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PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everetl, WA 98201 425-257-8810 FAX 425-257-8857 www.everettv✓a.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � —� ��2 <br /> SITEAODRESS: -� I �� � PROPE�C TA%N f` P IT11^ � -� _L <br /> �,' ( 1,- �` <br /> LEGAL for new wnslmclion: Shorl P al/subdivision , Lot No._ (attach copy ol long legal description) <br /> OWNER � � � ` � PhonclE-mall ���'�"��J'J ��� �� i�`n� <br /> �� .� - � 6-�C� � <br /> � � "� c�+yrst�tcrz�p ' <br /> Add�ess � � . � • � � <br /> APPLICANT:�Owner Owner'sA9en� �Coniraelor Conlraetor'sAgenl _Tenanllmosio�c.,ase�iene�mcense��vmminoew�:enoaow_�x���r.escace� <br /> � L&I Lic. # �L.� � — � C1 COE Bus.Lic.# <br /> CONTFIACTOR L � � � � y <br /> � �� Cid ' �_ � "� / Phone�Ematl � t'_ Y _ �/�� � <br /> �ddres5 �.� C� Nt' �C'/t <br /> TENAtJT BUSINE55 NAME �iONTACT FOR PERM17 i �NL�. <br /> , ,-� L"_�'E 1?c'�l 1�U1 IdEe s <br /> �. <br /> � PhonelE-mail �_' (° �'I . - J � <br /> BUILDING PERMIT APPLICATION CONTRnCT PRiCE oF WORK <br /> � � HEATSOURCE: <br /> Exisling Use of 6wlding '� l� �/ <br /> 1 -� Gas_ Etectric /� Other_ <br /> Proposed Use oyf 6uilding � T �` <br /> Building type: 1 Single Family _Duplex_Townhouse _Mulli-Family ._Commercial <br /> T pe of projecC New �Adiition _Remodel Repair_T.i. Sign_Sprinkler_Demolition_Change oi Use <br /> DESCRIPTION OF WORK(sedi(ional spaco provideAon the Oack): <br /> l�"lil`��c!'-��x_'c�l I�Cr�!'L� l-1CrC�—" <br /> Ci ) � �rl:;�c'l� l�dl�-� � `-���lE' �J l,�ll��l�lll I�1C�� � <br /> MECHANICAL PERMIT APPLICATlON PLUMBING PERMIT APPLICATION <br /> Typo of ProjoeL• _Naw_Addn _Alteration_Repair Typo of Pwjec�� Show Number(k)ol li xores"On_Repair <br /> ShowNum6rr(N1ollixWres � Toilel <br /> NC—air hand6ng unds <br /> � Porced air sysiems ' BatMub <br /> Gas piping Lavatory�wash basin) <br /> � Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> I Dishwasher <br /> Gas range ' <br /> Clothes dryer I Clothes washer <br /> Range hood � W2ter heater <br /> Exhaust(an ! Sink(service/badmopletc.) <br /> Heat pump Backticw preventer <br /> - � Unit heater I Urinal <br /> — � Boiler I Drinking Fountain <br /> �� Refrigeration I G easertra <br /> Woodstove � P <br /> � puctm9 ' Roof drams <br /> Other _______ MedicalGas <br /> SPRINKIER / SUPPRESSION SYSTEM Other: <br /> �� Numb�r of Heads <br /> �I Other: <br /> r.r-.e::y ce i1Py th.pl I have rcod and e.amme d Ih�s appacaPon ond hnmv fhe same lo ba Irua enE eorretl.All prpvislans ol laws and ordinanees goveming�M1is IypV of wark wdl�e cempLed <br /> 1 v.;hv:n�P�.er �lecilieShereinornol.lnegranlingolapermRaoeenolp�esumetogiveautnortlyloviolataorcencelinepmvisronotanyotnerstataorlaallawrequlalinBconstmd�e� � <br /> r.:+t i r:n auth I;eE Cy Ihe owner ol t�ie propeny lo petlortn the work for wTmh aFahwlion w matla en0�wmpry wah l�o State Comraclore Law 1L P7 RCW en0 i96 200A N'AC_ I <br /> 1 ? <br /> , ,� �y , ��_ �. � � '1— ��— Iz ,��,,�_��s�a,�, <br /> Ownor/AulhodzcA A9ent 6i�natum Late <br />