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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 Cedar St., Everelt,WA 98201 425-257-8810 FAX 425-257-8857 w�w✓.evereltwa org <br /> APPLICATION5 ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: y.* PROPEftTYTA%N�IIDIZU�IJOUi � h� � l'O �VJ <br /> Q'� iI I �a W E� a ou <br /> LEGAL for newconstruction: Short Plap,ubd�v�sion .7TY L3�fj_%> Lot No. �� (altach copy of long legal Cescription) <br /> OYYNER �O nl /JW L�-L Fhone�E�madyZS-�3�'$�6',vi�J' �l�(j¢n1E25rwFr{o..ct�� " <br /> ndd�ess Pp oX / 4 �/ c�ryrsia�e�zo Y�1rt� G�.e ' �rl a 8Z <br /> APP�ICANT:__O..ner ,�,O.tiner'sAgent Contracror Contracmr'sAgenl _Tenantim�s�n:,�cea�ee�,�i::.e,��•»irec.en:c�+on�,+res.,ce� <br /> CON7RACTOR GoRr�6RS'TLNc N�mFS NU1 L�L L 8 I Lic# '02� � 4�o COE Bus.Lic.K D�I`I I9 7 <br /> nea«s� 7U P cX �y l �I �3t=L�C d r�� ,W�a 9 ."iv�Z ano�e,em3 i 42 5-33°5°L'4'� 4 >G;eN.+sA�< Na c S �, <br /> 7ENANT BUSINESS NAME CONTACT FOR PERMIT�� LqK`�TNC� <br /> anone�E�ma�.� y1�-�7iv-S°'L%��S�I�Go�'Ne2STciJEl�WMCS.V <br /> E3UILDING PERMIT APPL'CATION CONTRACT PRICE OF WORK <br /> Exis;ing Use cf 6w!ding _ __ HEAT SOURCE: <br /> ProposedUseof6uilCirg vEW S�Q Gas%�_ E!ectr�c___ Ot"er__ <br /> Building lype: �Sin,le Family _Duplex_Townhouse _MWti-Famiiy _Cammercial <br /> 7ype c(prolect: , ___Na.v ____�ddition Remodel Repair T.I. _Sign_ Sprinkier Dernolition.. .Change of Use <br /> DESCRIPTION OF WORK jadd�trona�sF��e provide�on the bace): <br /> C1 <br /> I�E!'� ��1' ��ST C, Z I <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ot Project: �New_Addn _Flleration_Repair Type of Pro�ecC �New_Addn _Alleration_Repair <br /> Show Numbw(a)ollixturos Show Num6er(p)o//ixiurrs <br /> NC—air handling units Toilet <br /> I I Foreed oir s stems '7— Bathtub <br /> Gas piFing Lavatory(wash hasin) <br /> Water heater 1 Shower <br /> Gas freplace I Kitchen sink 8 disposal <br /> � Gas ran e 1 � Dishwashcr <br /> � Clothes dryer � Clothes washer <br /> � Range hood � <br /> � Ezhaustfan Sink�servicelbar/mopletc.) <br /> Heat pump Backtlow preventer <br /> Unil heater Urin�l <br /> 8oiler Drinking FOuntiin <br /> Rclriqeration Floor drain <br /> WoodSteve GreaSe�np <br /> ' � Ductinq Roof drains <br /> � Otlicr hledical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM otlicr: <br /> Number of Heads Other: <br /> I I�rretiy Ce•1Ap Itidi I hdvo mdd and oepmx�rd Ihs ppp�r„��pn anJ Anow Ii.a s�t��a to bo ime dnA certM All Drov6lons o�lans anJ ordiannctu gJvmrin�th�s typo c�nnk x-11 bo compled <br /> v.'�li�vp0lM1of SpvGliwd�CrCxl of n01 T�O gfanlvig 01 l prnni�COCS nal pfe5umo lo g v0 aut�OfAy 10 volY.o OfeanColl�C prOviSon OI Ony Oilrer SIaIC Or bcdl Llv.'mgul3Ung COnSW Ltnn <br /> 1 i�,�;l qm amnonzoE by e owner ol iivs prcpciry to pedo��n Ihc wmA lor wPel�aoP'���a�on rs maEa anE I eompty wdh Ine Stale ComraCors Law 18 D RCW and 296.00A\VAC. <br /> � �t ;,rl'i---" (( �� ���Z'� ��� <br /> OwncrlAutMorixed Agonl Signaturc ( 04� jRevised 6-2072) <br />