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01/1J/'L012 I'RI lii:SJ PAS 4'LS J79 7045 VSh NttCurul Cas (�J001/002 <br /> ( <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL./PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETI'PERMIT SERVICES <br /> 3200 Cedar SL, Everett,WA 98201 -425-257-8810—FAX 425-257-8857—www.everettwa.o ga3�2 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITEADDRE`.-S: PROFER A%N P�RMIT# <br /> M � 9 � 0 3� b -°3� <br /> LEGAL lor new constmUlon: Stwrt PlaUsubdivision Lol No._ (atUch coDY of lonp leBol descdplian) <br /> OWNER � PhonclE-mail L 7 - " 1 <br /> Address 2(� '4 Ll� '�� �1�A (J 7.�3 CitylSlato/Z�p fl LU <br /> CONTRACTOR L 8 I Lic.# 0 - - � <br /> /7�..� �D ' � L� Phond[mail - �� - � <br /> �dtlress ��lk • _ <br /> TCNANT BUSINESS NAME CONTACT fOR PERMIT <br /> Phorw/E-mail <br /> BUILDIiJGPERMITAPPLSCATION cONiRACTPRICEOFWORK Z � <br /> Exisll�g Use of Building � HFAT SOURCE: <br /> � Proposed Use of Buiiding ' Gas FJactric Omer <br /> Building type: .�Singlo Famlly _Duplex_l'ownhouse _Muili•Family _Commercial <br /> _ Type of proJect• _New _Addition _Remodel _Repair�T.I._Sfgn_ Spdnkler_Oemolltlon_Chango of Use <br /> Descriplion of V ork(addi�ional space providedon tho beckJ: <br /> Havc you startud working withoul a portnil7 _YES _NO <br /> MIeCHANICAL PERMIT APPLICATION PWM116lNG PERMIT APPLICAT9QN <br /> TypeofProjec:: _Ne�'r_Adtln Alteratlor._Repalr TypeofPreJoct: _New_Addn _Allemllon_Repeir <br /> ShowNumbc� fl o/RHu�es ShowNum6e� N olfi.Auros <br /> AIC-airhondlin un(ts Toilet <br /> Forcedairs slems BathWb <br /> Gas I In Lavab (wash basln <br /> Waler heater Shower <br /> G-s fire lace Kilchen sink&di= osal <br /> Gas ran e Dishwasher <br /> Clolliesd er Clotheswasher <br /> Ran o hood Waler heater <br /> 6chausttan Sink service/bar/mo /Pta <br /> � Heat um Backfiow reven�er <br /> Unithetler Urinal � <br /> Boiler �rinkin Fountaln <br /> Refriqera�ion Fioor draln <br /> � Woodstove Greasetre <br /> Ductin Rool dralns <br /> Other Medicat Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Olher. <br /> Number of Heads (lther: <br /> 1 hereby certity Ihal I have read and examined this applicatlon and knrn��Ihe came lo be Uue entl cortect.AII provlsionc ol lewn and ard'mances povaming <br /> �hls rype of work wif b wmpiied wtth whalher specifad herein or not.Tho qranling ol a peimil does not pre¢uma to 91ve autfwnly to violale m cancel <br /> the provislon cl any o er state ar lo Wl law ragalating consirvclion or Ihe peAormance of consWction.Thal I am aWhorized by fhe ovmer ot ihis proDerfy <br /> lo po r (he wurk( n�hich app4wtion is made and I comply with lhe Stale ConUactors law 78.27 RCW and 296200 WAC <br /> ' VI , ! .. <br /> Ownc/Aulh }zed entSig yre Dalo (Revisetl?/2017) <br /> d <br />