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PERMIT APPLICATION <br />BU ILDING/MECHANICAL/PLUMB ING/SIGN/SPRIN KLER/DEMOLITION <br />CITY OF EVERETT PERMrr 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 A PM <br />SITE ADDR SS: <br />PROPERTY TAX <br />P RMIT tI <br />LEGAL for new eorlstrunmn Sinn Plat/supdrvisro^ LDI No.__ (attach WPYDf long legal descnpeon) <br />OWNER <br />jbfYjPq <br />Phone/r� , .Z449 rttr, al f <br />ddress <br />.Pi- <br />r • y' <br />GtySUte/Lp <br />APPLICANT: _✓Owner _Owners Agert _Contactor Contractor's AgeK _Tenant lmm nipvreasder of mnsmtnonnao.nrtc aa.on ntm xxel <br />CONTRACTOR <br />{y <br />L& I Llc. a <br />OM&L,61 <br />0 COE Bus. Lie. a Q <br />ddressap fiftliT� <br />a{, <br />D orel[rtul ?r74-2241 <br />TENANT BUSINESS NAME <br />CQI{TA�Ci/T�FOS P or4�5.374,{q <br />PL/tnrl}rwi(711E+rGi11Y' .w •22 <br />BUILDING PERMIT APPLICATION <br />ICONTRACT PRICE OF WORK DOO <br />Erasling Use of Building HEAT SOURCE. <br />Proposed Uw of Bulding� % rrSt ate= Gas✓ Eknnc Other___ <br />Buddug type: V Single Family _ Dtildlex _Towrrttouse _ M ilbFam ly _ . Commorcal <br />Type ofprgecf: If _ New Addition Remodel __ Repeir _ 1.1 Sign SDnMler DernoLtion_ ,Charge of Use <br />DESCRIP11ON OF'NORK (add tonal Space prooded or, Ore back): 119 W <br />rleurs,fv?gcc faro l y rmdCI-ycu w a pp*Ved 3 -hovs& pla-4- <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Typeo/Project _New_Addn _Al4raeon_Reper <br />Show Numberof fLrnans <br />Typeof Project. _Nsw_Addn _Akwatlon_Repalr <br />Show Number(/ of flxemes <br />AIC - air handling units <br />19 <br />1 Toilet -■ <br />F orced air SYSIBITIS <br />I <br />Batfdtm <br />Gas piping <br />Lavatory (wash basin) <br />Water healer <br />Shower <br />Gas Irepldco <br />Kitchen vnk & disposal <br />Gas range <br />Dishwasher <br />Clothes drybr <br />I <br />Clothes washer <br />Range hoocl <br />a ei <br />Exhaust ran <br />Sink (soraeolbar/mop/isle.) <br />Heat pump <br />Hacklow, preventer <br />Unt healer <br />Unnal <br />Boller <br />Drinkrict Founlam <br />Refrigeration <br />Floor dram <br />Woodstove <br />Grease Ira <br />Duchnq <br />Roof drains <br />Oder _ <br />Medcal Gas <br />SPRINKLER I RE SUPPSSION SYSTEM <br />Other <br />Number of Heads <br />Other <br />I rere by certify that Ihave read and eumned ens appleabnn and snow tie same to be We and conecl A7 provisions of laws and orbrottes govemeig the type of work +nit De comyled <br />wth whetter spec6ed net em a not the graning of a pmmd does not pie su me to give aurnortyb volate or cartel tie prow eon of any olhtr slaTo or localt» regulating armtisxlon <br />I lot 1 am adtronJd by the owner of the pope dy to perform Me work for wndl applcalon is made a M I cam ply w n the State Con a xlors Law 10 27 RC W and 296 200A WAC <br />s—� /D • 3/•/3 <br />Owner/Authorized Agent Signature Date <br />f oscd &?Of 2) <br />M101M. <br />Cam <br />