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PERMIT A�'PLICATION <br /> BUILDING/MECHANICALIPLUMBING/SIGNISPRINKLER/DEMOLITIOM <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8657 www.everethva org <br /> SITE ADDRESS: PROPErsN TnX d P R I <br /> s�" �0 6 o Oo O - �� <br /> LEGAI for new conslruclion�. Short PlaVsubdivrsion Lot No. (atlach wpy of long le9al desenption) <br /> OWNER G �" ' S PhonelE-mail �2�j �(�� -]�/] �j� � ,y� <br /> Adtliess � �jQ �Tj� � Cilyl$tafe/Zip '�� f � �f� � <br /> APPUCANT: �Owner _O�vnefsAgent �CoNractor _Contractor'sAgenl _Tenant�.T�.wm�ao�io^�rm�,���-�n«�„u,,:����^raaow�nm;no,�.:��� <br /> CONTRACTQR GrJ� (_p�5'fC�.C."�IOn -�-nC. S�ate Lic. # City 6us. Lic.# <br /> address 0 o�C 13�oq � /�'1 �1.L �cC2.K�WA 9�o8a Nnone�Emai� y25 �I�S"7Y7H lo�•�l�et�.b�, ...� <br /> TENANT BUSINESS NAME � ' CONTACT FOR PERMIT� 2 �n I <br /> � PhonelE�mail y25) ��`b -�� `bµ��� E.!Z�F�COM <br /> BUILDING PE6tMIT AFTPLICATION CONTRACT PRICE OF WORK <br /> ExisGng Use of Bwlding_ HEAT SOURCE' <br /> i n <br /> Proposed Use of Bui�ding ����� ��t f �f ic-�� ��P Gas_ Elearic_ Olner_ <br /> Builtling type�. �Single Family _Duplex_Townhouse _Multi-Family _Gommeroiat <br /> Type of project. New Additiun Remodzl _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK��dd�nena�space provided on Ihc batkJ: , <br /> (�,� ; I d n� z,�.� � S r� -.� 1� �i�-1 rl S�2 0.. E�c� 's t-�--� L�1- <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLECATION <br /> TypoofProject �Now_Addn _Altoration_Ropalr TypoofProject: �Naw_Addn _Alteration_Ropalr �I <br /> Show Numbc�(a)ollixfures Show Number�q)o//ixtures <br /> NC—air hand6ng unds Tailet <br /> I Forced air systems a ea�htub W �on.b� <br /> ( i Gas piping Lavato (wash basm) <br /> � I Water heatr.r Shoaer <br /> Gas freplace Kdchen sink 8 disposal I <br /> � Gas rangc �ishwasher I <br /> I Cbthes dryer ; Clothes washer ' <br /> Range hood <br /> Ezhaust fan ! Sink(servicelbadmopletc) <br /> Heat pump I BackOow prevenler <br /> Unit heater I Unnai <br /> � Boiler I Drirking Fountain <br /> Refrigeration I Floor drain <br /> I Woodstove ! Grease trap <br /> Ducling Roof dra�ns <br /> � Other Medical Gas <br /> SPRINKLER ! SUPPRESSION SYS7EM � Other <br /> Number of Heads i Other: <br /> I�ere6y ceNty I�al I have rcatl anC examine0 Ihis apDliwtion untl know Ihe samo to 6e'ive ana corred All provisions ef laws antl oN:nance;g�+eming I�is type ol work vn'I�e cem{' e.! <br /> wM vA�el�er sDec�eO heie�n or not l�e 9raniing ol a Derm�Goes not D�esume io give au���onty�o vloiate or rancel t�a pioviswn ol acy o0rer staL=or local law regolal�ng construpion <br /> Thal 1 am aumonice by me cv.ner ol mis pro0erty lo D�Norm U�e work Ior wTiU aOP��W'�on is maEe.�C�cor��ty wn���e Slaie Con'ratlors Law i B 27 RLW ana 79S 200A W�1C. <br /> ,I <br /> � <br /> � �. / �7 /3 <br /> OwnodAu�i gent i aturo �-- 1i-er�sed?207_) <br />