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PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL, Everett, WF�98201 •425-257-8810— FN(425-257-835 i—vnvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM � �I ��Z <br /> SITEADDRESS: PROP�RTY7ANp P ���TAD ' �� <br /> i o� <br /> LEGAL'or new cenc;mctlen SAor,PIaL;��Ddins�on Let No (altarti cepy ci'�ng�e9al cescnptica) <br /> OWNER S PnonelE�ma��l <br /> nam�s� uq cr;�s•�i_�zo '1.�� <br /> CONTRACTOR ����'� � <br /> Address pncne Ema�l <br /> 7ENANT BUSINESS NAME CONTACT FOR PER��11T <br /> Pt�.cre!E-r�il Z !i� /� <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 4 Z p� <br /> E+�sting Use of�u��ding��:�qh�.�eZ✓1�� HFAT SOURC[. <br /> a <br /> Proposed Use of 8uiid'ng �� �� Gas_ Eiectrc _ C�ner_ _ <br /> Bmlding lypc ,�Single Fam•�ly _D�plea_Townhauso _Idulti-Family _Commercial <br /> Type cl pro;ect: _New _Adddio� x Remodel _Repa�r_TJ._S�gn_oDrinkler_Demcldion_Change of Use <br /> Description ot VJork(atla�',onal s;.a:e Frc��i7ee c�the[acAl' \h��� g, a�.��� �n Y�._(_� y�,M��p <br /> `IGI� 7� v��µllv <br /> Havo you startad working wilhout a permit7 _YES ,�NO <br /> MECHANICAL PERMIT APPI.ICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProJeCC _Nrw_Addn _Altrratlon_Hcpalr Type o1 Projt[t: _New_Addn �Allcratlon_Rcpalr <br /> Show Numbcr(n)ol li•Nms Show NumDcr(C)ol/irfines <br /> NC—art hanGhng un�ts ToJel <br /> Forced a�r systems � Oathtub <br /> Ga5 G'Pin Lavatc (wa,h bas�n) <br /> � Water Pealer S�ower <br /> I Gas Iue0lace Hdchen sink&disDosal <br /> Gas�anqa Dish�vas�er <br /> Clmhes drycr Clothc,washcr <br /> Nan c ho0d �Vaicnc�a'cr <br /> Eahausllan Smk�srn¢cibarlmo letc) <br /> Hcat oump f3aeklic+v revenler <br /> Umt hea�cr Utinal <br /> Boiler Diinkmg Founlain <br /> Refri cralion I°IoorGriin <br /> � Wootlslom Greasttra <br /> � Ducl�na Roof drains <br /> I Olhci � Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Oihur <br /> � Numbei of HeaCs I Olher <br /> I hereGy�rL'y I�a1 I�ava rea�and cramme0 t�is ipplicadon ond Ynow Ine same to Ae Irue anU conecl All provisions cl laws and ordinanus 9ovem�ng <br /> Ihis ryCe ol x'oA w�ll C�winpneC a+1�whethe�spcafieC hcrcin cr net. The 9�anLng of a pe�m t Uoes nol presume to 5ne authonly Io vic�aD�or cinccl <br /> f�e prod5ion ot 0ny ol�cr ' �aN regula�ing ConslNclion ot L�e pC9emlanrA olconsWUiDn.That I 3m autl+Jnzetl by Ihe o�.vrer cl th�is pwCerfy <br /> lo pertorm o k 1 hi��d pl cabon made ao�I GomF�'V wAh the Sial?ConUacleR law 19 27 RC�Y dr�.^96'.OJ W�C <br /> J �'ll � <br /> Owncr Wh n r �alc (Re���scd:%:OnJ <br />