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PERMIT APPLICATION <br /> BUILDING/MECNANICAL/PLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wwv✓.evereltwa.org <br /> /.PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / � .�-O —��' <br /> SITEADDRESS: p PROPERTVTA%N p M� � � � <br /> I�JU 1 v�'. �vtoK <br /> LEGAL br new wnslmction'. Shoh PlaVsuDtlivision Lct No._ (a�tach wpy of long iegal tlesc�ption) <br /> OWNER Ilif- K `i" Jo Le', }�I�UI PhoneiE�mail � l� `'��Z"V;�Z� <br /> Cit ISIate2�� �^ �' U <br /> noa«s: IZ�uL 5'`�n' Sr �i r o Snc��mr� i 1d 5` <br /> APPLICANT:_O�mer �Owner'sAgent Contractor _Contrac�or'sAgeni _TenantiT�.�o�maeeMve,mm,,���ix:mmoo,�«mao+.on��:^-esae:�t <br /> CONTRACTOR L&I Lic.# CO[Bus.Lic.# <br /> Address Phone��mad <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> P�onel6mail <br /> BUILDiNG PERMIT APPLICATION CONTRACTPRICEOFWORK � CiO� <br /> Ezisling Use of Building 1��1C r1r�11 HEAT SOURCE: <br /> Proposed Use of Building s��'� Gas � Elearic_ Other_ <br /> �uilding type: �Single Family _,Duplez_Townhouse _Multi-Family _Commercial <br /> T pe ot pro ecC New Addition Remodel Repair T.I. Sign Sprinkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(atldi�ional soace proviaetl on the back/: <br /> � � '� �7. [�IIR� 1A�:a "��iL� <br /> ,� ,,,�����t� �ai-��� ��,�� ; ��;��<.4�s t� ��,� ,.,� �,,,:�k� �x � <br /> � . . <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of ProJecl: ,_New_Atltln _A��ernlion_Repalr Type ol Pro�ecl: _New_Adtln _Alleralion_Repal� <br /> Show NumAcr(a)o!lixtures Shaw Num6er(p)ol llafures <br /> NC—air handling units Toilet <br /> Forced air systems I Balhtub <br /> Gas piping � Lavato (wash basinl <br /> � Water healer I Shower <br /> Gas(rteplace I Kitchen sink 8 disposal <br /> Gas ran e Disha�asher <br /> Clothes dryer I Clolhes washer <br /> Ran e hood I Water heater <br /> Exhaust 1an � Sink(service/bar/mopletc.) <br /> Heat pump I Backflow preventer <br /> Unit healer I Urinal <br /> Boiier I Drinkin Fountain <br /> Retrigeraiion floor drain <br /> Wocdslove Grease trap <br /> Ductin � Rool drains <br /> I ������ � Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � Other: <br /> Number of Heads Olher: <br /> i M1sreby ceridy Ihal I have rwd antl examined I�n applKnibn an0 Anow lM10 samo lo Go Vvo end mrtecL All prevlsions ol lm�s and ertlmanres qovemmB��n pya olvmrk�++A Ce cvmFlied <br />� vdliwhelhe�speuficJhcreino�nolTM1vpt�ni'^polapertnilComnotptesumeloplveaut�cnytovio'alcorcanccllqepioc�snnolanyol�c�slaleorlowlL:wreBulali��mnsivclicn <br /> qu�{�'�IIlhqleJ�t�lbem�rol lepr eM�ope�ortnlnewo�klorw�kheppXcationl=ma�ea�9lcompyNf�l�e5taleCommcmnWw1871RG19an�.n9�pCi.1VAf.. <br /> % <br /> � /�-3� iZ <br /> ,� A,/� <br /> OvmcYlAulhOrked �n1 S�9i�+lure Dale (Rersed 6/20�2) <br /> � <br />