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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRiNKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810—FAX 425-257-8657—www.everettwa.org <br /> pPPLICATIONS ARE ACCEPTED FROM 9 AM TO 4 PM <br /> SITE ADDRESS� PROPERiYTAXp PERMI � <br /> LtrAL for neH construction: ShoA PlaVsu visi�n Lo1 No._ (attach wpy ol long legal 6escription) <br /> OWNEFt Phone/E-mail <br /> Address Clty/5tale2ip <br /> CONTRACTOR L 8 I Lic.# <br /> Address PhonelEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-maii <br /> BUILDING PERMIT APPLICATION CON7RAcr PRICE oF woRK <br /> Existing Use of Building HEAT SOURCE. <br /> Proposed Use of Building Gas Electric O!her <br /> Building type: _Single Famiiy _Duplex_Townhouse _Mulli-Family _Commercial <br /> Type of pmjecC _New _Addition __Remodel _Repair_T.I._Sign_Sprinkbr_._Demolition_Change of Use <br /> Description of Wofk(eddifional speca provided on fhe beck): � <br /> �.e��a�Pi.e�Yis�er,���-a��er G<,�.3oy-ao <br /> Have you started working without a pertnit7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPQ.ICATION <br /> TypeofProJact: _I�ew_Atltln _Alteration_Rapelr TypeofProJett: _New_Addr _Alteratlon_Rapalr <br /> ShowNumber(N) �/fixtures ShowNumber(N)ol/lxtures <br /> A/C—air handlin units Toilet <br /> Forced air s stems Bathtub <br /> Gas ipin Lavato (wash basin <br /> Waler healer Shower <br /> Gas fireplace Kitchen sink&dis osal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Ran e hood Water heater <br /> Ezhausl fan Sink(service/bar/mo /etc.) <br /> Heat pump BackFlow prevenler <br /> Unit hea!er Urinal <br /> Foiler Drinkin Fountain <br /> Refrigeralion _ Floordrain <br /> Woodstove Grease tra <br /> Duclin Roof drains <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM otner: <br /> Number of Heads Other: <br /> I hereby cerlify�hat I hava read and ezamined this applicalion and know Ihe same to be Irue and wrtecl.All provisions of laws ar�d orEinances goveming <br /> �his type of work will be complied with whelher specifed herein or noL The granling of e pertnit Eoes not presume lo give authorily lo violate or cancel <br /> ihe pmvision ol any olher state or local law regulating constiuclion or Ihe perlonnance of constraction.Thal l am aulhorized by Ihe ovmer ol lhfs propetly <br /> to peAo�w,he work for which eppl:catlon is�and I comply with Ihe Slale Cantraa rs Lew 1827 RCW and 298200 WAC <br /> � ) o J � � <br /> (�,ttl'��j � 'Z.5 � � ( <br /> wnerlAuthorized Agenl 91�na W re Dale (Revisetl 7/207 71 <br />