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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Fverett, WA 98201 425-257-8810 FAX 425-257-8857 www.evereltwa.org <br /> �� 6 -� <br /> $ITE A�DRE55: PROPERTY TN(N P����^ _� <br /> �i 1 vi��.� Q � � . 7ll <br /> LEGAL for new construction�. Short PlaVsutdrviscn Lol No_ (���ach copy of�ong legal UescnpUon) <br /> OWNER fJ�! C(,� O JHC� w�" Phone�E-mail <br /> rddress � �4 /1 � U. j"� �lC�""i S� Cny;S�atclZip �/Y� 1 $� � 5 3a9 0 <br /> APPLICANT: Ownet Owner'SAgenl Conlr�Cior _CoNtdtloYSAgeni Ten�nl�n�.:�p�oaaearormciwn::nt'm++aa;+ncr:�ao+orvnc�vspa:cl <br /> CONTRACTOR SM��wX'��—� �\��"��" �LL S-lateLic k S'}D� l � w �� Cit> Bus. Lic # <br /> Aaoress 3�(Q�j "f1 / . /v/ �//f SVf�K" �� PhonciEmaJ �JG 3!/d S36a <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone/E-ma�i <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Ex�sung Use of BuAtling T e 5 � HEAT SOURCE� <br /> Preposed Use of Budding S�'�"�'Q Gas _ Giecmc_ otner_ <br /> �udtling type�. ingle Fanuly _Duplez�'`Townhcuse _tdulti-Fan�iiy _Commercial <br /> Type of project New _Add�tion ✓Remotlel _Repair_TJ. _Sign_Sprinkler_,_�emold�on_Change ol Use <br /> DESCRIPTION OF WORK�add�nonai;pace pro�ded on tr.e eaceJ: <br /> fat cxiSfin� rang� ) <br /> MECHANICAL PERMIT APPLICATION PLUMBING 9ERMIT :+PPI.ICATION <br /> Typo ol Pro�ocl: _Now� Addn _Alterallon_Repair Typo 01 Pro�ect: _ Naw_AUOo _A��or.tlon_Ropair <br /> Show NumDer(k)ol lixfures Show Numbr:�d)o/li+tures <br /> A/C—air hand6ng units I Todet <br /> � Porced air systems �alhtub <br /> Gas p�pin9 I Lavalo •(wash basin) <br /> � Watcn c�ater � Showcr <br /> Gas lireplace � Kitchen sink 6 disposal <br /> � G.is rangc I Dishwashcr <br /> Clo!hes drye� Gbthes washer <br /> � RanGe hood I Watcr healer <br /> Lnhaus;lan Sink(sernce/badmopletc) <br /> Heal pump � dackllow preventcr <br /> � Un�t heater I Unnal <br /> � Uoder I Dnnking Fountain <br /> Relrigeration i Fiaor dram <br /> Woodstmc I Grcase trap <br /> Ducfing I Rocf drains <br /> Other � Med�cal Gas <br /> SPRINKIER I SUPPRESSION SYSTEM otner <br /> Number of Heads � Olher. <br /> I�e:e0y cenAy I�al I have rea ��� �s appl<almn antl\now I�e same b Cu Iwe on0 cortect Atl pmnsions ol laws ond e:dmaices gme�R��q rtirs lype cl xe�l n+ll pe cemp!e0 <br /> NGllw�et�crspe � leroinornelTTegra�LnQ lapclmitdpesnolp�esumetogrvn.lutllo:.^.y!ovlo:d�eolWncel!f.eprev6''�onolanV�'��e�s�alecrV:alim���d6[�^.,�[unsimcimn <br /> Tmi I ai c ner cl tNs pio� to pertorm i�e woil,fat w�icn appicalmn is maCe anC I mmpl�wx�i�o Sia�c CON�ancrs Larv 1 B J�NC::ati1 7°G 100:.N=C. <br /> Owo Au�hod dAgon�Slgnalure � �� Dafc i�����setl1073) <br />