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PERMIT APPLICATlON <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETI' PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.evere�aiorg'3 <br /> pPPLICATI0N5 ARE ACCEPTED FROM B AM TO 4 PM pERMIT N �7 <br /> SITEAD � ,� V I LL� � ��. � PROPERTYTAXp i O�T <br /> Lot No._ (attach copy ollong legal desc��p�ion) <br /> LEGALIornewconsimclion'. ShortPlaVsu�divisinn — —7 _ _5 ✓I'��Sh• <br /> ��1 �(Z_C 1 L �' PhonelE�mad �-�2 S � 7 S � '��� I � (!✓v,l�1Z i�.i•_� ._ �i�`1 <br /> owNeR W P�L��1ti 1nf � L= �— p ��� .t� � W A �' � �� <br /> ( '� , city/StatNzi L � " � <br /> Ftltlmss L i:� , �1 � � �"- �,� � I,_ , <br /> APPLICANT'j'�a+'ner OwnersAgenl _Coniractor _Contractor'sAgent _Tenanllm�«v�o.ueew���o�m�.�meomneo.,���ioeown�nm•�oM�1 <br /> L 8 I Lic.# COE Bus.Lic.k <br /> CONTRACTOR <� U������ <br /> PhonelEmail <br /> Atldress CONTACT FOR PERMIT <br /> TENANT BUSINE55 NAME <br /> Phcnel6mail � <br /> BUILDING PERMIT APPLICATION <br /> CONTRACT PRICE OF WORK � <br /> �. y � � HEATSOURCE: <br /> Existing Use of Building ��"'` <br /> Gas_ Eledric_ Oiner <br /> Proposed Use of Buildinq � <br /> 6uildingtype: �_SingleFamily _Duplex_Townhouse _Multi-Family _Commercial <br /> T pa of pro ecC New �=Addition Remodel Re air_TJ._Sian_ S rinkler Demohtion Chan e of Use <br /> DE3CRIPTIONOFWORK(adtlifionalspieplo�-ide`,;�Leback)� , , �,r .�i,� <br /> ���Ac1� . . � � `--` � � <br /> � � <br /> MECHANICAL PERMIT APPLICATION <br /> PLUMBING PERMIT APPLICATION <br /> TypeoiProJecl: _New_Addn _Allcratlon_Repair <br /> Type of ProjecC _New�AJdn _Alteratlon_Repzir ShowNumber(a)o!lixfures <br /> Show Num6cr(kJ ol fixfures TOilei <br /> NC-air hacdling units � BathWb <br /> Forced air systems Lavalo (wash basin) <br /> Gas piping Shower <br /> Water heater � Kitchen sink&disposal <br /> Gas li�eplace Dishwasher <br /> Gas ran e Cblhes viasher <br /> Clothes dryer Waler heater <br /> Range hood Sink(service/badmo letc.) <br /> Ezhausl fan gackflow preventer <br /> Heat pump Urinal <br /> Unitheater Drinkin Fountain <br /> �oiler Floer drain <br /> Refiigeralion Grease trap <br /> Woodstwc Roof drains <br /> Ductlnn Meaical Gas <br /> � � Other__��'_ • � <br /> Other: <br /> SPRINKLER 1 SUPPRESSION SYSTEM <br /> Olhec <br /> � Number of Heads <br /> I tiereCy cr 1rty pial l have iena antl er:aminc0lM1is app�Ke�bn antl Mnow Nv samo lo�e We entl cened.All pmrsions al la�w a�d oNNancea Bo��minOl�ia type o1woR�++��o comp`-�:d <br /> �.�r,p v,lmitrer specifie0 M1e:ein or nol.7 ne arantinp oi o pe�m�l Eoef nn�preaume to gMo eN�otlly lo wolaio oi cancel ine piorison ol nny other slale or local lirv reguUlir�mnslmtlion <br /> 11in1 I am au(honzcA�y I�a mMcr ol lhle DrepeM�o petlortp Ihe wo�k lor w�K�oppleaUon la meEe ard I c:mpy a141�c SIa1c ContraUcrs Law 1 B�7 RCW ar.d:9fi 2�(1�YfAG <br /> . � ��� ��_ _ ��;�( ' � ) <br /> ♦ � I ` '� I <br /> �.—�� - ��—� (Rcvis=tl6/2072) <br /> � Oalc <br /> Owncrl�WlmrireA A9enl Sipnalure <br />