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PERMIT APPLICATI� <br /> BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLER/DE:MOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Cverett, WA 98201 425-257-8810 Fr\X 425 257-8857 vnvv+.everett�va org <br /> SITEADDRESS: S� PROVCRTYTA%N P M1��T O ' �/, <br /> `p S� �- U <br /> LEGAL Inr new constmcbort Shoq PIaVi�bu�msm�___ _ _l ot t:o___ W7�����DY el long Ie9al descrpgon) <br /> OWNER �1� V.�_0.h) � F�aner�maJ d�S �S�'�a0`/(� �Z17W03�JG'�.���. C �.,ti� <br /> acnre�s \U2fl � �� �'� S E� c�;yis�aiciz�c Ev.v,¢_� V�-�Ja 9�j7�� <br /> (1PPl.ICANT: _ O+'t'.pt _O�r'iPfsFgen; ____Cu".It�COr __COr.I�dC'OYsAgCnl _Ter•.anll.:�+•�n�c.:e�'�<rric�mnsar:s,�:'ee.-.n�o_^u.'�^.�.?+,.sc�ccl <br /> CONTF2ACTOR wY�� Stale Lic rt _ City �u� L��c p <br /> :,:��ebs P1ic�u`:[ma I <br /> , CONTACT FOR PERfl71T <br /> F�pneit-mail <br /> BUI�DING PERMIT APPLICATION CONTRACT PRICE OF WORK____ _ _ <br /> Ex,sl.ng Use ol Bc�IC:n__s���/��_ � H641 SOVRCE� <br /> �r ./ �Ga;_ _ FieCinc O;he� _ _ <br /> Proposetl Use ol�lu�ltlirg_ _ —__—__ — <br /> Bcdtl�ng�ype- �Single Fam�ly _Dupl z_lowcho��se _Idulti-Fo^�Ip __Co�nTeraa�. <br /> Type ol o-•o;ecf New Adddion � Remadel _ Repair _ T I ___ S.cn Sp:��nFJer__Demclilion_Cnan�e ot Use <br /> DESCRIPTION OF WORK �aca-'io;a's�aco p�-v:ed ca;:c r�c�'� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProjecC _ I.ew_Atldn _Alteralion_Repair Type ol ProjecC _New__AAdn _�UeraUon_Repair <br /> Show Numbcr/d)ol(+tures ShOrv Num6er�dJ 0(fisfwos <br /> ti'C --air hantlling units —�— ic:lcl <br /> � FcrceC a.r systems _ [3a,h1uD <br /> Gas oi,mg �/ Lavato.ry IN'ash bas�n) <br /> --� Vlaler he�te� _ L Sho=Cr <br /> Gas hreplace Kuchen s�nk&disUosal <br /> Gas rangc U�shwashcr <br /> Ciolhes tl er Clcthes washer <br /> Range hootl lVa;cn c�atcr <br /> E*hausi fan Sink(5crvice/6admop/elc ) <br /> Heat pump L3a:F0ow preventer(mside bldg) <br /> Umt hcatcr Urinal <br /> doJer _ _ Dn�kinq Fountain <br /> Rch:geretion Floor draln <br /> Wootlr'nve _ Grease Irap <br /> � i)udinq i fi�of drams _ <br /> ����t� Med�cal Gns __ <br /> �-- ----- <br /> SPRINKLER / SUPPRESSION SYSTEM --�- O�hcr y�wn Gs�'2`- -<r <br /> Number of fleads Olher �_ <br /> I"�c reby ce��y t�al I have fe.�and e.am�ned Ihis aC��'���on and Anow t�e 5�me lo be tme anA mnetl All provi>lons cl laws anE aid�naices guveimno I�rs Ippe ol wrod w�Y M u�mp�rJ <br /> n�'n w�e:hei sDm�'�eE ne�cin ar nol The qr,nhng o!a permA Eees�ol pmsu�ne lo give authomy lo v�olate ar canceR�c pm��von e�any otntt state or iocal iaw�egulai�y wnsVu��o�� <br /> �hat i am au:PonxeO ny��e o»acr oi t��,s pmpeny lo pniorm IM woik tor w�m�aop����ion is ma�c antl I compry wr,p th��lale CmlraCas Law�0 27 RCW anC 2962�OA 41:�C <br /> � r/) <br /> �/ �' ��S <br /> Ow culWlimrize ganfsig v�1rc -- –� li.-,�� �l.•,_;s.,tl:i:�G�:�� <br />