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,: ,. . ,� . . <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICALIPLUMBINGISIGN/SFRINKLER/DEMOLITIUN <br /> CITY OF EVERETT PERMIT SERVICE:: <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.evereltwa.org <br /> AHPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRESS: PflOPERiYTA%N P�RMIT9 O <br /> � �•> s,���,�., ; ., . �,_- ,_� ,-.:, tr s-vi ooz��z�� z I -C �o <br /> LEGAL lor new construction'. Snort PlaUsubCivision Lol No._ (attach copy ol lang legal tlescription) <br /> OWNER � � :.�� E. �i-.r <br /> P�onelE-mail '.+S 23L -S���' <br /> AtlCress 3'�Z�� S.K.r/c'v�.Si� r J-= QtYlStatc.�LP �UF-ti��f b�-'�� <br /> APPLICANT: Owner Owner'sAgent y�Coniractor COMrector'sAgent Tenantc.m���o,o+aeakne�art��,.mro�m.w.�nmaow:����me�pax� <br /> CONTRACTOR �UADr- -M��D.tC�I� �(�����T � 7-nG L&I Lic.# ��DE/�(� ��'�'�DI- COE Bus.Lic.# <br /> Address i�.LF� Gf'.Gnno��� /4f i)A�L'•��<D, IA-H �fQ:L7� PhoneiEmail '-�LS '�%��/SE;� ��Nr.T 7e ':c/ Ccwc <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT_ <br /> /i.�ik� �an�� <br /> PnonelE-mail i��5 �=3c'�'�� <br /> BUILDIPIG PERMIT APPLICATION CONTRACTPRICEOFWORK - � <=G — � <br /> Exisling Use of Building \� ' *�� �"' ""'°" HEA SOURCE: <br /> PrOpoSed U5e ol Building � ' �-� �-�'-`-• `� ���-� Gas� Elearic Otner <br /> Buiiding type: _Single Famliy _Duplez Townhouse _Multi-Family _,Commercial <br /> T pe of pro'ect New Adddion �Remodel Repair T.I. Sign Sprinkier Demolition Chan e of Use <br /> DESCRIPTIONOFWORK(adaitiona�spaceproviaeaontneback): �f,-i� ���.;J,v��� [1�1- -�-*'= «pi�/����«s� <br /> :/ � -� �•. � :-(�{ Kt.� 1"t'. --ir c2_S N 'v,'t�t <br /> �_ _ :<„• R�n ti'-�., nv r�r�.�,« «� 1- .=. , � <br /> C��l�- NtIL �-�. c�� ��-.-� C.,:l �r-1'_, i�riCl Vi.;� �,i�c �fJ �{-r.Ui°.. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProJecl: _New_Addn ,_.Alterallon_Repalr Type ol Pra�ecL _New_Atldn _Alteration_Repair <br /> Shaw Numbcr(k)of Ifxfures Show Number(p)of l/ifures <br /> NC-air handling units Toilet <br /> � Porced air s stems � BalhWb <br /> < � Gas piping Lavatory(wash basin) <br /> � Water heat=r Sh;wer <br /> � Gas fueplace �� Kitchen sink 8 disposal <br /> � Gas ran e Dishwasher <br /> � Clothes dryer � Gothes washer <br /> � Range hood � Water heater <br /> [xhaust fan I Sink(service/badmop�etc) <br /> Heat pump I Backllow preventer <br /> Unit heater Urinal <br /> I( �oiler I Drinkin Fountain <br /> Refrigeration � Floor drain <br /> � Woodstove Grease lrap <br /> � Ductin Roo(drains <br /> � Other � Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM O�her: <br /> Number ol Heads Other <br /> I'rertl�y wn�'y Itml I Imve reoJ nn0 eroinlncit iius opphcolron an0 Ancrv t�o somo lo�a W o and coned.Atl D�ovisloro ol lawf anE or0inonces goremin8lhia trya ol wo�k w+il be mmpPed <br /> 'vrA vrtmlhc�speci5c0 hmcin o�no�.ihe g�aniing N a pernill doce nol prcsume lo Bive eu��orrty lo vioWle o�wncel I�a p�o�isbn ol any ol�e�SUte o�locel law repWaling consW ction <br /> Ihal1 am e�NfotlieG Ey��o ovm^t ol lhb pmperty�a pedortn Ihe work/o�w�k�appf¢albn b maCe en01 comOH N'���he Slale ConVaclors law 182]RC1N end 7P8200A WHC. <br /> ,�� �l�..��. !�� a <br /> _r� �r,tf rlr �Revrsea6�2of2) , <br /> OxncrlAulhoraetlAgenl5lgnature � � /� <br />