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� � /�d�l o� .� <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLI710N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: PHOPERiYTAXp P I M <br /> . 7 ^ � �• � �/ (', - <br /> LEGAL lor new construction: Short PlaVsubaivision Lot No._ (allach copy ol lonq legal OeScnplion) <br /> OWNER e P\ � It .� t I'� �`l l V� Pnone/6mail ���j ?�C'> �(Jl �V '( � k � S '�f'Un1 � 5�' <br /> naamss �(, �' D 'u k r+" v'L Ciry/State/Zip _V i� f�- W 1a �� J J l he }' <br /> APPLICANT:,�,Ovmer Owner'sAgent Conimclor Contractor'sAgenl Tenantim�.�o�.be.kieroimmemnmmec..�noaa..onmme.axel <br /> CONTRACTOR �U 1 -4st�� 0.'� 0 L 8 I Lic.# N�-Z S D LCQE Bus.Lic.a <br /> naaress • � � -/ W q ,,-' � !0 I �- �1I1�NOOLI /YO.I�I Phonc/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Phone�E-mail 7�'J ��7 /� - J / 7 7 <br /> BUILDING PERMIT APPLICATION CONTRACTPRICEOFWORK <br /> Exisling Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Elecinc Other <br /> Buildingtype: _SingleFamily _Duplex_Townhouse _Multi-Family _Commercial <br /> T pe af pro'ecl: New _ Addition Remodel Re air T.I. Si n Sprinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(additional spac/e�providedon me bacN�: /+ <br /> � .} 'l t � t ,t � �1 �1 � ,' T v ��<._L1E' C:n S <br /> R, � r� �J U�-. 1 �..c, r/d �v- � , .. '` i �;�: . <br /> J <br /> j' / i � ' �«G.� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Project: _New�Addn _Alleratlon_Repalr Type ol PrclecL _New_Addn _Aiteratlon_Repalr <br /> Show Number(a)ol liufures Show Number(M)of/lrtures <br /> NC-air handling unils Toilet <br /> Porced air s stems � Bathlub <br /> Gas pipin Lava;o (wash basiN <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br />� � G,s ran a Dishwasher <br /> f,lothes dryer Clolhes washer <br /> Ran e hood Waler healer <br /> � Eahausl fan Sink(service/bar/mop/etc.) <br /> IHeat pump Backllow preventer <br /> Unil heater Urinal <br /> Boiler Drinkin Fountain <br /> � Retrigeration � Floordrain <br /> Woodstove Grease trap <br /> � Ductin Roof dreins <br /> � Other Medical Gas <br /> SPRIMKLER/ SUPPRESSION SYSTEM Other: _ <br /> Number of Heads I Other: <br /> I�cmby mitAy Ihnt I havc rcaa antl examincd I�h npplkatan onC Anow ttle sama to Ca tmo nntl wnetl.AA pmvisioro ol Luq enG ottlbancm gavem»g Ihia pDe ol wwh w9�c wmpli:d <br /> wnl��N-.el�er specifM7�erein or noL The pranbnp ol o permit Ooea nol pmsuma to pive ow�orAy lo Nolaie or u�.ncel No prn�sion ol any oNer slale or laal law mpuWlinp constmctio�. <br /> TM1at I om eulh ' ed�y I�e avnc�ol l�b pmpeM lo pMorm Ihe woA lor whlch appkeUon ie meJn antl 1 wmp'y wlh tho Slatc ConVatlan Lew 1027 RCW enO 290IOOA 1VAC. <br /> '7 �9 <br /> � / / - <br /> -L� /l:�.Z�v�. <br /> pavner ihotlzed Agent SIg a�re Dat ' (Rehsed�Jiq . �' J\ <br /> C{ �tit p �Lc� � c� ����� (� r�� �i u�q / <br />