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. • � <br /> PERMIT AP'PLICATION <br /> BlJILDING/MECHANICAL/PLUMB!NGISIGN/SPRINKLER/DEMOLITION <br /> CITY OF FVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 9820? 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITEADDRESS: PROPERNTAXp P MIT! <br /> 21 3 AJ�. SE. `z.1SRr�u.Z (� � �l � - �� <br /> LEGAL lor new consimctiore Snon PlaVsubtlivision�R�CL�I�L 1 NCk Lot No� (atlacn copy ol long legal aescnption) <br /> OWNER�y� \ (=�L �ON��2..5 Pnone�E-man �L�f'� �I53�2`f��� <br /> IZO SW �cV4G.B.lT 'M�� �^^ <br /> naoress ��-� ip� c�ty/si�ieiz�p �JFt2.`e.Ct WA • 9�2-� <br /> APPLICANT: O�mer OwnersAgent Conlractor ConlractoPsAqent T2f10f1t�mm10�e�kealenerolwnsenifrariMwrcr�oOa.roAlnm�space7 <br /> CONTRACTOR�lT lTL cs�Ci F�4 Q rtL State Lic#S�,h1TPka00 SQI� City Bus. Lic.# 7s—Z10 '3�06 <br /> AEOress ,xt•.�rrC. P�o�e/Email SAY1A� <br /> TENANT BUSINE�S NAME CONTACT FOR PERMIT �'Ot'4N CIlA4FO�LC`I <br /> Phone/E�mail ZS� 3SD—�{002... <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEAT SOURCE�. <br /> Proposed Use of Building Gas ✓Electnc_ O�her_ <br /> Building type' �Single Family _Duplez_Townhouse _Multi-Family _Commercial <br /> Type of projecC ✓ New Addition _Remodel _Repair_T I._Si n_Sprinkler_Demolition Chan e of Use <br /> DESCRIPTIONOFWORK�aamr�ona�spacepro��dedonrneaack): Z G�� �+���. � <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Projecl: _New_Atltln _Alteratlon_Repair Type of Pro�ect: _New_Addn _Alteratian_Repair <br /> Show NumDer(p)ol/ixtures Show Num6er(M)o!/i+furcs <br /> A/C—air handlin units 1"oilet <br /> Forced air systems Balhtub <br /> Gas pipmg Lavatory(wash bas�n) <br /> Water heater Z Shower <br /> � Gas fireplace � � Ki�chen sink 8 disposal <br /> Gas renge Dishwasher <br /> � Clothes dryer Clothes washer <br /> Range hood <br /> Exhaust lan — Sink(service/bar/mopletc� <br /> Heat pump —� Backllow prevenler <br /> Unit healer Urinal <br /> Boiler Orinking Fountain <br /> Refriqeration — Floor drain <br /> � 4Voodstove Grease Irap <br /> Ducting � Roof drains 'S <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> ^ Number ol Heads Other: <br /> I nere�y wNfy��al 1 ham reatl nnE evamined l�is appScation enC know Ihe same to Ee We end correcl AII pmvis�ons ol laws anO orCinances goveming I�is tyDe ol work wA be compl��eE <br /> vni�xne�n r s ufre er or nol.TOe graming ol a permit Eacs not presume logive aui�ortly lo vwlale or wncel lhc pmvision ol anY ot�er slalc a lowi lawwgula�inq wnslivaron <br /> T�ai I am I i1e � owne�ol l�is proD<nY�o pe�ortn I�e wmA lor wt�k�appliolion is ma0e an01 comply wil�t�e Stale CONrzclors Law 1827 RCW an0 i96 200A WAC. <br /> 1 <br /> '3-13-I �{ � <br /> Ow IAuthorizedAgenl5lgaature Oale (Revised340f3) <br />