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PERMIT APPLICATION <br /> BUI LDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everetiwa.org <br /> APFLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: PHOPEftiV7A7(N P I �I —DO <br /> LEGAL for new construaion�. Snon PtaUsubOmsion lol No. (al�ach copY a}�ong Icgal Cesc�ption) <br /> OWNER (� Phone/E•mail <br /> Address L City/Slale�Zlp <br /> APPLICANT: Onner OwnersAgem Cor.lraUor ComractoYSAgent Tenam�����io���e,tr�,ei�o�.�oio-o,�v.�.mao.�n��mo.o�i <br /> CONTRACTOR L 8 I Lic.# COE Bus.Lic.p <br /> AEtlress P�one/Ematl <br /> TENANT BUSINE55 NAME CONTACT FOR PERMIT <br /> PhonelE�mail <br /> BUILDING PERMIT APPLICATION coNiRACT PRiCEOF WORK <br /> Existing Use of Building A (�� HFAT SOURCE: <br /> Proposed Use o�l/B�u,,ilEing� ��A Gas_ Electnc_ O:ner <br /> BuilEing rype: loingle Family _Duplex_Townhouse _Multi•Family _Commercial <br /> Type of pmject New Addition Remodel Repair T.I._Si n S rinkler Demohlion Change o(Use <br /> DESCRIPTION OF WORK(addihona�space providea on me bazq: <br /> ReP�a�� s�;�s �. R�pa;c- �a�.a� �.� �-o hoc.� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Pro�ect: _New_Addn _Alterallon_Repa(r Typ ol ProJect: _New_Addn _Alleration_ReOair <br /> w NumDer(tl)o/ll.fures SAow Num6cr(MJ o/lirfures <br /> /VC—air hantlling units Todel <br /> Forced air systems Balhtub <br /> as ipin Lavalory(wash basin) <br /> te�healer Shower <br /> Ga fire lace Kitchen sink&disposal <br /> Gas, �ngc Dishwashcr <br /> Clothes ryer theswasher <br /> Range h d Wa n c�alcr <br /> Bahaust fail, . Sink rvicelbadmo /elc) <br /> Heat pump �ackflo� reventer <br /> Unit heater Urinal <br /> Boiler \ �rinking Fo lain <br /> Refrigeretion � Floordrain <br /> Woodstove Grease trap <br /> DuGing ftoof drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Namber o1 Heads Othec <br /> I�e�eCy cemly Nal I hava mad and eaaminea Nis appGn�ron anE�now��e same to Ea Irva and coned.NI provisions ol l�vn and ordnan<ef Ooveminp Ilds lypa al woM wi0 be compLCU <br /> wA�wfiel�e�speqfmd herein o�not.T�e pranlin0 0l a pem�it docf nol Omsume lo pbe auNoniy lo NOLiIo o�cancel I�o p�oNsion ol�ny olhe�elale o�local law rtgulatinq consW qion <br /> T�al l am aulhorixeG�y Nv mmttot Nb pmpeM�o Oetlortn I�owoA fa�wbk�app:rcelwn if ma�c an�I wmpM wEh Ne Sla:e ConUaclwa Low 19 P RCW and 790]OOF WAC. <br /> �.��h ,� u-z - ►� <br /> Own r/A�ihodxe gent gnature Dale (Revised N20vY) <br />