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PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Evereft, WA 98201 425-257-8810 FAX 425-257-8857 w�wo.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE A:IDRESS:, .�l 7 PROPER7YT/U(k Pf�M'T p . . ` <br /> GS,� � CC�L�. "Cf)> 7 �/OO JD' G ; , : �' -C i <br /> LEGAL tor new mnstruction. Shon PiaUsubaivis�on �ot No._ (attadi copy of long legal desctlpllon) <br /> 011VNER G' - _t �L/C' .L L PhonGE-mad �� '� C'� _�V.� <br /> � <br /> Atltlress � � �� � C" /J C�tYi�tate/Z�P �- C�i (�// ��� %Sr ' � <br /> APPLICANT:_Owner OHner'sAgent " ' ntrac(pe, :ontractor'sAgenl Tenant�m�siymwec4ne�am,�mi�U.w�«maownmu,awml <br /> CONTRACTOR -J � '/7 ' L 8 I Lia# r IiTL- �Sti��COE Bus.Lic.7! <br /> nae��ss ,,� /✓ //a�' % � �'�t' i 1� , t��F P 7 �,�.�F: anooGeman �/} S — i O ��C� S U <br /> TENANI�BUSINESS NAME CONTACT FOR PERMIT <br /> PhonelE�mail %NFn % ' J/fGCo��sTq'U�^%/c.c.� ,�C3�/ <br /> BUILDING PERMIT APPLICATION CONTRACTPRICEOF WOR S7�C�L� <br /> Existin Use of Buildin [ i i�(� '�'��'c- HEAT SOURCE-. <br /> 9 9 � <br /> Proposed Use of Building Gas__ Eiecv�c�_ otner_ <br /> Buildingtype-. �SingleFamlly _Duplez_Townhouse _Mulli-Family _Commercial <br /> 7 of ro�ecC. New '�Addition Remodel Re air T.I. Si n S rinkler Demolition Chan e of Use <br /> DESCRIPTIONOFWORK(a itional5paceprovitle�onMeback): y J , _ �/��� ����t�� <br /> !jL'.>.�� i(.-,1/a �=cK /�T /i�tcK oF !fi• cs[ <br /> r � <br /> �jf''r/�.::IC i,c-C- D:�� /G<^,� �otcN � <br /> MECHANICAL P[RMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolProJecC _New_Addn _Alleration_Ropair TypeofProject _New_Addn _Alleratlon_Repair <br /> Show Num6er(z)o!liMiures Show Number(#)of�xiures <br /> AIC-air handlin unils Toilel <br /> Forced air s stems Bathlub <br /> Gas i in Lavato iwash basin) <br /> Waler heater Shower <br /> Gas fireplace Kitchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Clothes d er Clolhes washer <br /> Ran e hootl Water heater <br /> � Ezhaustfan Sink(servicelbar/mo /etc. <br /> Heat ump 8ackflow reventer <br /> Unit heatcr Urinal <br /> Boiler Drinkin Fountain <br /> Retn eralion Floor drain <br /> yyo�S10Ve Grease tra <br /> Duclin Roof drains <br /> Olher Medical Ga5 <br /> SPRINKLER I SUPPRESSION SYSTEM other. <br /> iJumber of Heads Other <br /> i nerebY cenny mai I liave reaa an;f e.am�nea rtus applctl�on ana know�ne simu�o De truo nn0 eorreet.AI P��ns ol Liws antl ortlmances Bavammq I�u rypa olwoik wd be mmpieO <br /> wi�wbelner spm0e4�emin or nol.The 9mntng ol a permA Uoes nal p�esume to grvo aull�orily la vb4ele arwncel t�e pmvisron ol any oNer stala orbcaliew repulatinB conslmtlion <br /> 1 i�.il I auNaveO by No owner ol Nls pmperty lo partorm tlia woAlw wtid�ap Uon Ls maEe onG I comply vnN Ne Slate Cattraqors Lew 18 77 RLW enE 796.100A WAC. <br /> � �,.� r�i7 �/�� <br /> � ti�z� ����«� ,� , � <br /> OMicrlAuthorizcA Agant Sgna W ro Date (Rensed,:� ��'. <br />