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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257.8857 www.everettwa.org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM --j — 1 -3 — (/ <br />SITE ADDRESS: <br />JO I Jse z� f 5 w �� <br />PROPER'TA)(1 <br />00 3S J000! t)Y <br />PERM/ 1 <br />�u <br />LEGAL for rrw instruction Short Plausubdiwsmn Lot No (attach copy of long legal riescnobon) <br />OWNER J o5 A fl4 S) 1 /. <br />PrmnrlEma�l 1 f�• i!nr.n �a 7 al;u'• <br />-d�9/8 -�3/ <br />p p j� <br />r r r ) 9 /O i <br />Address /c S�0 skv�� � �t rU^CIt �l,/ <br />�6/y <br />f� <br />P & t l l/ V Qkv 1 <br />ary staielLr � C . <br />APPLICANT:_XOwe•er Owrees Agent Contractor Contractor's Agent Tenant m.:nr �wx+mmn.nomn. m..e.cm.,.. >,Teanai <br />CONTRACTOR W <br />L& I Lic 0 COE Bus Lic. 0 <br />oor Pnone Emad <br />TENANT BU NESS NAPE <br />CONTACT FOR PERMIT <br />Phone/E-mail <br />BUILDING PERMIT APPLICATION <br />ICONTRACT PRICE OF WORK <br />Existing Use of Building _ HEAT SOURCE <br />Proposed Use of Building Gas Electric _ Other___. <br />Budding type -* Single Family _ Duplex _Townhouse _ Multi -Family, _ Commercial <br />Typeolproject New Addition Remodel Re a r T I Sign S nnkler Demolition Change of Use <br />DESCRIPTION OF WORK redddiomai space f7mwoed on me cad) u�iM <br />DKctJ,l kLafi pump _ I outside Knit <br />t Inside knti- <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type c1 Prvlect: X_New _Addn _Alteration _Repair <br />Show Numea (a) of fMrures <br />Type of Project: _New _Addn _Aheratlon _Repair <br />Snow Number (a) of Natures <br />A!C - air handling units <br />_ <br />i Toilet <br />Forced au systems <br />I Bathtub <br />Gas piping <br />Lavatory wash basin <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink & dis osel <br />Gas ran a <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Range hood <br />Water heater <br />Exhaust tan <br />Sink serviceQlar/mo left ) <br />Heal pump <br />Backflow preventer <br />Unit heater <br />I Unnal <br />Boller <br />Drir ;,j Fountain <br />Refs eration <br />Floor drain <br />Woodstove <br />Grease trap <br />Ductm <br />Rom drains <br />Other_ <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Other <br />1 hereof owtify Mat I Mm reed and examined Me epplraam and know be same b be true and corrcci. Ail Pri 61 tr e.M or'ronuwa I mnila Mis type of wvf M1 be correl ed <br />en'Jt x e ier spevbad her m net lhn gnimng m a Permit does not Pmume b DAe eutrn Cy b viabtn a rumQ1 me Proxtsron Of wry miter stele erbrill few reputetnp 00ne7ux9m <br />That 1 am a r!wrtred by the ormer ci bh ptoperry to perform Pe w la wbktr appa,, i b medo erx I oampN wth me Stab Conorwax Lmv 1 e.27 RCW and 290.200A WAC <br />O4nerfAuth^ o�gent Signature Date <br />(Revrsod 62012) <br />'rm <br />