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PERMIT APPLICATION <br />LOU ILDINGIMECI IANICAUPLUMBING/SIGNISPRINKLE4/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 B AM TO 4 PM <br />SITE ADDRESS: y� <br />I <br />PROPERTY TAIL II <br />P F63' U <br />LEGAL to, new corisltrucblo�n Snort Platfsubdivlslon lot No (attach copy of long legal desmpl ion) <br />OWNER Vet'1"1 r,�q�� <br />Pnone/Email <br />Adcress <br />City/Slate/Zip eV"l'� if �) <br />APPLICANT:./ONner Owners Agent Conlrae.or Contractor's Agent ienanl i+unp�.aeaea:dm:n.m`am a.c a.„i, �;+., na icec.l <br />CONTRACTOR 73wyn <br />L 6 I Lic. At COE Bus. Lic = <br />.., I,`.i Phcoe/Emad <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT` ''ll <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK C� <br />Existing Use of Building, S_ - HEAT SOURCE <br />Proposed Use of Building Gas_ Electine '< other__ <br />Building type: x Single Family _ Duplex _Tmvnnouse _ Mu".r Family _ Commercial <br />Type of project _ New _�< Addition Remodel Repair _ T I Sign __Sprinkler Demolition Chan a of Use <br />DESCRIPTION OF WORK (admtmna/ space providecion the back) <br />rJ�m� <br />7,30 <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New_kAddn _Alteration --Repair <br />Show Number (a) of fixtures <br />Type of Project: _New Addn_Alteration —Repair <br />Show Number (0) of fixtures <br />A/C — air handling units <br />) <br />Toilet <br />Forced air systems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin) <br />Water healer <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />Gas range <br />1 Dishwasher <br />Clothes dryer <br />Clothes washer <br />Ran a hood <br />Water healer <br />Exhaust fan <br />Sink selvicelbar/mopfetc ) <br />Ifeet pump <br />BackOow p1;venter <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />Floor drain <br />Woodslove <br />Grease trap <br />Ducting <br />Roof drains <br />f <br />Other <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />outer <br />Number of Heads <br />Other <br />I hereby cenhy Nal I nave read and examined this app5wtion and )now No same to on true and mrtect. AA pmvaions of Laws and ordnsnces gmemma ems it of "A wit oe cmopoed <br />,e whether speafed heroin or nol. The granting of a permit dam not presume le eras Williams to deeats or cancel No provision of cryether slate or local hw reffulalna censtv6on <br />Thai I am autnodied by the owner of this property to penam No work for which epplketon a made and I rompsy wN the Stalo Con:ra:bn Law 18 27 RCW and 298.200A WAC / <br />OwnerlA o r d Agent Signature Date (Revised 62012) III <br />