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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everelt, WA 98201 425-257-8810 FAX 425-257-8857 �wdw.everetlwa.org <br /> APPLICATIONS ARE ACCEPT[D FROM 8 AA7 TO 4 PM <br /> SITEADDRE S: �{� PROPER7VTA%dQIIOIZUDD�00L� 1�R",�1G" OO I <br /> �a r8 I a4 w � �- s� � <br /> � Lol No Z attach copy ol tong legal descrip0on) <br /> LEIiALfornewconsirucfion� ShunPlatlsubdivision T LS � ( <br /> OWNER p rJ IJNJ L�-L P�one1E-ma�lyZS-3�J�"��✓Qi ��2(.)�1E25TtNFih �5�� � <br /> AOdress �p Ox � y,U GrylState'Zip /1'1:�f� (�,.'.� V'3 a�iZ <br /> APPLICANT: O�+ner �Ow*+er'SAgem Conlydcta Conlracler'sAgent _Tenan;�-ur,.:��aeaieee-o'c^se^to-,�'oec.-�e�uca...��,�resa:e� <br /> CONTRACTOR GoR�6RS'it,NE N�GmFs NI,J L��- L 81 Lic.tt �' oR� � 4Tv COE Bus.Lic.# D�I q I97 <br /> Aaa�ess 7U (;oX /N Z�I �)ts L�C�F�� w+1 9✓u�1 t ano�e;ema i `(Z 5-33°S°�'t� G�eNc�sn� Hc c s �, <br /> TENANT BUSINESS NAME CONTACT FOR PERh11T�-� �.��y��=N�"J <br /> anonerE-ma��,l NLS'3 Y•��'tw°I S� CoRN�25wJEH�+rcS.� <br /> F3UIl.DING PERMIT APPLiCATION CONTRACT PRICE OF\NORK <br /> HEAT SOURCE: <br /> Exisling Use o1 Building___-- --- <br /> Pro seC Use cf BuilCin �V E W � Ga._�_ Electric__ Olher___ <br /> � � `_ �--_—__ <br /> Ruilding�ype� �Sin�le Family _Duplez_Townhouse _MuICi-Fam:'.y ___Commercial <br /> Type of project: _\_Nc.v __ Addition _Remodel Repair__ T.I. S�qn_ .So�ic!:!er__ Demolition__ Change of Use <br /> DESCRIPTION OF WORK(adtlihor,a�space pm�4ded on�he bar�!' <br /> ��fEI,V �1–I� � ���5� (_, —l� � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: �New_Addn ,_Almration,_Repair Type of Pro�ecC �Now_Addn _Allomtion_Repair <br /> Show Number(k)o(Iirm�es Show Number(C)ollirfures <br /> � A/C-air handling units Tallet <br /> � � Forced air syslems 2 Balhtub <br /> Gas pipin � La��atory(�vash basin) <br /> Wa1er heater 1 Shower <br /> Gas lireplace I Kitchen sink&disposal <br /> � Gas ranqe I Dishwasher <br /> � Clolhes dry�er � Clathes washer <br /> � Ran e hood ��� <br /> 5 [xhousl fan Sink(servicelbarimopletc.) <br /> Heal pump Backflow preventer <br /> Uni1 healcr Urinal <br /> Boilcr Drinking Fountain <br /> Refri cration Floordrain <br /> Woodsta��c Grease lrap <br /> ' � Cuctinq Roof drains <br /> � Othor _ M1tedical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> � Num�er of Heads Olher. <br /> I brrcby cart�y�P.ai I liavo maJ a��1 mamu�ra IM1is appM1cato�an',f Anow tno s.vne lo bo Imo arM mrrai AO pmvrsions o�lans anA or�inances goveming I��s typo cl wak will�e mmpicd <br /> wAIIM�I(!I�OfSPOCi�iO(�IIOIOv1C�l�OI TIIOQ'�n�p130��pClmi;l�JC51tnI�1�O511flIUIi19fYOBlII�lOf4��DVqGl�BOlCdlILBI��IBplOv4Of�O�di�yOl�lOf5IlI00l�U['JI�.]wlpgU4tIl11'[O(ISINC�'IOn <br /> irti� am aul�orized Gy)I�o o+ncr ol ih�s pmC����Y�0 7^h°�"'���c Mod for v.hc�aOVlcalun is madu and I comply xaM1 ltw State Contmtlors Law t8 P RCW and 296 700A WAC <br /> 1 � -��- ���2�,,z_ „z,. ,�•�,� .�,�,�,� <br /> Ow er!Authoiixed Agent Signaturc Da.e <br />