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� � <br /> PERMIT APPLIGATION <br /> BUILDINGIMECHANICAL/f'LUMBINGISIGNISPRINKLERIDEMOi_ITION <br /> GITY Or= EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Everett, WA 98201 425-?57-8810 FF�X 425-257-3857 envw eve�ettvra org <br /> �u� � ��—/� <br /> SITE A DRE55: PROPERTv 7AX a PE� IT <br /> - � Z- <br /> LEGAL�or ne•.v construc��on Snch PlaUsuGCwis�on Lel I.o (attacn eooy o��ong Ieg.i desu�pt�on) <br /> OWNER Ll�!/��� �3yt/��� �/,�p� PhcnMGr�ail <br /> A�aress 2.1 /C OiylSlah•/Z�p <br /> APPLICANT: _Owr.�r _O�'+ner'S%.9ent _Con;raclor _Con;raclor's�9ec; _Tenarl��,-.,.:;��.,e..r�.�.:..c!c,+�•�"c�"��•-awco,.on„�nu:w:�,� <br /> CONTRACTOR Sta;e L�c � s / � � Cuy Bus Uc :��G��' <br /> Ac7dress � 11 � {� .2� PGone![ma�: <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> ?�ene�E�mail <br /> �--- <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK D�� <br /> Erisan3 Use of 6uildirg_ HEAT SOURCE <br /> Fn�,:�setl Use CI Budding Gas___ E'�ncl��c____ C�her__ <br /> Buildmy iype� _Sir.g,e Fam�ty _Duplex_Townhouse _Iv��ulli-Pam�ly _Commeraal <br /> Type ol pro�ett New Atld�hon Remodel Repa�r_ 1 I _S�gn_Sprm4,ler_Demohtion Cnan;e cl Use <br /> DESCRIPTION OF WORK�a;:,r,��^�,�sa�c^�•c„ded en r�•e sa:+� <br /> 2�1'� � ��c7' Fun�U� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typc of ProjecC _New_AdAn _Allere�ion_Ropair Typc ol ProjecC _New_Addn _Alterallon _ _Nepatr <br /> Show NumOcr(tlJ o/Iixlurrs Show Num6cr(a�o�Orfwrs <br /> A�C—air handuny unds i Toilel <br /> Forcetl a�t 5y5tems I �athluU <br /> Gas piping I LavatOry (wash hasin� <br /> j Water hedler i Shulver <br /> � Gas fveplace I Kilchen smk 8 disposal <br /> Gas ranqc Dish�vashei <br /> � Clothes dryer � Clothes washet <br /> Range huod Water heutcr <br /> � Eahausi fan Smk(scrvicc!bar.'moU��tC) <br /> Healpump i Nachllov+oreventer <br /> Un�1 neater Unnal <br /> 6oiler I Urmk�ng Pounta�n <br /> � Retnoeration Floordrain <br /> Woodstove Grease trap <br /> Ducting � Rnol drain; <br /> Other �dedical G�, <br /> SPRINKLER I SUPPRESSION SYSTEM � rn^:, <br /> Number of Heatls I Other <br /> i hcie�p cenJy that I t�.ave icatl.ind e.aminea I�is apo���Lon anG Ano�v i�e sdme lo�e Ime a�tl ca:rcct All pwris:ans ol laws ar]crd�nances r,ovem�ng tp�s lype ol woA vn'1 pe comp'etl <br /> �.un��.n�!per se :itetl�cre�n or noi Tho ganlmg ol a permA Coes nol G�eswreto grve aN�ouly U��clate or cancci the p:ons�c�el a�y olner itaio c�i_c,v Ia.:�eq��aia�mg co��snvn�rn <br /> �nillamautn icO�Y�^eonnirolf��spropetlyloperlormt�exo�Alor�Mi[�dpD��Whonismda?dnaicemp�yr'nl"�e5bleConl�acv�sla:� i97%hCt.'�:'�]:9ti:G0AP:AC <br /> � z /�l � <br /> Ow er/Authorized Agenl SignaWro Jate i���'�.sPtl J��C7�) <br />