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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGN/SPRINKLER/DEMOLITION <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 B AM TO 4 PM <br /> SITE ADDRESS: PROPENTYTA%M PE MIT� / ,O/U <br /> (f' <br /> �. <br /> LEGAL br new constmaion: Shon Plavsubdivision Lot No._ (attach copy ol long legal descriplion) <br /> y2, • o•a a� <br /> OWNER Y' PhonclE-maii G�O <br /> Atldr Cify/Sta�e2ip <br /> CONTRACTOR � L&I Lic.# L �� <br /> Address � �m onc/Emaily25 a���5 3�t <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> -�, �ar�h D�.a��n ca Ph- ua5• �8o•35a a - c.k�ris <br /> BUILDING PERMIT APPLICATION coNTRAcr rRlc oF WORK ^' t <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use ol Building Gas_ Eiectric_ Other_ <br /> Building rype: _Singte Family _Duplex_Townhouse _Mulli-Family _Commerciai <br /> Type o1 projecl: _New _Addition _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> Description of Work(andrtional spaco provided on fhe back/: �CI�� <br /> Have you started worktng without a permit7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typa of Pro�ect: _New_Addn _Alteration_Ropalr Typa ot ProJect: _New_Addn _Alterallon_Repalr <br /> Show Num6er(p/n!/ixfures Show Number(M)ol Rxtures <br /> � A/C—air handling units Toilet <br /> � Forc2d air syslems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas freplace Kitchen sink 8 dis osal <br /> Gas range DishH�asher <br /> Clothes d er � Clolhes washer <br /> Ran e hood Water heater <br /> � Eahaust(an Sink(service/bar/mop/etc.) <br /> ( Heat pump Backflow preventer <br /> Unit heater I Urinal <br /> Boiler Orinking Fountain <br /> Refrigeration Floor draio <br /> Woodstoee � Grease trap <br /> � Ducting I Roof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Olher: <br /> � Number of Heads I Othec <br /> i r,��eby cetlily that I have iead and examined this application and know Ihe same to be true and cortecl.All provisions of laws and ordinances goveming <br /> IP�.�;type ol wo�k will be complietl with whether specifed herein or nol The granling ol a permil does nol presume ta give authority lo vlolale or wncel <br /> n�,�.�picvision ol any other stale or bcal law regulating construction or Uie pedormance o1 construction.Thal I am authorized by Ihe ovmer of Ihis pmpedy <br /> ��cdoim the work for which appiicalion is made and I comply�vith the State Contractors Law 1827 RCW and 296200 WAC <br /> r uhorizedAgen gnal ro Daie (Revisetl2l20fi1 II <br /> a <br />