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PERMIT APPLICATION <br /> BUILDIWCIMECHANICALIPLUMBINGISIGN/SPRINKL�R/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 - 425-257-8E310—FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROPERNTA%tt PERMITk � ,._. , <br /> SITE . D ESS: __ ' � v � _ „ <br /> � � -c,0 ( ) /,�✓.-- ,�/ � <br /> LEGAL lor new constmclion'. Short PlaUsubdivision Lot No._ (altach copy of lonp legal description) <br /> OWNER �^ ' / �' <br /> � /� PhonelE-mail a — . �JOz �/Yl�� UiN �� <br /> Address � �� � City/5tale/Zip L (�� K!� <br /> CONTRACTOR � L&I Lic.# <br /> Address Phone.'Email <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT,,� <br /> / � , <br /> PhonelE-mail l 'r � <br /> BUILDING PERMIT APPLICATiON CON7RAcr PRICE oF woRK <br /> Existing Use of Building ��Lu HEAT SOURCE: <br /> Proposed Use of Building 577�/�,�1 -J-� Gas � EleclncL Other_ <br /> Building type: �Single Family _Duplex_Townhouse __Mulli-Family _Commercial <br /> Type of project: _New ,�Addition _Remodel _Repair_T.t._Sign_Sprinkler_Demolition_Change ��/ � <br /> Description of Wotk(adddional space plvvided on fhe back�: . L'/�l // � <br /> _��% l.. <br /> �i�'N��� 57"�r�l�-G=� l'-������i7��'o�/ /� x , <br /> Have you started working wfthout a perm(t? _YES ,�.NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypoolProJecL• �Now,_Addn _Alteration_Ropair TypoofProJeci: _Now_Addn _Altaratlon_Ropair <br /> Show Nmnber(p)ot'ixtares Show Number(p)o!�xtures <br /> � �'VC-air I�andling unils � Toilet <br /> � Forcedairsystems � Bathlub <br /> � Gas piping I Lavatory(wash basin) <br /> V�'aten c�ater Shower <br /> Ga:"�^nlace I Ki�chen sink&disposal <br /> (-a� range Dishwasher <br /> Clc u,�s dryer Clolhes washer <br /> Rance hood Water healer <br /> � , �-� Exhaust fan ( / � � Sink(service/barfmop/etcJ <br /> i - � Heal pump � Backflow preventer <br /> Jnit healer � Urinal <br /> Cioiler Drinking Fountain <br /> � Refroeration Floor drain <br /> Woodslove � Grease trap <br /> Ducting I Roof drains <br /> Other � Medical Gas <br /> SPRINKLER I SUPPRESSIOtS SYSTEM Other: <br /> � Number of Heads I Other: <br /> I hereby certify�hal I have read and examined this applicotlon and know Iha same lo he We and cortect.All pmvisions of laws and ordinances governing <br /> �his rype of work will be complied with whether specifed herein or not.Tha granting ol a permit does not presume lo give authonty to violale or cancel <br /> the provision ol any iher slato or lowl law regulating conslruction or the pedormance of construclion.Thal I am authonzed by the owner of this property <br /> to pedor or or�vhich appl�ion is �de and I comply with the Slale CONraclors La�v 7827 RCW and 29620D WAC <br /> �� "�. v, Lc l�O ��f � , <br /> OwnerlA thodzad Agont 5ignaturo Dale � (RevisedY1077) <br /> r1 <br />