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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8610 FAX 425-257-8857 www.averethva.org <br /> �( � ,"�, _ /� <br /> SITEADDRESS: � / 2 � ;� `•` ^; � PROPfRiYTAXN PERMI�_UIU <br /> l'1 <br /> LEGAL lor new construuion- Short PlaVsu��iv�sion Lot No Wttach copV ol long legal descnplion) <br /> OWNER '.\R/ �J-k- �� � Phone�E�man <br /> AtlOiess � ( 2 ( �1`��'�-1 v� • CdylStateR�p <br /> APPLICANT: Uwncr _Ov:ner'sngem ��onlra:tor __Coniractor'sAgent Tenam��-.�n�-��a�.,m-«<+:a�se-ic:.rr«o..���i�a�•orvoU�so���i <br /> � C���`�F�C.� -7( <br /> CONTRACTOR �•`J � � `{ "^ �� � State Lic. � ..�y Bus. Lic # <br /> nCtlress Pl�onc;Email�Y�`^�L� 2-''(a' ZSS � ! ��`r <br /> TENANT BUSINESS NhME CONTACT FOR PERMIT <br /> Phonc�Email <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exisb�•,g Usc o�Dmlding � HEAT SOURCE <br /> r'ropesed Use of�wlding Gas_ Eiectnc__ Ot�e:_ <br /> BuJding type _S�ngle Fam�ly _Dup;_x_Townhouse _h1u'ti�Fam�iy _Commerual <br /> Tyoe of prolect New Adtl�lion RemoCzl _Rep.• _T 1. _S�en _Sc��nkler_�emoliuon_ Change of Use <br /> DESCRIPTIONOFWORK;aCcr„enaispacep��,�edon�ne�a:ai. a�AJ L�J o� S��^-+' 5�-�-� <br /> I "`rU-" 1 �U�G(p �<< ����.. ��� �7V G��[d.,-�et', /'v`^1�.�C-t�! .� — <br /> � « � r e r�i, 1�P <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT PLICATION <br /> T��po ol Pmjecl: _Now_Addn _Alferation_Repalr Typo ol Projecl: _New_AdEn _Altamlion_ epav <br /> Show NumDcr(N)01Ii.fwes Show Numbcr(C)ol lixfums <br /> NC -air hardlinq unds I ToJct <br /> ! Forced a�r sysn_ms � Bathtuh <br /> � Gas pip�ng � Lnvatory pvash bas�n) <br /> I Watcr h^aler i Showci <br /> Gas freV���� � i KAchen smk 3 disposai <br /> i Gas range Uishwasher <br /> Clothes drycr I Clolhes washer <br /> i Rangc hood ' Waler heater <br /> Exhaust lan Sink(servicclbadmoplelc) <br /> Heal pumV I Bachiiow preventer <br /> Und ��.ealer Unn,tl <br /> � Ooiler i Dnnking Fountain <br /> � Retngcralion I Floordrain <br /> Woodstcve I Grease trap <br /> Duchng ; Ruot drams <br /> I ������ � Metlical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM ; Otner �{'� vn o-' <br /> � Number of Heads �I Other. • <br /> I Ccieby ce�Jy t�at I hav �ead antl c.ammed Ihu apDL:aYen and know I�e same'u[e lrue anE carrect ?II D�ow5ion5 c11aN5 antl orE�nan[es govemmg��is type el wciA�xJ Oe compl:ed <br /> a::n nnc�lcr specRied em oi nm Tn gra^:�.ng cl o pertnt Aocs nct Fmsumc io gne autnonty lo vwlaie or rancel Inc p�m�sron ol anY oNcr statc or Ittal law regulal�nB wnsVunion <br /> t�at I am aut�on:eE y c owncr ot rt Dmpeity lo petlom�t�e xtt�lor wT¢1�apyi�.wvon is maae and 1 ccmpty x�t�the$iale Con!raCcrs law 1 B 27 ftCVJ a�d:?6 2tt�A bVAC. <br /> OwnedAuthorizetl Agent 5 gnawro Date (FcrrscdY'Of]) <br />