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PERMIT APP�ICATION <br /> BUILDINGIMECHANICALiPLUh1BINGISIGNISPRINKLER/DEM01_ITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FA�C 425-257-8857 www.everetM��a.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: [ � PROPERTYTA%N RMIT� _ 02✓ <br /> �D 1 .S'ieverS Dvec 81 vo� :z.jo l2co 2o13ct7 0 � <br /> LEGAL lor nevr conslruction�. Short PlaUsubdivisiun lot No._ (attach copy of Iong legal tlescnption) <br /> 7 <br /> OWNER I� � � t FnonclE-mail .=��3' Q-- -i S� ,•,� / / fC^i <br /> AOdress 2�JS� ��:✓�t .SC Ciry/51a1e/Zip ,�: . Z( ' i � 1���� <br /> APPIICANT:_Owner OwneYSAgenl ConVactor Coniractor'sAgenl ' Tenantl���rv.�aeaienmamrsemkommno+mioeo�m��maso�l <br /> CONTRACTOR Tb i L&�Lic# COE Bus. Lic.# <br /> Address P�one/Email <br /> TENANT BUSINESS NAME CO TACT FOR PERMIT i . <br /> /�ar�°�� I�� ll �/ <br /> c�C� `/2 �. 2`1S .i� <br /> �;n�rt� � ;�1��5 Phone/E-mail KUl"C��. Vl�u��nCG •" S�7CIF1�PL'.c:C/1 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK I�i7 OD � <br /> Existing Use of Building � G419 }� ' Al ' V - J . �Cl! HEAT:=OURCE: ,. <br /> L �1��� Gas � Elecinc Olher <br /> Proposed Use of Building ��PS�AUr�i�l+l <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family � Commercial <br /> T e o1 ro ect: New Addition Remodel Re air T.I. Si n S nnkler Demolition Chan e of Use <br /> DESCRIPTION OF WORK(addd�onaispacnp�d i on�hebackl ! ��a" } '�`7C G p�f �-nL�t?�^� �v� '�(� <br /> � l cut v f �� <br /> Uri��� �tc }ti� �� i- Sfivifvrn � �� � <br /> c�,,v�,��t� , �-���zl,.�n + �.r��,�:�n��s. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Ty{w ol Pro�ect: _Nnw_Adtln _Alteratlon_Ro�air Typo of Pro�oct: _Naw_Addn _Alteratlon_Repair <br /> Show Numbcr(N10!/ixmms Show Number�MJ ol fixturns <br /> PJC-air handlin units Toilet <br /> Forced air s stems Bathlub <br /> Lavato (wash basin) <br /> Gas pi in Shawer <br /> Waler heater <br /> Gas fireplace Kitchen smk&disposal <br /> Gas ran e �ishwasher <br /> Clothes d er Clothes washer <br /> Range hood Waler heater <br /> — Exhausi lan Sink(service/bar/mopletc.) <br /> � Heat pump BackOow revenler <br /> Und heater Urinal <br /> po�ler Dnnkin Fountain <br /> Refri eration Floor drain <br /> Woodstove Grease tra <br /> Ductin Rouf drains <br /> Other Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> Number o(Hcads Other <br /> I hereby ceridy��a11�ave reaA enA ezemineC Ihis epplKatron an0 knaw t�e same lo�e Ime ena conect.A1 pmvisions W laws and ordinences Bavermng t�is lype of wo�k v.+il Ce comWK7 <br /> vnih whel�er s�x.rAreE hemn or n01.The pranbng ol a pCrm�Eces nM pmsume to qive eulFOMy to vwiele or ranM Ne Dronsion W 0ny oTef Stele or bcel law mgulet�ng constnN]wn <br /> Tnat I am nulhonxeE Gy I�e owner W I�is pmprny lo pedorm ine xonc�w wNrli epprce�on b m�e and I mmply wn�Ine Stete Contadon Ld�'18 27 RC W entl Z962UOA WAC. <br /> ,� � ;/�.3 /-� �3 ��� <br /> OwnorlAuthotlzetl Agnnt SlynaWro <br /> Dale (Revised l�20 f ZI <br />