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� � <br /> f'ERMIT APPLICATION <br /> QUILDING/MECC-IANIf;AL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATI04S ARE ACCEPTED FROM B AM TO 4 PM �D3 —� <br /> SITEADDRESS: � PROPERttTAXp PE IT <br /> � E�4�ST"�cr�rzruc:� vrc;«rn� 301- 02� <br /> LEGAL tor new wnslmUiort St+o�Platlsubiivision Lol No. (altac0 copy ol long Iegal Cescnption) <br /> OWNER f1L Phone/E�mail 'C��� � � <br /> Atltlress Ciry/5Ia1MLp <br /> APPLICANT: Owner Ownersngem ConVacior Conuactor'sAgenl TCnan((mvtlpmHaaalenerolcamrmhamNew.nerloaowninNeeDm1 <br /> CONTRACTpR.1—/✓Fi�.• �pUQGC� �a i uo.a �ivFizA�C. C2_ COE Bus. Lic.q <br /> AdOress �33�Q ,�Ql�/C" ,�•L'= /� PhondEmaii ��?S'���p"�38 • <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT G��� Y �- x�h,/�C�K <br /> /L.[!.!L' �,GL'"� �J/f�.'((_G'% P�one/Email 7S'S/(o- Y3� � <br /> BUILDING PERMIT APPLICATION GONTRACT PRICE OF WORK /O�O_ cYl <br /> EziSling Use of Building HEAT SOURCE' <br /> Proposed Use of Bwlding _ fas _ Eiecl��c__.,. Olner___ <br /> Buildin9�ypr _Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> T pe of projecf. New _Addilion Remotlel _Repair_7J._Sign_SPrinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(atldibona/space proviaea an Ine back)' <br /> �G`Ll.�G/4 T 1-G� D`Gr/� /1O7G�TG-i� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Projecl: _New_Addn _Altcrallon_Repair Typc ol Pro�cct: _New_Atldn _Altcratlon_Repalr <br /> Show Num6er(a)ol lirfuics Show NumDer(aJ ol liriures <br /> A/C—air handiinq umis TOilel <br /> Forced air systems �athtub <br /> / Gas piping Wvatory(wash basin� <br /> Water heater Shower <br /> Gas hreplace K�tthen smk&tlis osal <br /> Gas rangc Drshwashcr <br /> Clothes dryer Clothes washcr <br /> Rangc hood Water heatcr . <br /> f_xhausl fan Sink(servicelbadmopletc) <br /> Heat pump Backllo�v preventer <br /> Unit hcater Urinal <br /> f3oder Drinkmg Pounlain <br /> Rclrigcration Floor tlrain <br /> Woodslove Grcasc Ira <br /> Ductin9 Root drains <br /> Olher Medical Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM Olnm. <br /> Number o1 hlcads Othec <br /> I LereLy mNty IM1:J I hovn rend anJ c�a�mne<I lpis uppL:dlwn nnJ hnow I�n smm��o On Vuo mU canetl All pmvrsion.ol law.anU m�L�nnces povem�n0 R"%lype o�woik vntl�e wmpLed <br /> wAh anclM1er cpcaGCU Imrem or noi T�o pn.nllnp ol a pertnit Oocs nol presumo lo qno uul�onry lo WOWIa ar cnncclNa prohsnn at iny o�her slale ar lo<N pwmpulallnq con;IrucLun <br /> l�al l am am�o' ce Oy I�o owncr ol l us pwpciry ta pedorm t�c wo4lorw�2�ap0lsauon b maEn anE I mmDH w�h IM1n 9aie ConVauon lnw 10 27 N;W nntl 29G 700A W�C <br /> �-.�?�a <br /> wncrlA wrizcd qen gnaWre Oit^ (ltev�setl Gn0f2) <br />