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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.eve�rttw�a�.org <br /> PROPER7YTAX N PE MIT p <br /> SITE ADDRESS: � � ��� ' '� <br /> � � � Lot No._ (attach copy ol long legal description) <br /> IEGAL for new consiruction: Shart Plal/su6division � <br /> � Phone/E-mail 7� � C6+ryt V c' S Q �i � /� "�"'� <br /> OWNER � (1 r <br /> � <- r <br /> 7U c� z� �G CirylSlate2ip (� p' �iL�/�L z � <br /> Address b <br /> AppLICANT:_Owner OwnelsAgent Conlraelor _Conlractor'sAgenl _TenaN�m�siPmhdeaie^eraico�sem�romu+eownerioaa»one�nmeapa�a) <br /> � , ,��' State Lic.# W L (� City Bus. Lic.# <br /> CONTRACTOR Gt/ � /�� <br /> q/(W i 5.�1 VJKb . <br /> PhonelEmail ZSZy GQGI <br /> Address � <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT � <br /> ��o�erf El(�o� <br /> Phone/E-mail (,���WCc J�. �Vi✓'b/N M .CO <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK � �' {� <br /> , � HEATSOURCE: <br /> Exisling Use of Building�� �' ��I <br /> Gas_ Eleclric__ Olher_ <br /> Proposed Use of Building <br /> Building type: �Single Family _Duplex_Townhouse _Multi•Family _Commercial <br /> Type of project: ._New _Addition __Remodel Repair_T.I._Sign_S rinkler_Demolition_Change of Use <br /> DESCRIPTIONOFWORK(addiriona�spacoprovidedon�oback)c ��� ', Yt� �,��,��� �/ r �w� S�,K�- <br /> S��• �� t,c�t�(erJr„�.cur t,v � <br /> ��� <br /> MECHANICAL PERMIT APPLICATION <br /> PLUMBING PERMIT APPLICATION <br /> Typo ol ProJect: _Now_Addn _Altoration_Repair Typo of ProJoct: ,_Now_Addn _Altoratlon Ropair <br /> Show Numbcr(N)o//ixfures <br /> ShowNumbcr(a'oflixtures � Toilet <br /> � A/C-air handling units � Balhlub <br /> � Forced air systems �avalory (wash basin) <br /> � Gas piping Sho�ver <br /> . -. � Waler heater � Kitchen sink&disposal <br /> Gas(ueplace Dishwasher <br /> � Gas range �i Clothes washer <br /> � Clolhes dryer � Water healer <br /> Range hood � Sink(servicelbadmop/elc.) <br /> Exhaust fan � Backflow preventer <br /> Heat pump j Urinal <br /> Unit heater � Drinking Fountain <br /> i Boiier Fioor drain <br /> � Refrigeration � <br /> � Grease trap <br /> �� Woodstove � f2oof drains <br /> Ducting � Medical Gas <br /> � Other <br /> SPRINKLER I SUPPRESSION SYSTEM j Othec �ul� �tNc� <br /> Nurr�ber of Heads � �l: W�t'�C.'✓� �i�t P kYC P L ���� <br /> VI P tt� S��c O,F <br /> I hcmby rendy Ihat I hem reed end examinetl this epp�Kation antl know I�e seme to be tmo ond corted.All pmvisions cl'a�,vs and ord�nances goveming this type ol aork w�9 bo mmFl e1 <br /> adh nhet�er specilieC�erein or nol.71�e gwnling a�a permd tloes nol Oresumo lo give eulhonty to violata or cancei;'�e Fo�isun cl any m1�er s:ate er Iewl bw re,uia��.ng cens:rucnon <br /> Thal I am autnorized�y I�e o�vner olttliz propetly lo pedortn Nv work lor whkh opplicalion Is matle en01 compty�.a:n!�•.e Sta:e Ccn!rac:e:s Lo�.v 78 27 RC'l:an]r5=i�7A\'fAC <br /> ��� ���-- ���f i3 <br /> Ownor/Authorizod Agant Signalura <br /> Date (Rev�sed 3R073) <br />