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�RMIT APPLICATIOi. <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 982U1 425•257-8810 FAX 425-257-8857 wvnv everettwa.org <br /> SITEADDRESS: VNOPER7VTA%p PERMIT7t lO�� <br /> a sr ��ee-� tf ti/�_ t <br /> LEGAL for new mnslmctio¢ ShaA PlaVsubCrvls�on . lol No.__ (attach coDY ol long legal descriplion) <br /> OWNER Phone/E-mail �,S 3 — l �f <br /> Adaress U e`( �� � (/� J�{_' j=vC r� C�.tylStele/"1�p �VC/�G� �o �U 8 <br /> APPUCANT:,�Oxner _�OwrefsAgeni _Conlra�mr _Coniraclor's�genl _Tenant :��+�;�o.m3�rer�o�:.c,se�;o-cT•nec,.-:e�s�:o�o��,,mescacti <br /> CONTRACTOR S6� State L�c � Gty Dus. Lic N <br /> A�tlress / p�(, Zy�/yVG S� PhonMLmail�Ca � 3is' — � � <br /> CONTACT F R PERMITi} U Sf ,/n ��� n <br /> l� /Y <br /> Phoncl[�matl s � S S— 7( `� 2 <br /> BUILDINGPERMITAPPLICATION coNTRncraRiceoFwoRK /3c�O �� <br /> Ex�slmg Use of Budding__�_��1_� G c�G-� HE�T SOURCE <br /> PropoSE'd USC Of Ouild � _ Gas__ E�ec�nc OihEr_ <br /> p�iltlm9 type� le Fam y1��uWex_Townhouse _MultrFamdy _Commerc�al <br /> Type of pw�ecl New Atldilion _Remodel _Repair_T L_Sign_ SFrinkler__Demolition__Change o(Usc <br /> DESCRIPTION OF WORK �aacrtiona�space pro���eeo aa tae bace��. l � S �.Q � <br /> ,ng Free Stanoe �� 9 <br /> !�/o o d S f'o � c <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProjecC Ne _Addn _Aiteratlon_Repair Typa ol ProjecC _New_Addn _Alleralion_Repair <br /> Show Num6cr(k)o/Ii+roms Show Number(N)o!lixlurrs <br /> � A�'C-av handhng un.ts i To�'�et <br /> Forcetl a�r systems ' Hathlub <br /> I Gas piUina lacatory(wash basinl <br /> lNater heater ' Sho���er <br /> Gas hreplacc ' Kdchen sink 3 disposzd <br /> Gas ranqc ILshwasher <br /> Clothes dryer Clo�hes washer <br /> � Hange hood Wa1er healer <br /> Exhauct lan Sink(servicelbar/mop'elc.) <br /> Heal pump Buckilow preveiitcr(inside bld.7) <br /> Unil healer I Unnal <br /> �otler Drinking Founlain <br /> Retrigcra�ion � Ploor drain _ <br /> Wuodstove Grease trap <br /> � Ductmg � 12oof drains <br /> Other � MeC�cal Gas <br /> SPRINKLER 1 SUPPRESSION SYSTEM � O�her <br /> Number of Heads Other <br /> I hereCy<Cnily;hat I have rcad and craminc01ni5 npplicmon aotl A^.rw rtre sam.e lo�e Ime and rormct All piovrsions u!laws untl ciE��nances goveining t�51ype o1 wa�h�NJ Le<omCLrd <br /> w.l�wnelhM speui:etl�crcin cr not.lAe 9r.nlin9 0l i perml0oes not presunic la grve authonty to violale or r�ncN Ipe pmvison cl any alher statc or lawl law rcgulaUng consU�Cmn <br /> ihal 1 am.ultlo�¢eE Cy IM ownci ol 1�i5 p�operly Io pedoim I�e woiA Io�x�Mcn ap0�'��•3bon is matle an01 wmp:Y wit�Ihe S�a:e Cord�atlers Law 1�27 RCW aad 2?6 7COA WAC <br /> /��r.vY1�,C( '�,�r�.�., �/-1! — / S ,,;��;_�d<,z�,s� <br /> OwnudAulhorized Aycnt SlgniWre Da�e <br />