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� �- <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8610—FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIOIJS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> $IT ADDRE3S: �_ \ ��/�'f Wk PROPERTYTAXN PERMITi <br /> 1 �(/ <br /> IEGAL lor new consiruction: Short PlaVsubdivi ion Lot No._ (atlach wpy of lorp kgal descrlption) <br /> OWNER "eV 4'� _ PhonelE-mail� ��j3 <br /> AdAress b • (N 0�1 Q CltylSlete2lp �/� ri <br /> CONTRACTOR L 8 I Lic.M <br /> AdCress PhonelEmeil <br /> TENANT BUSIN i NAME CONTACT FOR PERMIT <br /> (� W �� PhonelE-mall <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use oi Building_ . . HEAT SOURCE: <br /> Proposed Use of Building Ges Eleddc Other <br /> Building type: �Single Family _Duplez Townhouse _Multi-Family _Commercial <br /> Type of project: _New _Addition _Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change o(Use <br /> Description oi Wofk(edditional spece pmvided on(he Dack/: <br /> ��Yop�- I1 a �t�'uC�Y4( ��hG'Q.S <br /> J <br /> Have yau slarted working withoul a pertnit7 _YES _NO <br /> MECMANICAL PERMIT APPLICATION PLUMBIN6 PERMIT APPLICATION <br /> Typa o1 ProJact: _Naw_AdAn _AlMratlon_Repeir iyp�ol ProJecl: _New_AdOn _AlbnGon_R�p�lr <br /> Show Num6er(M)ol flaYure� Show NumMr(N)o!flxtuns <br /> A/C—air handlin units Toilet <br /> Forced alr s stems Bathtub <br /> Gas i in Lavato wash basin <br /> Water heater Shower <br /> Gas fire lace Kitchen sink d dis osal <br /> Gas ran e Dishwasher <br /> Clolhes d er Clothes washer <br /> Ran e hood Water heater <br /> Exhaust fan Sink service/badmo /etc.) <br /> Heat pum Backflow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fcuntain <br /> Refri eration Floor drain <br /> Woodstove Greaae tra <br /> Ductin Rooi drains <br /> Other Medical Ges <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number ot Heads Other: <br /> I hereby certify Ihat I have reaC and examined lhis applicetlon and know Ihe same to be Irue and correcl.All provisiana of laws and ordinences goveming <br /> this type o work will be complietl wilh whether specified hereln or not.The gran�ing of a pertnit does not presume to giva eWhority lo�iolate or cancel <br /> the provi on ol any other slale or local law regulating constructlon or Ihe peAormence of conslrudion.That I am authorized by iha ovmer of this property <br /> to peAo ihe work fo w 'ch applicali�ade end I comply with ihe �ate Contnciors Lew 78.27 RCW and 298.2001VAC <br /> D lg -2b�1 <br /> nerl uthorizadAp g�ature Dale lRevised7/2011) <br />