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7 <br /> P�cRMI�" APPLICATION <br /> BUILD�NGIMECH/1NIC:AL/PLl1MBING/SIGNI;PRINKLER/aEMOLITION <br /> Cl i Y OF EVERETT P�RMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810— FAX 425-257-5857—www.everettvea.org <br /> APPLICATIONS ARE ACCEPTED FRON�8 AM TO 4 PM G-a a--(� <br /> PROPERTYTA%d PERMIT <br /> SITEA DR�55: � � �-�� �,�_ .CJU .S 7 , OO QQ� ' <br /> LEGAL for new constmdion: Shotl PlaVsubdivision Lol No._ (allach copy of long leyal description) <br /> OWNC , � ^�' (�1�_._. . PhonelE-mail l�r,�� - <br /> AdJress � • r'!' C�fl� �(�.�lf� l � Cily/SlalelZiP ��/�C�C'i' �IJCI- � <br /> CONTRACTOR � C��Q �_Y L&I Lic.� <br /> Phone�lEmail <br /> Addmss <br /> TENANT BUSINESS NAME CONTACT FO�R PE4MIT <br /> PhonelE-rtiail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WOR 0 G,, I �n• <br /> HEATSOURCE: <br /> Existing Use of 8uilding <br /> Gas� Electric__ Other_ <br /> Proposed Use af Building - — <br /> Quilding type: _Single Family _,Duplex__Townhouse _Multi-Family �Commercial <br /> Type of projecl: __New _Addilion _Remodel _Repair__T.I._Sign_Sprinkler_Demolition_Change of Use <br /> i <br /> DescriptionofWork(addifional.oaceprovidedonthe6ack): �e�'�C-� ' 1 � I n ,dQ�� �� (� Q�� �t� <br /> w` ! <br /> Ll�� � �7-"l �A1tL� � �t �- t�.) 1 ciC�O tL1 0.ltC� %�'l[,lvl c'IOA� <br /> Have you staRed wurkng wilhout a permil7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of ProJact: ,_New,_Addn _Altora!lon_Repalr 7ypo of ProJecC _Now_Addn _Alleration_ftapair <br /> ShowNumber(li)ollixtures ShowNum6er(#)ol/ixtures _ <br />� � A/C-air handling units ! Toilel <br /> � Dathlub <br /> � Forcad air sysiems <br /> � Gas piping Lavalory(wash basin) <br /> Water healei Shower <br /> Gas freplace I Kitchen sink&disp�sal <br /> � Gas range � Dish�vasher <br /> � Clo(hes drver I Clothes���asher <br /> — � Ranye hcod � Waler heater <br /> Exhaust fan Sink(servicelbar/mop/etc.) <br /> Heat pmnp � Backflow preventer <br /> Unit healer � Urinal <br /> � Boiler � DrinRing Fountain <br /> � Floor drain <br /> ��� Re`riperation � Grease trap <br /> � Woodstove <br /> Ducling � Roof dreins <br /> Ofher Medical Gas <br /> � SPRINKLER I SUPPRESSION SYSTEM Other: <br /> INumber of Heads I Other: <br /> I hereby certity that I have read and examined lhis applicalion and know the same l0 6e Irue and correct.Ail provisions of laws and ordinances governing <br /> this�ype vroik will b �h whether specified herein or not The granling of a permit does nol presume lo give aulhmily lo violale or cancel <br /> the pr ion of a ier slatc or cal law regulaling cons�mction or the pedormance of constmction.Thal I am authorized I:y t1•�e r,v:r�er ot tl����,e propeity <br /> �o p � w for whic nd I comply wi�h the S tz Coniraclors Law 1827�W and 296200 Wi�.0 <br /> Dat� �� jl�evr,ed2;2J1t) � , <br /> Ownerl ulhorz aWro . <br /> i <br /> � <br /> :. --- - � ' - , : <br /> --- - <br /> _ . - ._. . t . � <br /> ... . , . :...:.. . . . , <br /> . .: :-� , . . � n.a ' _•:". -i4.7 ..�0�ya H1(!•d. <br /> _,_. 'E;.. ..� .. _ <br /> -�.. . . . . � . � ,� .. _.1 -.. rn.«..,`"�.0 ..cr � ...L� <br /> . ,. . ^-,� �$ : <br /> . .__�—"'____:_ _-- '.:_L '—" ___ _.._. . ..__� ..� : _ _-`.:`. � --i:�. . <br />