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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 -425-257-8810-FAX 425-257-B85'/-www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM!AM TO�PM <br /> SITEAqwt E83: PROVERTI'TA1t1 ��� <br /> bbd�4 wu,r ��.w L��r 987.03 7o D`18o l� - O� <br /> LEOAL for new comW ction: Sha�t PlaVsuDdivision Lot No._ (ettkh copy ot Iaq kY�l daeaiplion) <br /> owNea ►�e� t �e :c.�a. �� PhonelE-meil rcJr�e.--r oi���..�L6r-cs, ,n^ <br /> re.s S,s 2-`� �ll¢'-r �r��2 Gh�statert�a u ere+�- lN R °I��-G 3 <br /> ConTRACTw.t �o.•rvzF� 4 Mor�o.��r� L81LiaN M NR F IU N6 <br /> � Iq � Nw a Mof � 98�7a- %+«brEmon 360- 7'�1 — $Od'1 <br /> TEN IN NAME CONTACTFOR <br /> PhoneJE-mail fOb�.lY " ol�'t�^C��lbS. [,�M <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK . y <br /> Existing Use oi Building �'r'�^^-� ���Q^�e- — HEAT SOURCE: <br /> Propoaed Use of Building Gas Ekdric Otner 01� <br /> Building type: ,�Single Family _Dupkx_Townhouse _Mutti-Family _Commeraal <br /> Type of project: _New _Add'Aion y�Rem�del _Repair_T.I._Sign_Sprinkler_Demolition_Charge oi Ux <br /> DeBcxiptionofWorkledC�rtiwelspeceP����me6adp: =�yy.s�� nwrv�� q4S ��`��4.c�C �^Sl'.rf <br /> J <br /> ,�. Tanl�les5 w�,rc�- hea+G- <br /> H�ve you started work�ng without�permit7 _YES _NO <br /> MECNANICAY- AERMIT APPLICATION PLUMBINd PERMIT APPLICATION <br /> ryP.a Pro�«r. _N.w_�ean ,?SAwmio�_R.wir Typ�of Prohet: _N�w_Addn �n.rwon_wwir <br /> 'how NumWr ol flrtuni Show NumAw ol flxturn <br /> AIC-air handlin unita Toibt <br /> Forced air s stema Bethtub <br /> Gas i in Lavato wash besin <br /> Water heater Ta.1=.1�05 Shower <br /> Gaa fire IeceT.+ G. Kitchen aink 6 di I <br /> Gas ran e Dishwaaher <br /> Clothes d er Clothes washer <br /> Ran e hood Water he�lsr C ++��� <br /> Exhaust tan Sink servicelbar/m etc. <br /> Heat um Bedcflow venter <br /> Unit heater Urinal <br /> Boi�er Drinki Fountain <br /> Refri eration Floor drein <br /> W�g�o,� Greax tre <br /> Ductin Roof drains <br /> Other Medicel Gas �i <br /> BPRINKLER/8UPPRESSION sYSTEM a�� � <br /> Number of Heads �� <br /> I hereby cerlHy that 1 have rea0 arM exemined thia applicatbn erM krww the same to be tive arW cortect.All proviibrn ot I�we enC adinenoes Bovemhq <br /> �hie�ype u1 Mqk wip be complieA with whelher apetlfmd Mreln a not.The 9raMirq ot a peimlt doea not pmeume ro pNe eulhorily to vidoM a ancel <br /> tM proWsion of any odbt Wte or bcel law regulatinp constructbn ot the parlomisnce nl oonshuction.Thel 1 am authalce0 by the ownar ot 1Me MaP�Y <br /> �o perfortn�he work for wlNrh appiicetlon le made en0 I eomply wMh tha Slete Conlncton Lew 18.27 RCW�nd 298.200 WAC <br /> `� ��"-'�..� -J-{ Jorl <br /> fl�uw�Mb MMQnn�Nn� IIeN /M�warrl9/NIHI <br />