPRESSION SYSTEM � Oihe�. <br /> Number ot Heads � Other: <br /> I hereby ceniry��al I hnvo reaC anE e.am'ned Ih��s appUcauon an7 know��e sama io Oe Irue antl m�rect.All pmvislons al�aws ontl o�tl:nances govemmg t�is type ul wmh wtil be camplietl <br /> wit�wnet�el specded hereln or nal T�c grenlinp ol a pertrd docs not p�esumo lu grve aalnoitty to violate or fancel l�e provisicn el dny ol�cr stalc or lOtal law rtgulating conslmnion <br /> Thei�am aui� ' A�y t�e ownei oi Inis proDeny ro Dedorm t�e work lor wtiich appiiwtion is maEe an01 comply with t�a Staie Con!racten Law 18 27 RCW anC i96 200A WAC <br /> C �, �e- �0 3 J �13 <br /> Own rlAuthodzetl Agant Signature Dale (Rewsed 3R073) <br />