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PERMIT A6'PLICP►TION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLEP/UEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � a 3 " �7/ <br /> SITE ADDRESS: PROPERN TAX tt Ri ��C'�_�`7j� <br /> ` `/ 3 �' STYeet <br /> LEGAL for new conslmction: Shod PlaVsubdivision Lo!No._ (attach copy ot lorg legal description) <br /> 5'P���� S/140i���'�wutd'• ccw <br /> OWNER `-la�l�'2.�lC��J�� I N��Ik-�r• Phone/E-mail - ' <br /> � Z/ O j � S � Cilyl5latelZip (�i�f,Ep /� v•z � <br /> h..'�fC$5 <br /> APPLICANT: wner _Owner'sAgenl _Contraclor Conlraclor'sAgent _Tenantl���:�v�o�"�daoim���ro�co�se�urc.m�neo.�r.ermaow��x�nm�_pace� <br /> CONTRACTOR L&I Lia tF -� L i 1'� � 10 C.COE Bus. Lic.# <br /> ' � `• �-�!P 2. !� ��/j� PhonelEmail �-{�,�5- e?,- l3 <br /> Ad�«5s - � r <br /> TENANT BUSINESS NAME CUNTACT FQR PERMIT <br /> �{2.5- so�- ��'�-I <br /> � AI)l_ � i UL�,S/jLl� PhonelE-mail .> �/1P—I� r 5t�iu-�+ C�ic��r� �<i1 <br /> ry l <br /> BU::.DING PERMI i ea�PLICATION CONTRACT PRICE OF WORK_� <br /> Existing Use of&iilding� "^ �^!�./���Bfq — HEAT SOURCE: <br /> Proposed Use of duilding � 1�V!! Gas Eiectnc_ Oiher_ <br /> Building type: _Single Family _Duplex__Townhouse _Multi-F mily _Commercial <br /> Type o(project: ._New __Addilion _Remodel _Repair�_Sign_.Sprinkler_Demolilion_Change of Use <br /> DESCRIPTION OF WORK(addi(ional spaceprovided on the back): <br /> �:>�f 7- /./J �1, .G <br /> MECHAIdICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofProjecL• _Nuw_Addn _Alteratlon_Repair TypoofProjecl: _New_Addn _Alteratlon_ftepair <br /> Show Number(p)ol lixtures Show Number(ti)o(lixfures <br /> I A/C—air handling unils ^� ; Toilel <br /> � Forced air systems I Baihlub <br /> � Gas Fiping i Lavalory(wash basin) <br /> ! Waler heater I Shovder <br /> � Gas f replace � Kitchen sink&disposal <br /> I � Gas range __ i Dishwasner <br /> � Clothes dryer � Cio�hes�vasher <br /> � Raiige hcod � Water heater <br /> Exhausl tan I Sink(servicelbar/moplztc.) <br /> � Heat pump I Backflow preventer <br /> N I Urinal <br /> Unit heater <br /> �oiler � Drinking Fountain <br /> � Re(rigeration � Floor drain <br /> Woodslove I Grease lrap <br /> Ducling I Roof drains <br /> � � Medical Gas <br /> Olher <br /> SPKINKLER I SUPPRESSION SYSTEM I Other. _ <br /> � Number of Heads � Other: _ � <br /> I herehy cehify ihat I haw'•:ad and e.+amined Ihis applicalion and know the same lo bo We and carrecL All pmvisions el laws and ottlinances 9oremin;this tyFe ol werk vni'`,e comphed <br /> with n�hel�er specilied herein or naL The graniing ol a Fermd does nal presume to gNe au!hcriry lo violate or<ancel Ihe provision ol any other stato o�laal i-�„-<-^daUno�����ni�t�on I� <br /> T�at 1 cm aulhorized bp iho o�.vner cl tlils preperty lo pedorm�hu wo�k fer which opplicalion Is matle and I campiy wiN the State Confraqors Lax 1827 R:W sntl 2?9 2�OA WAC. L <br />_ _ P ` � � I��vi�I=� ,o...,.._a���.,, <br /> _. � <br />