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PERMIT APPLICATION <br /> BUILDINGlMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett. WA 98201 425-257-8810 FAX 425-257-8857 www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 5-30- �3 <br /> SITE ADDRESS: ' ^ ' PROPEfl7V TAX a �F�R�T p ., .,, ,,`' <br /> c� U "L � L �G� ��C <br /> LEGAL foi new construction Sho�t PlaUsubdrvisien Lot No_ (attach copy of long legal Oesuiption) <br /> OWNER - \ L1 .� PhonelEmail <br /> /+tltlre,s �. 1L � Ll(; r CitY/Sta1c/Z�p � rC,_lT �,� � o �� <br /> APPLICANT: Owner OwncisAgent Contractor Conlraclor'sAgent ,Tenant,m���moracuien�,o�U���vme�+�n���,.���muo..o�x,�nMu�ace� <br /> CONTRACTOR 1 �`Z.LC C ���� ' L&I Lic.# 1"���L-������DY�-�OE 8us Lic.# <br /> nddress � l.p lL% � C: C l �� �� Phone/Email �c�`�e�'� �SU7 <br /> TENANT BUSINESS�AME CONTACT FTOR PERMIT <br /> PhonrJE-mail V � �� � <br /> BUILDING PERMIT APPLICATION CON7anCi PRiCE OF woRK "�`/CY.� � <br /> Exishng Use of 8uilding � I �� HEAT SOURCE-. <br /> Proposed Use of Ouilding Gas_ Electnc_ Omer_ <br /> �wlding type�. Single Family _Duplex_Townhouse _MultrFamily _Commercial <br /> T of roecf New Addition Remodel Re air T.I. Si n S nnkle� DemoGlion Chan e ofUse <br /> DESCRI PTION OF WORK/additrona�space pmvidea on the eacN): <br /> � ' k:C�I�L�U �+ <br /> ._�`������ �'��" �c � � ��tiL_e_ - <br /> MECHANICAL PERMI7' APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New_Addn _Alleration_Repair 7ype ol Project: _New_Addn _Alteralion_Repair <br /> Show Number(k)o/�ixfures Show Nwnber(p)ol fixfures <br /> AIC—eir handlm unds Tmlet <br /> Forced air s slems C�alhlu6 <br /> Gas pipin Lavatory(wash basin) <br /> Water healer Shower <br /> Gas fire lace Kilchen sink 8 disposal <br /> ' Gas ran e Dishwasher _ <br /> Clothes d �er Gclhes washer <br /> Ranqe hood Water heater <br /> Exhaust fan Sink(servicelbar/mo letc. <br /> Heat pump Backflow preven�er <br /> Unil heater Urinal <br /> Boiler Drinkin Fountain <br /> Refn eralion Floordrain <br /> Woodslove Grease trap <br /> Duct�n Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Olher. <br /> Number of Heads Othe[ � <br /> I I�ewUy eotldy IM1nI I hevr iea�an�f eraminM Uns app�ication nn�I.now It�e samo to W Ime and eoned M pmv�smns nl qws and ortlinances qovemmg this lypo o�wor!w�il pe compM�tl <br /> wnii wliclhci xprUbaf Irercin oi nol lhr pmnhn9 ui a pennA i)oas nn1 pmsume to grve aut�ority lo vnNle m�inwl I�c prnvivon al any oMer stale or bcellaw requlalin,�wnstmction <br /> ihnt I am aull�o�vcd�y It�c uwnci ol lhis pinpe�N�o Pa��om�I�o woik lor whrJ�applKatron I5 mad�i an01 comply vnT Ihc Slalc CoNrapon Law 1B 27 RCW antl 296[UOA WAC <br /> � !7 � t� , ��. � � <br /> OwnerlAql orized A ent Signaturc Uaic IRevisea fi?012i <br /> � <br /> .���i' _—'_ <br />