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PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320D Cedar St., Everetl. WA 98201 425-257-6810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROPERTY TA%k PERMIT N <br /> SITEADDRESS: ��Ur �� w��� � Ur vaY39166G�1uo J �?i(,� — ['L � <br /> l <br /> LEGAL lor new consVucbon S�or1 PiaVsu�drvision Let No_ (attach wpy oi long legal Eescnptwn) <br /> OWNER w � U Phone�E-mail <br /> naaress ��ivl �'`1e `"'•o('� �U � r.�ryrs�arerz�o �iJCS� �/'�� � ��U� <br /> APPLICANT: ON++er Owner'sAgenl �Cunlraclor Coniracbr'sAgeni _Tenant�^�:ie�=,��•�+�;'<�o�co.,,�m+�,rP�w�v��.+��+�>���soaul <br /> CONTRACTOR I � E'� s� M � v� 5'� L S I Lic.# 1"` '�S�T V 3 Gu�1CC0[Bus.Lic.# <br /> O (I O6 M,.,,`• 4 3 �Y2 I zs <br /> AOa�ess���U n �'"�� \ \ �� •'�^`� '�"�41� Vhonc�Eman (p . ( ! -tJS�' • ep,,`� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �ilI I�NL <br /> t�I � 2�,.y2y_i 32s <br /> �.�J4 11.5 CA$�� rno�ei�-ma�i �.11�� �SSi' H.c�wl <br /> BUILDING PERMIT APPLICATION CGNTRACT PRICE OF WORK S�/ _ <br /> [.rstmg Use ol0udding g�^^ HEAT SOURCE_. <br /> Proposed Use of Bwlding �"+� Gas_ Electnc__ Omer_ <br /> E3uilding type: _Siogle Famdy _Duplea__Townhouse _Multi-Family �Commeraal <br /> T pe of pio�ect New Addrtion Rei.iodel Repair T.I. Si n Sprinkler Demolition Chan e of Use <br /> DESCRIPTIONOFWORKladmhonaispaeprov��edon!nenacwl�'y s,'�us sw� S �G �J. �o�el�a� <br /> �,,�S�J � i.,u.615���ns lo (Ze�Jface ex�5 <br /> lZc�ce � S��nS <br /> MECHANICAL PERMIT Af�PLICATION PLUMBING PERMIT APPLICATION <br /> TypeolProJecL _New_Adtln _Alteratlon_Repalr TypealProJec4 _New_Atldn _Alteratian_Repalr <br /> Shaw Number(p)ol llxtums Show NumDer(N)ol/friures <br /> A/C—art handhn units Toilet <br /> Forced air s stems II Bathtub <br /> Gas pipin I Lavato (wash basin) <br /> Watei healer Shower <br /> � Gas hreplace Kdchen sink 8 disposal <br /> Gas ran e II Dishwasher <br />� Clothes d er Clothes washer <br /> Ran e hood I Water heater <br /> I Ezhaust lan Sink(serncelbadmoplelc.) <br /> � Heat pump I 6acl.flow preventer <br /> Unit healer U�inal <br /> I Boiler Drinkm Fountam <br /> I RefngeraGon i Ploor dram <br /> � Woodstove Grease Irap <br /> Ducting I Roo1 dreins <br /> I Olher Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM ; Other <br /> Numbei of Heads Other <br /> I M1��'ety���nl y I'rr i i�:n^'�-�W enJ��.min�d th�s eyp:�[alk,n nod�now Ine•.,-,n`c lo be Vuu a�d eortecl All provisiona oi L�W9 an0 ordnences qovemmg IhO type ol woA wtl�o comVi�c� <br /> �r0i vAwllmi*pvu6e0�u��ein or nol 1 he gionlmp nf a pom�t Jw*nol p�esume in yrve oWhoiMy lo vb4t�o ot c2ncol l�e provisKKl oi Bny o0iei slule or IOCaI Nw rpgvletmQ mnsVucLon <br /> t nn1 I om aunu�vrA bv����ore�m ol lnrs vrol"'�iv to pe.Aonn ine woM1���.di+n appiea'.ron is maae end 1 eompNvnlh I�e Sinte Conimcloro Law t0 2]RCW anC 39�200A WAC <br /> (�-�-t`�-r/� 2-22-�3 '�Z <br /> OwnerlAulhori:cA Agent Signalure Datc (Rev�sed 6/10fP1 <br />