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PERMIT APPLICATION <br /> BUILDINGIMECHANi�ALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everetl,WA 98201 425-257-8810 FAX 425-257-8857 �wvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM11 TO 4 PM <br /> SITC-ADDRESS: y; PROPERNTAXn�IIDIZ�DDI���L � iM1�IiI – C�' <br /> y9og � PL W E r V� �7 ,J <br /> LEGAL lor neNconstmction�. Shert P,aCsubdivision .ZT7 ��M� Lol No.f�1. (attach copy ef long legal Cesrnplwn) <br /> OWNER �O rJ � iJ4l� L�-L� PhonelE-ma�.l NzS-338-Sf3v41 �t� � ¢�1e2STWFrk�tS.0 � <br /> C�tylState'Zip /11:�L G'�£ � '1 ° O 0Z <br /> Address Pp �OX � � -� <br /> APPLICANT:_a�ner �O.wer'sAgent Con(racror Comractor'sAgent _Tenanti��:vr�:.ceoie-re'c-�zn�ko���ec..�oioa:•-��,^.resvul <br /> CONTRACTOR C.ORl4ERS�'�c {�cmES NVJ LLL L81Lic.Y+ oR� V 47lG COEBuS.Li:.Z D�19I97 <br /> nddress�O T ok �N Z�� /)tr L�C�EF)< W A q✓v��— anon=Ema i `(2 5=33�'S°.°.Yi � G:zNtax..� f-�c : S �, <br /> TENANT BUSINESS NAh1E CONTACT FOR PERMIT�� ��7�N6� <br /> Phane;E-mal N7�-?�jv.5�0�/S�F , Go(�'NcR�Tz^EF1W'hES.� <br /> [3UILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> HEATSOURCE�. <br /> Existing Use of Bullding__ _------- <br /> ProroseC Use cf 6uilding NE�^1 SF� <br /> Ga�%� [Icctric._._. other__ _ <br /> Gul'��icg ty;e � Single Family _Duplea_Townhouse _Multi-Family __Commerdal <br /> Tyce of Crcject: _Ne�.v __Addition __Remodel Repair T.L_ _Sl9n _ Sn�inkler_ . Den•�oiition_ . _Ch�nce of Use <br /> DESCRIPTION OF WORK(ad�tior,a�space provrdad on rhe back): <br /> ��IE� - � �iS�� � �"��. <br /> �rrz <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> 7ypeotProJect ,�New_Addn _Alteration.__Repair TypoofProJecC �,New_Addn _Alteration_Repalr <br /> Shm��NumGcr(ftJ ol firtures Show l.'umber(#)ol listures <br /> NC–air hanCling unils Toilcl <br /> ( � Forced air s slems 2 Bathtub <br /> G�s pipin9 � Lavatory h•+ash basinl <br /> Waterheater 1 � Shower <br /> Gas freplace I Kitchen sink F.C�sposal <br /> r � Gas ran e I Dishwasher <br /> � �_Clolhes drycr � Clothes washer <br /> � Range hoeA —� � <br /> j Exhaust fan Sink(servicelbadmoplelc.) <br /> Heat p�m��p Backllow prevenler <br /> Unit heatcr Urinal <br /> 6oi�cr � Urinkmg Pounlain <br /> Refri�cration Fioor drain <br /> � �'Joodstove Greasetrap <br /> � � Duclinq Roof drains <br /> � Other____ _ _ � �ledicalGas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Olher. <br /> :Oere�Y cCLly Ihal I I�ar o re.�J and nUmmr.1 If��s PpP'cdt�uo nn��now IM1e c��nn b�o�mo n W mrtt'1 All prov5uns ol laxs 0nd ordne�oces gaverning I�is lyp0 0�x'Mk'.vll be complqd <br /> wlp1wlwl�erspenM1ed�erencrnol ThogranLnp;:lai.�'���'ReloesnelC�'��'^ulogrveaWWntylo.ul�Ieorcancell�eprovisanolanyolM1�rslaloorbealLiwreguWt�ngeonsWdion <br /> il.il�am authonzed by �e ownor ol lhis p�r{'c�ry to h'rlrrm Irv.�wvi�Wr whkh appicatu^rs mada anE I comply wA�I�o$late Contracto�s Law iB 27 RCW anE P96 2�OA WAC <br /> � �— << I ►a1 �2— '�; <br /> Ow�edAulh'erizod Agenl5lgnaturo <br /> �„e ;R :,.<<,�<<�,�, <br />