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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEM�LITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereriwa.org <br /> // "��/ "/ <br /> SITEADDRESS: �.Z� � ,���' v;� D� PROPERTYTAXp PERMITO <br /> � - 03 <br /> LEGAL for new conslruction: Short PlaUsubdivision Lot No._ (attach copy ol long legal descriplion) <br /> OWNER l�V'�� S �p�Q,Q.(� PhonelE�mail 7 2� �D —7(p"7 � <br /> Address �� E e�a�i���ew �D 2 CitylSlatelZip (_U�i� � � �ZD � <br /> APPLICANT: Owner _Owner'sAgenl _Contraetor CoNractofsAgent TCO001(mustO�oMCeelederoim�semhomNoownerto0owal�nNospaco) <br /> CONTRACTOR �'tc+�_Ow�Z� State Lic. # Cit �us. Lic. # <br /> Address a 2�e � rn��i�v ew 0.� PhonclEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phonc/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK .O _ <br /> Existing Use of Duilding HFJ1T SOURCE: <br /> Proposed Use of Building Gas_� e�earic Otner_ <br /> Buitding type: �Singlc Family _Duplex_Townhouse _Mulli-Family _Commercial <br /> Type of pro ed New _Addilion Remodel _Repair_T.I. _Sign_Sprinklcr_Denm_olition_Change of Use <br /> DESCRIPTION OF WORK/addinona�spacepmv�dedon moback): �a� pJ j�5 101�e Tt� C �r�0.C� �Q�Q�� l� � <br /> r�w;�� pn�e�� c� ic-�-a� <br /> MECHANICAL PERMIT APPIICATION PLUMBING PERMIT APPLICATION <br /> 7ypo of ProJoct: _New_Addn _Alloration_Ropair Typo ol Projoct: _Now_Adtln _Alloratlon_Ropalr <br /> S6ow Nunrber(aJ ol/lxfures Show Num6cr(p)ol/ixiures <br /> A/C—air handling units Toilet <br /> I Forced air systems Bathtub <br /> Gas i ing Lavato (wash basin) <br /> Water healer Shower <br /> Gas fireplace Kitchen sink 8 disposa� <br /> Gasrange —� Dishwasher <br /> Clolhes dryer Clothes-.vasher <br /> Ranqe hood � Waler healer <br /> Exhausl fan Sink(servicelbar/mop/etc) <br /> Heat ump � BacFllow prevenier � <br /> Unit hcater Urinal <br /> � f3oYler � Orinkinp Founlam <br /> Rclrigcration Floor drain <br /> Woodslove � Grease Ira <br /> Uucling Roof drains <br /> � Other__ Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM I Other. <br /> Number of Heads � Olher: <br /> 1 hercEy cerlity IAaI I hnvc rmd anJ etamined�hia application and know Ihe same tu Le ime and wneci.All pronsion,ol�awe on0 orOmances goveming t�is lype ol woik vn�l bo complie0 <br /> Wiln whclhrr speafetl ncrnn or nol.Tho granting a!a permn doc]na1 D�csumc lo givc.lulho�dy lo vialalc or Gtnccllhe pwvmm�ot any olllcr stata or IOWI law rcgul.tling cOnsiNdion <br /> Tha1 I nm autlianzca Uy I�c orvnci ol I�b property�o pctloim ihc woih lor which appiiwimn Is ma�c anC I wmpy wtlh Iho Slnlc Contratlan Law IB 27 RCW an0 23G200A WAC <br /> V�'> (� --�- ���«��2��3 <br /> OwncdAuthorizotl Agent Siynaturo Uatr, (Revised 3?O1J) <br />