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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / -2 ..% /r 13 <br />SITE ADDRESS: , 1, I tV /' , - Y f I r <br />` <br />PROPERTY TAXII <br />PERMIT• <br />LEGAL for new constmdion Short Plat/subdivision Lot No_ (attach copy of long legal descnphon) <br />OWNER �r11/I (II��i^MI <br />Phone/E-mail 7�Z• II/lr�� I <br />-r, <br />Address <br />,L� <br />(I ~ ' { V V✓ l.e �j�. { W <br />l41 <br />CdylStatelzip C,V �j'k- `' V V 11 / 1 6 ZL <br />1 <br />APPLICANT: —Owner _Owner's Agent i Contractor Contractor's Agent _Tenant lmusinu aaawrnrWmnscrn tmm me nmcrmao .rn mate Swazi <br />CONTRAC1T1O1R! l I/ �1/ Gib <br />L & II # Vb�G <br />r lLt���IL "k U ODE Bus. Gcc.. <br />�� 1� <br />Address-C U -� (%V `��1�, t,�.,�..'{' I v <br />1# <br />1i ,Lric. <br />,{-lJ tt—� '" Ip�l�+ 3 Phone/Emad 4- r� -T- <br />TENANT BUSINESS NAME U <br />CONTACT FOR PERMIT _ <br />e�- <br />one/E-mail <br />BUILDING PERMIT APPLICATION <br />CONTdACT PRICE OF WORK i C:�io <br />Existing Use of Building HEAT SOURCE <br />Proposed Use of Building Cas_V Electric___ Other_ <br />Budding type. _�_ Single Family _ Duplex _Townhouse _ Multi -Family _ Commercial <br />Type of project _ New _ Addition Remodel _ Repair . T.I. Sin Spnnkler _Demolition_ Chan a of Use <br />DESCRIPTION OF IWO^RlK(additional sp�aceprowdedonthe back). <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _Now _Adds )�Afteralion _Repair <br />Show Number (11) of fixtures <br />Type of Project: _New _Addn -Alteration _Repair <br />Show Number (0) of fixtures <br />A/C - air handling ands <br />Toilet <br />Forced airs stems <br />Bathtub <br />Gas piping <br />Lavato (wash basin) <br />Water healer <br />Shower <br />Gas fireplace <br />Kdchnn sink 8 disposal <br />Gas ran a <br />Dishwasher <br />Clothes d er <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust fan <br />Sink (service/bar/mop/etc) <br />Heal pump <br />Backflow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Dnnkmg I-ounlam <br />Refrigeration <br />Floor drain <br />Woodslove <br />Grease trap <br />Ducting <br />Roof drains <br />Other__ <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Other. <br />I hereby mArly that I have read and Crammed this applrc:e,an and know the Sarno to ten Ime and correct All piohuons of Laws and ordinances gmermng IN,, type nl work will be mmphed <br />vAh whether specified herein or net The gmnGng al a pnonx does 001 presume to grve aidhnmy, to "Linn nr r nnrrl the prov Linn of any rnhnr state or local Gnv mjutreing mnslmamn <br />That I am atfhonxed by the owner al this property to perlorm the wodr lot which applz neon is made and I compfy with the State Commours Lavr to 77 RCW and 2%700A WAC <br />(Revised G20f2) <br />Owner//uthon ed gc Signatu Datr, <br />