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PERMIT APPLICATIGrI <br /> BUILDINGIMECHANICALIPLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www everettwa.org <br /> SITE ADDRESS: VROPERiY TAX p P MI D <br /> 3 � � � Uf t�t£� <br /> LEGAL lor new con5lrucLon Shor1 Platlsubtlivision___ Lot No_ (atiach copY of long legal de5a�pt�on) <br /> OWNER ��paJ�/�nncl /90G/Oy�/%! /N� i�nonN[-ma�l R��KAIo � 5 . JC �. �cY�7 <br /> AOdress CAylState2ip <br /> APPLICANT:__Owner _OwnersAgeM y ConlfBc�Or _ConlraClOf'SAgCnI _TCnBnllm��sto'o.h.ai.�.�e�visnsomim+imew*er�oauwcnonms✓a:e� <br /> CONTRACTOR �j f f f o '�p� S C,; / c '�`� State Lic. k vQ y�jC2 607 Z c��r��5. ��� �0 3308 <br /> naaress 3?0� ��.t� 5 i � f ' �v�?<_77 PnoneiEma� S ) S'�j �lVeb <br /> CONTACT FOR PERMIT <br /> U�,o anone�E-maii � Q���I �{ 2 S�j 4 4eo <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �/D 2� 2S 2 "6 <br /> E: tmg Use of BuJtlmg JACA✓� HEAT SOURCE. _ <br /> Proposed Use ol8uilding �s Gas__ 61ecfnc_ Olher__ <br /> Ru�lding type. _Single famdy _Duplex_Townhouse _A1ult�-Fam�ly �( Commerc�al <br /> Type of proiect. New Add�M1on Remotlel _Repair_T L_Sion_Sprmkler_Drmol�lion_Change uf Use <br /> DESCRIPTIONOFWORK(admnonaisparepmvmedontnebackl /1�,2vof , <br /> MECMANICAL PERMIT APPLICATION PLUMBIN PER IT APPLICATION <br /> 7ypeofProjecC _New_Addn _Altoration_Repair 7ypeofProject _New_ADCn _Atleration_Repair <br /> Show Number(M)ot hrNreS Show Number(CJ o�/iefures <br /> NC—air handhng untls � Todet <br /> i Forced au sys'ems 1 BathWb <br /> � Gas�np�ng Lavatory�wesh basinl <br /> � Water healei Shovrer <br /> Gas frteplace Kdrnen sink 8 disposal <br /> Gas range Uisnaashei <br /> Clmhes d er Clothes washer <br /> Rangr_hood Water he::ter <br /> E�:hausl lan I Sink (servicelbndmop/elc) <br /> Heal pump Oackflow preventer(insde bldg) <br /> Unit heater Unnal <br /> Ooiler Ur�nhing Pounlain <br /> fieingeration F`lom drain <br /> Wuodstove Giease trap <br /> Duc�mg _ I fiocf drams <br /> Other Metl�cal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM otner. <br /> I IJumber of Heads Other. <br /> I hereDy ceitAy inal I have rrad nnE e.ammetl I�is appliwUon and 1 now I�e sa�nr to Ge tme an�cormcl All pmvisons a!laws antl oramances govem�ng Inis lype ol wo�A wJl�e campimJ <br /> n<n w�elhei spenbetl heic;n n nol T�e granLn3 0l a permf Eoes nol oresume lo give aN�only lo vroiate or�ancel ihe pmvision cl any other sia:e or loca!law re5ulaLng conslrvclron <br /> *nat I am aulhonze0 by�ne o�+rtie I lhis PmDeM lo perlorm t�e wo�k Itr wMcn aV�hcation is made an71 compry�t�Itle Slate ConVaCors Law 1B 27 RCW antl Y96 200A 1h'AG. <br /> GP'V�� � `�/'� ��� <br /> OwnedAuII�orizetl 1lgent ign.�um 'Jale , _. �e�u/1015) <br /> �� <br />