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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITIOh <br /> CITY OF �VERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everelt,WA 98201 425-257-8810 FAX 425-257-8857 �wrw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: PROPERTv7AXtt I PC?M��I I _G'1` <br /> 48i� I'+PG W E��E�T' P, u! �I D I Z000 IGOL � <br /> LEGAL lor newconsiruction�. Shen P�aVsubd��visbn�2T'� L(I�� Lol No. Z (aUac�copy ol long legal desrnptron) <br /> OWNER ,O rl /JN) L�-L Pnone�E-ma:i NzS-33S-SB°Yi �f� - E'n1e25n:vFHo cT•o � <br /> Address �p (�oX l y .'l c�ir�siaierz�o Mra� G?�� ' A �8Z <br /> APPLICANT:_Owner YjO�+ner';Agenl Conlractor ConiraclorsAgerl _fenant�T�siv:.��aeaievuw•sr;e,�mec..^en:co.,o�+��mes.,�m <br /> CON7RACTOR C,oRr�ERS'R�+`lc N cmFS NLJ L�L L R I Lic.# oR� �V 4T� COE Bus.Lic.# U�I q I97 <br /> naa�ess 7D oX ��-/ Z�� �ltr L� C��1� W�a 9✓v4,'Z ano,e Ema�i '-!2S'-33�SwV �•V�LN:�'SF^�E � c S �, <br /> 7ENANT BUSINESS NAME CONTACT FOR PERMIT 5� �q�7iN�r.f <br /> ano�e�e-ma�� Nz�-7� V-SB��S�I C.oR�:�,zsTT�eNu^1cs.0 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Exis;ing Use ol 6uiiding <br /> HEATSOURCE: <br /> Prcposed Use of Building_��1�W � �Q <br /> Gas x Electric_ ONer__ <br /> Fiuilding type: �Single Fan��ily _Duplex_Townhouse _Mulli-Family _Commercial <br /> Type of projecC New _Addilion __Remodel __ Repair__T.I. S'�an___SrrinAler___Demolition___G�aarc of Use <br /> DESCRIPTIOP� OF WORK(aAd�nona�space Fruvived on Rie bactil: <br /> ��lEl,v �hl` _ �AS�-- �17Ci <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProJecL �New__Addn _Altcration__Repair Typc ol Pro�ecC ,�New_Addn _Alteration_Repa�r <br /> Show Number(#)al lixtures Show Num6er�a)o/lrtures <br /> � !�'C—airhandlingunils Tailet <br /> � Porced air s siems 2 BathWb <br /> Gas pipinq Lavatory(v.ash basiN <br /> � Water healer 1 Shower <br /> Gas freplace I Kitchen sink 8 disposal <br /> � � Gas ranqe I Dishwasher <br /> � Clothes dryer I CloYies washer <br /> � Ran e hoeA -- ---Water healer. <br /> y [xhaust fan Sink(serviceibarlmoWetc.) <br /> Hcat pump Backllow preventer <br /> Unil hcater Urinal <br /> I �oiler DrinAin Founlain <br /> Ref�i eration Floor drain <br /> � Woodsrove Greaseirap <br /> • � Ductin, Roofdrains <br /> � Olher_. __ ___ M1tedical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM otner: <br /> I Number of Heads Olher. <br /> i,. ���cerlily IOat I havo read and eaam�ned Nis anp�calon anJ know No same�n�o�mo an0 mrterl Atl pmnsrons of laws and ord�mnces gove�nmg Ihis IyOe clwnk vnll bo mmpled <br /> .. �,�,.I:ollr!r spocdroA heren or no1 T1ia granlag ol a permd 0oos not prosuma lo Bive aul�a�y lo vola!u or cancell�a Gmvisron of any olher¢tale W bca��w requ�aUng consWctqn <br /> , .���-i nuthouzca�yNio ouner ol inu p�opn�ly lu Oorlorm I�n work lor whkh apolKalnn 6 matle anA I mn+p�y wnn Na Smie Camracmrs Ww 1B 27 ftCW anA 29B 200A�YRC 1� � <br /> �; <br /> � <br /> � <</, � ,�-_ <br /> , <br /> � - . �- <br /> OwqedA�+����9rnt 519nnturc f IDila IRe�vsed h201J <br />