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i <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICALlPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320D Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 ��✓��v.everettv✓a.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: � PROPERTXTAX .� , P MIT# -7 <br /> G' �F � ��Y �� Si Z: Ve� cf� �r �i.r,� QvcJl �}f��� 12..IU�U' <br /> LEGAL lor new construcllon: Shod PlaVsubdivision Lot No._ (attach copy ol long legal descdption) <br /> ' 7 �� 6 � <br /> OWNER �(7 �C'�� � ' PhonM6mail � �% L <br /> - �� C . / C .� b C'Y� �%. c.�7 Z°�CitylSla�e/Zip �"�r'GG,-� f. - � �� Z °� � <br /> Address �_t. ' T i .. C '� <br /> i <br /> APPLICANT:_�wner Owner'sAgen� CoNractor CoNraclar'sAgunt _Tenantlm�sip�craeeier.�ram,,semncmmec�:�ciioeo.,orwinmes�a:e� <br /> CONTRACTOR D � L 8 I Lic.# COE�us.Lic.# <br /> Phone/[mail <br /> Address <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT J q � . <br /> .�O S�=°�� <<"` /6 � ( <br /> PhonN6mail � � � <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing U=_e of Ouilding '"�Z� r � � `• ��r .C� HEAT SOURCE:_ <br /> i� . i. � �{�q�'ly ,AA�i�V Gas Eledric�_ Other_ <br /> Proposed Use of�wldi g / � — <br /> Bullding type: �,�e Family _Duplex_Townhouse ,_Multi-Family _Commercial i <br /> T pe of pro'ecC �etv _Addition Remodel _Repair_T.I._Sign_Sprinkler_Demotilion _ hange of Use <br /> DESCRIPTION OF WORK/edditiona�space provided on tho back): / J / <br /> � � -� !�,(.A.� T / �/"1 C � LJ /l—C1�Y�+�2., <br /> C__ �–'7'"—�/ -'-✓j� �t,rr.�c__c-- / <br /> � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPI.ICATION <br /> Type ol Project: _New_Addn _Alleralion_Repalr Typo 01 ProJecL• _Ne�v_Addn _AlleraUon_Repalr <br /> Show Num6cr(N)ollixfures Show Num6er(N)olfixfures <br /> � A/C-air handling units Toilet <br /> - � Forced air systems � Bathtub <br /> � Gas piping � Lavatory pvash basin) <br /> Water heater I Sharer <br /> � Gas fireplace � Kitchen sink&dis osal <br /> Gas range Oislnsasher <br /> Clothes d��er � Clothes vrasher <br /> Range hood � Water heater <br /> [xhausl fan � Sink(service/badmopfetc.) <br /> Heat pump � Backflow reventer <br /> � Unit healer Urinal <br /> Doiler � �rinking 1=ounlain <br /> � Refrigeration � Floordrain <br /> Woodstove Grease Irap <br /> Ducting Roof drains <br /> O�her � Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Otlier: <br /> Number of Heads � Olher: <br /> Iherebycertifylhsfllucere;daode.aminedlhisappllcationandknm:Iha=amelobevucandwrmd.Altpmcisonsollawsendordlnancesgovemingihiep�FeoheorkvallCeccmpbed ' I` <br /> with xhefher spec:iM hmcin cr ncL The g�anling ol a permil Coes nol pre[ume!o gire au'no:lry lo violate cr canmi 1�e pmvlsbn ol any ot�er sta'e or local law regdlal�nB<onsirucl�en <br /> Thailamauthorixedbytheowne 1�'spicVedytoperfoan!hevrork/orv.hi=happ'icat �isnudea�dlr.mF�ly�vl;hlhe5laleConVac!arsLa+v1017RClNend2P6.2J0APJFC. <br /> -� _� � �- ������ � � <br />