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Dec. 2i. 201? 9: (10AH yo. 3117 `'. 2 <br /> PERMIT APPLICATIOf� <br /> BUiLDINGlMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 Cedar St., Everetl, WA 98201 - 425-257-8970—FAX A25-257•Bi157—www.everettwa.org <br /> APpLICATIONS ARE ACCEPT[D FROM 8 AM TO d PM !� / �/ <br /> S17EADDRES : � PROVFktYTAXM PE � t r � O <br /> �.. � �L (/t.. � <br /> LEGAL for new consuuulon: Short PleVaubOivision Lol No.� (attach copy ol long lepal desaiptian) <br /> OWNER �.{- . PnnnalE•mail <br /> Address ; y�— •- �� cih�Statcrz;o .G titR� � � Q�zO <br /> CONTRACTOR G� S /ry �a–��w.y L&I Lic # �S rTE � � �� <br /> AdOress ��� e� '�'1wVJ �r UvII� 90 �7Z Phone/Emaii /Z5 �1-,�j Z� �� <br /> TENANT 9USINESS NAME CONTACT FOR PERMIT <br /> PhonclE-meil <br /> BtIILDING PERMiT APPLICATION CONiRAc7 PR10E OF WbRK ? 700 . <br /> Esisllca Use of Building �'�- H[AT SOURC[: <br /> Proposed Use ol Building Gas_. E�eclnc Other <br /> Duilding lype� _Singie Famify _DuplcK_Townhouse _Muhi-Family _Gommeraal <br /> Type o(projecl' _New _Addition _Remodel _Repuir_TJ._Sign_Spnnkler_Ucmotitian^Change of Use <br /> Oescnplion o(Work(eddifional space p�ovid on the back): <br /> /�17D (-�e� �un� .�.v��. l2efv..� /J-r�. a.uo�. ae� .f��e�'r�uti,�� <br /> Have you sfarted working without a permlt7 _YE3 _NO <br /> MECHANICAL PERM17' APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofVroJect� _Nnw_qenn �Itarallon_Ropalr TypeofProJect: _New__AeEn _Altaratlon_Raptlr <br /> Show Num6er(pJ o/frrturoa Show Numycr fal olhrfures <br /> �C-air handlin unik Toilel <br /> Fotted 3ir s slems 32lMub <br /> Gas i m � lavalo wa:h basin) <br /> Water heater Shower <br /> Gac f�e (ace IGtthen sink&dis osai <br /> Gasran c DLahwasher <br /> Clothes d er Clotnes washer <br /> R�n e hoal �Na�er healer <br /> Exhausllan Sink serviceroar/mo /elc. <br /> Heat um UaUcllow rventer <br /> Unil healer Unnal <br /> Boder Dnnking FouNain <br /> Refn eratmn floordrnio <br /> Woodaiove Grcasc tra <br /> Duclin Rou1 tlrains <br /> Olher IAedical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM o�ner <br /> NumberofHeads Olhr.r. <br /> I hcreby rnrtity Ihnt I havn matl antl ovaminoA Ihls appllu�ilon and know iho same lo he We and carted.All pmvisione of�owe end oNinoncae qoveming <br /> this ry{x ol woik vnll be rnmpl�ed w�lh whelher cpecifiotl nrrnin or nol.Tho prarainp o1 a pormll doas nol preaure to pive aulhonly!o violale or cancel <br /> iho piovlslon ol any other stnte oi local law�e8ulaling wnshvclion or the p0donnonce ol con5lrunlon. Thal I an aul�onzed by ihe amer ol lh�s properry <br /> lo peAnrm!ho v� vfil applicalion is�JJp dc and I comply wilh thc"telc ConlmGora'Low 10.27 RCw ana 206200 WAC <br /> MR� � I� �Q�� <br /> Ow uthurixodAyonl g rn D n �FcviSeJ./2011J <br />