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. �ERMIT APPLICATI� <br /> BUILDING/MECHANICALIPLUMBING/SIGN/$PRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Ced�ar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org / <br /> � �-j:i <br /> SITE ADDRESS: PROPERTV TAX p PE M T iT <br /> 0�0 a o - - ool -oe � t ��� - 0 <br /> LEGAL foi new construction� Short PlaVsu6tlivision Lot No._ (attach copy oi lony legal aescriptmn) <br /> OWNFR N�Cµ��,�� �✓(/� �I� �G PhonelE-mail <br /> rca«55 2d O S • 012-C $\ . � Cily/Slate2ip S� �(,� W .6+ q Qj 0 <br /> rAPPLICANT:_Otvner F OwnersAqent _CoNractor _ContractoPsAgent _Tenantfm�:ipro�m��t�n�roi�o�:o�iao„m�m.neri000�n�'�mespa:e� <br /> CONTRACTOR � � �_ l� S�• State Lic. # �� C � City Bus. Lic. #Q0+ �(.! <br /> ACtlress PhonefEmail <br /> _ CONTACT FOR PERMIT ��,I� t..t �+ � <br /> �� ���` PhonelE�maii CG #1 C ol-U N S lJ�O Tz� M <br /> BUILDING PERMIT APPLICATION CqNTRACT PRICE OF WORK La <br /> Er.istinq Use ol Building � HEAT SOURCE. <br /> Proposed Use of Butlding Gas_ Eieanc_ Other_ <br /> 8uilding type. _Singie Family _ Duplex_Townhouse _Multi-Family _Commercial <br /> Type o!prOj=_ct� New _Addition Remodel _Repah 7 I. _Sign_Sprmkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(addrtional space pm`v�iaed on the back): ,�+�� <br /> �fZA"� � �� �7�lST ��NI��J� ����� � `�J� � ��� �� \ ��d�`'t <br /> �/�-t� p�E-1 i-r P�eM i T . <br /> ur��z- �1' ) � V�- r� � NTyw �,ua�k �1�F�I��� <br /> Ml:CHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type o(Project: _New_Addn _Alteration_Repair Type of Projecf: _New_Addn _.:Iteratian_Repair <br /> Show Number(#)o//ixtures Show Numbe�(N)o//ixtures <br /> A/C—air handling unils Toilel <br /> Forced av systems BathWb <br /> Gas piping Lavatnry(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen smk&disposal <br /> Gas range Dishwasber <br /> Clothes dryer Clo�hes washer <br /> Range hood Water heater <br /> Exhaust lan Sink(service/badmop/etc.) <br /> Heat pump Oackflov+preventer(mside bldg) <br /> Und heater Urinal <br /> Boder Drinking Founl2in <br /> Refrigerahon Roor drain <br /> Woodstove Grease trap <br /> Duc�ing Roof drains � <br /> Other Medical Gas <br /> SPRINKLER ! SUPPRESSION SYSTEM other: <br /> Number of Heads Other: <br /> I M1ereEy retlAy I�al I have reatl antl caamineO l�is upoliwtion anC know Ihe;amc lo�e Imr and wnect.FII p�ovrs:ons ol laws and orCmances governing t�s lype oi work wdl be comp6etl <br /> a9h w�ether specifieU herein or nol.The gtanUnq ol a pefml Coes not pre,ume lo grve authonly to vio�dle or Wncel IAe provision ol any other st�ic or loWl law regulatin9 conslmclion <br /> TPat I ut�or.zetl�y Ineywnei ol��is prcperty la pedorm ihe work/or w�ich appl�.cation is made and l mmply wnh Ihe Slate Conlraciors law 1B 27 RCV✓an0 296 200A W!C. <br /> � V <br /> crlAut orizetl ig urc Uate (Revised a/20151 � <br /> `( / <br /> I� <br />