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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGNlSPRINKLERIDEMOLITIQN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedzr SL, Everett, W A 98201 425-257-8810 FAX 425-257-8857 �+n,v�v.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM11 TO 4 PM <br /> SITE AD�RES^�: 5.r PROPEPTY TA%a�l IO�ZU�IU�� PER12 i _ � <br /> �19�3 I P� w E� �r, � 9A, � <br /> LEGAL�cr nr:+con;Wcbon� Shcrt PlaEsutCrvision (�KTy LS(I�� Lol N�.� (attach copy o�long legal descripuon) <br /> OWNER ��O �J � F 1 /�JbU Lt�C. Pno�z;E-ma�i NZS-33u'SS��'� / ��C�GJF2>rwFkc. t5.� � <br /> nadress P:> qoX / Y��/ c�ryis�aie�z�p Mza� LR.e A aSZ <br /> APPLICANT: _ Pnner _ZjQ+�ner'sAgent Con;ractor Ccntr�ctor'sAgeni _Tenanlim�vr:.�ee.ic^e.c�m-,r�!o-�rernerum.cr•�res:+cei <br /> CONTRACTOR l.✓Rr�cRS'ft�`%c ��m�5 NU� LL�- L&I Lic.k 'oR� �l 47G COE Bus.Lic.� D`Iq I97 <br /> Addrass 7V �Gx ��� z�� �3YLL�-l_�E�\ ,W A q✓U�'�- Phone�Ema:l yZs�?l�T.'SwYI ��L;L.�•Sn.� �' :S �; <br /> TEN'rNT BUSINESS NAME CONTACT FOR PERh11T�� ���y�'=N6� <br /> Phone�6maJ yZi'7�>°,"S°.�Q��S� �Co(;N�R57c.JEkwyES.l% <br /> E3UILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> 11EAT SOURCE: <br /> Eais;ing Usz cf BwICin9._ _ __--. ---- --_ <br /> Prc�cseCUseofBuilding Vc�.J sF(� __ Gu_1_ E'.=cmc _ O;her____ <br /> oul�Ciny typr. �SinGle Family _�uplex_TownhoUse _Multi-Family _Commercial <br /> Type of{:ro�ect �_Nc.v _ Addition Remodel _ Repair _T.I. S�r,n Se��nk!er Demcli;ron _Chance o`Use <br /> DESCRIPTION OF WORK(a�id�nena�spaceFrov�Cedonttrehock): <br /> I�IE�� �FIZ ��"�C, ��� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Lype ol Projcoi: ��New_Addn _�.Reratlon_Repair Type of Pro�ecU �New_Addn _AlleraHon_Repalr <br /> Show NumGer(C)o//ixiures Show Number(n)ollixtures <br /> � FJC—air handling units Tcilel <br /> � � Porced�ir s stems 2 Bathtu6 <br /> G�s pipin Lavatory pvash hasin) <br /> ' Waler heater 1 Shcwer <br /> Gas fucplacc I Kitchen sink 8 disposal <br /> � Gas ran e I Dishwasher <br /> f Clothes dryer I Clothes washer <br /> � Ran e hood � <br /> j Eahaustfin SinklservicelbnNn��ooletc.) <br /> Heat pump Backficw preventer <br /> Unit hc3:er Urinal <br /> Boiter Drinking Fountain <br /> Refri cration Floordrain <br /> Woodslove Grease trap <br /> � � Duc�inq Roof drains <br /> I Q����� �_ Aledical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Ot��cr: <br /> NumUer of Heads Other <br /> i!,.. t ..L..l�t. -.r .t.�ntr.i. '� t��� .fP'���'�nnnJMewRosi,�elototrc. ��l �rc:lA'Jpr.isia�sollawsarMOMrtwnceSBmernnglhslWaclworkwpM•conple] <br /> v.1�M cr spea�iotl�ore n cr nul The 9�n I ���I a pem'1 does nel pr sumu lo g�ve au.�or ly�o vqla;e or[ancel l�u p�onson o13�ry Wher sla'a or lowl4in reguat n�nnsivtl�m <br /> �r�T�am nulhor¢M by�he axner ol in�s prepmty Ie ea�orm Ino woik for w�Kh eOP���N���9 ma�o ooE I compry w���I�e Slalo Coniraclors Law 18I7 RC�Y aW.^9b'.00A�1FC <br /> �� 1 <br /> ' ,t -�� I I 1q�l" � �'- <br /> Owr�erlAulhorired Agont SignaWra <br /> �,,�. . .,,�.�����, <br /> � <br />