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� • <br /> P�RMIT AP�LICQ►�'ION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 90201 425-257-8870 FAX 425-257-8857 www.everettwa.org <br /> SITEADDRESS: ,r / PROPERTVTAXp PE �� �'OO <br /> O(�O ( t�C <br /> LEGAL for new conslruclion: Short PlaVsuEOivision Lol No._ (altach copy of iong lega�Gescription) <br /> OWNER ��t�t F1F Fr , 0 f iS s�{��J; Pnone�E-mail 36 .-a - 3�SD <br /> Address ;t�tF y� Cily/Slate/Zip I � D <br /> APPLICANT: Owner OwnefSAgenl �Canlrador ConlraclortAgen� Tena0l�musipvxeealeverofom�mil1wni�eowlxrloEoworulnLnespacel <br /> CONiRACTOR ; � kso.� ' Stale L�c.# +k aiy e�5. ��c.u0345�0 <br /> Address � � ,�rr„ �y,q Phcne�Ema�l `� — <br /> TENANT BUSINESS NAME CONTACT OR PERMIT ,r <br /> �/ `I�/ CD��� �.�n,a r. tt,.n�C�e <br /> �'fC{� �DI'N���"�t '< < Phane/E-mail <br /> BUILDINGPERMITAPPLICATION CONTRACTPRICEOFWORK <br /> r <br /> Existing Use of Building � 6� i"� �S g HEAT SOURCE: <br /> P�opOsed Use o�Building�0�1Q Gas_ Eleclric_ Olher_ <br /> Auilding lype: _Single Family _Duplex_Townhause _Mulli�Famiiy �Commercial <br /> Type ol pro�ecl New Addilion Remodel _Repair_T.I �Sign_SprmNler Demolilion_Change ol Use <br /> D ES C RI PTION OF WOR K�aoad�onal space pieviaeo on me oacw): <br /> e��pi<��. ��,,,�.o�;�,<�� o� �3I� � G <br /> . <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofProjecl: _New_Addn __Alterotion_Repair TypeolProjecl: _New_Addn _Alteration_Repair <br /> Shoiv Numbcr(M)ollixfures Show Num6cr(pJ ol li+(ores <br /> AIC—airhandlingunils � Toilet <br /> � Forcedairsystems Balhlub <br /> � Gas piping � Lavatory(wash basin) <br /> � Waterhealer � Shower <br /> � Gas fireplace Kitchen sink 8 disposal <br /> � Gas range Dishwasher <br /> � Clolhes dryer � Clothes washer <br /> � Range hood Water healer <br /> Ezhaust fan � Sink(servicelbar/mop/elc.) <br /> Heat pump Backflow preventer <br /> � Unil healer � Urinal <br /> � Boiler � Drinking Founfain <br /> � Refrigerelion � Floordrain <br /> � Woodstove Grease Irap <br /> Ducting � Roof drains <br /> O�her � Medical Gas <br /> SPRINKLER I SUPPRESSI�N SYS�EM other: <br /> Number of Heads � Olher: <br /> t nereEy ce�ily IAaI I have iead and eaemined Ihis appfcalion and hnow IAe same lo be Irue and mrrecl.All pmvisbns ol laws and or0inances goveminq ihis type ol waik wi�l 6e complied <br /> ��w�e��er specifieE�erein o�noL T�e gr�nling oi a pefmil tlaes nol pictume lo give aulhorily lo vialale or cancel I�e p�avislon ol any ol�er slale or lowl law regulaling conslrvclion <br /> Ilamao�horixeE ao�vnrrollhispropetlylopertarmlheawktonvMchaDP��calionlsmaEearAlcomOhw�����e5laleConlnclorslawlO.PRCWanE2%200AWAL. <br /> \ �I� <br /> � ! <br /> '�i�— � <br /> (1 . �nhnrizodAocnlSlonaWre a�e (Revised3R013) <br />