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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everetl, WA 93201 425•257-8810 FAX 425-257-8857 �wvw.evereltwa.org <br /> APPLIGATIONS ARE ACCEPTED FRCH 8 AM TO 4 PM <br /> SITEADORES�i: y.* PROPERNTA%p�l IDIZUiuO�UO PE�MIT# I _ r� <br /> 99IO I pL W E E T P oU �� <br /> LEGAL lor new con;truction: Short PIaVs��btl�eision C2Ty (S(7FITS �ot Na Z�/ (altach copy of long legal descnption) <br /> OWNER O rl (JIAI LVL Phone�E-ma��l NZS-2i3Qi'S�v�U �@ IC.JE25iv�Fffo� [i•� <br /> Address Pp �$O l �{ y CnylStatelZip I11S6L G'!-C � A f G pjZ- <br /> APPLICANT:_O�.mer �Ovmer'sAgeni CoMractor CcntraclolsASent _Tenan;t^.�i�v:.�-eaieae,c�c�•;�:ko�-,v�.ew�m�am.�:n��r�s:,:e� <br /> CONTRAC70R �.ORr1E�RS'R�E {��GmF NIn1 LL�- L&I Lic.# 'oR� N y7o COE Bus.Lic.# D�I9 I97 <br /> Address P(� �GX �'1 Z�� �lYL L�-�.1�F:�ft W:a q✓U�iZ Phone;Ema�l �Z�3�5��i .�I �'�Nt�SANE � C S �', <br /> TENANT BUSINE55 NAM11E CONTACT FOR PERMIT�� �n��=N`�J <br /> Phone:E�matl uZj-?� V_SJSSI� Ca��le�25TvJEFf�+N[S.� <br /> [3UILDINGPERMITAPPLICATION CONTRACTPRICEOFwoRK <br /> Existin Use of BuJdin _ HEAT SOURCE: <br /> 9 � — -- <br /> ProFcsed Use of 6uilding n1EW SF� Gas_�_ Eiedrlc__. Other.__._ <br /> Gui!Cin,type: �Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Tvpe of projecC _\_Ne�.v _Addition _Remodel __Repair T.I. __Sir,n__Sprin4ler_ Demolilion,__Chance et Use <br /> DESCRIPTION OF bVORK(aednona�space providod o�toc t,�:b): <br /> i <br /> ��iEw s��z �`��3 -'-; <br /> MECHANICAL PERMIT APPL{CATION PLUMBING PERMIT APPLICATION <br /> Typc of Pro�ecL �New_AAdn _Alteratlon_Repair Typc of ProjecC fi,New_Addn _Alleralion_Repair <br /> Show Numbcr�d)ol lirtures Show Num6er(d)ol fixtures <br /> � NC-air handlinq units Toilel <br /> � � Forced air.rystems 2 BathWb <br /> Gas pipinr, Lavatory(wash basin) <br /> Waler healer ! Shower <br /> Gas freplace I Kitchen sinh R dispusal <br /> � � G�s ran e I I �ishwasher <br /> � CloUies dryer � Clothes washer <br /> � Range hood " er <br /> j Ezhausl fan Sink�servicelhadmoplelc.) <br /> Heot punro BacAOow preventer <br /> � Unit hcalcr Urinal <br /> � 8oiler Drinking Founlain <br /> Refri erelion Floor drain <br /> Woodstove Grease lrap <br /> � � Ductin Roof drains <br /> � Olhcr__ �ledical Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM Other: <br /> Number of Heads � Othec <br /> I Onroh/mriny tl�al I h:urt reat nn,f c.amned t��,s npfl�.rJ�qn and An�.a IPi.stmo i.�Cn 0.m dnd eORttl AlI0rm5,on�ol laws anG ordnances pCvermn�1�51ir^o cl xurA will[z complqd <br /> wM1h whellnv spoof:e�heran cr nol TOo pr�nlmJ cl a pennA Aoes nol Gresume lo p've authorAY IO vqlaia ar wnwl lha GrorSan ol anV alh.er slate er bcal Ain reyWaLng comimc(ron <br /> 7�am aul�Oriiad��y o OwnM ol lh¢pry>vry�c pcdcrm Ihe wo���o�ePml�aCPle,ton i5 maCn and I comDN w��h�he Stale COntractors Law 1B 21 RCP/an0 296 2JOA IYAC � <br /> � � /' � � ��li� � � � � � <br /> I � <br /> Owr�erlAu�hoilzed AgeN SlgnaNra l)��•a iF.,,.s^J P Zi.f?I <br />