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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DE�NIOLITIOM <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> � � ��I <br /> SITEADDRESS: /' � ✓ �� PROPERTYTIU(N P�(tMITO ' �D <br /> �� ►v <br /> LEGAL lor new conslruction: ShoA PlaVsubdivision Lot No._ (nttach copy ol long legal description� <br /> OWNER /( ,� Phone/E•mail �.,t[�o .�� o�� / � • C � <br /> Address �� � , �,,J . CirylSlatclZip �/ r �� <br /> APPLICANT; Owner VOwnefsAgent _Conirac�or _ContraclorsAgent _Tenanl�musip�oreaaioncror��s�r,u,ommsox��rmoowoa�nmospami <br /> CONTRACTOR ., .ov /'ao-' . c State Lic.# � City Bus. Lic. # <br /> Address b'JOS ��j�0� w Phone/Email y�s— 3�j —�()/J <br /> TENANT BUSINESS NAME CONTACT FOR PERMIL— <br /> l��/� / /� L� � �I�'✓� <br /> UJ00�� ��SfIt�M�rH/r1C. `I � 5 Phone/E�mail • y j= — }�JO <br /> BUILDIN PERMiT APPLICATION CONTRACT PRICE OF WORK�}�G}7D. K . <br /> Existing Use of Building ��'������r HEAT SOURCE: <br /> Proposed Use of Building '��i'�'�c � Gas� Eledric Olher <br /> Building lype: _Single Family _Duplex_Townhouse _Multi-Family ''Commercial <br /> Type of pwject New Addition Remodel Repair�.I. _Sign_S rinkier Demolition Change ot Use <br /> DE SCRIPTION OF WOR�t�add�t�onai s�ce plovided on Ihe back): <br /> N!'� O�J'CC /Gy01.� <br /> �� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeotProjoct: _New_Addn _Altoration_Ropalr TypeolProJect: _Now_Addn _Alleration_Rorair <br /> Show Numbcr(q)o/flrfures Show Number(aJ of/ixfures <br /> NC—air handling units Toilel <br /> Forced air syslems Balhlub <br /> Gas iping Lavalory(wash basin) <br /> Wa�er heater Shower <br /> Gas fimpiace Kitchen sink 8 disposal <br /> Gasrange Dishwasher <br /> Clolhes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaus!fan Sink(service/bar/mop/e�c.) <br /> Heat pmnp � Oackllow prevenler <br /> Und healer Unnal <br /> Boiler Drinking Fountain <br /> Refrigeration � Floor drain <br /> Woodstove Grease Irap <br /> Ducting � Roof drains <br /> Other � Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM � O�her. <br /> Num6er o(Heads � O�her. <br /> I heie0y cenRy Iha11 have�ea0 nnd examined I�is apyl;�ilion and knaw�ho s�me lo be�rve nnd correci NI pmvisians ol laws end artlinances goveming I�is lype ol work w.11 be compLed <br /> wn�wticlncr<pecAietl here:n or nol Tnc granl�:g al o Dcrmtl aocs nal Dresuma In give autnorny Io violate or Glncel Ihe pmvision ol any olher slele or Iora1 law regulalmg CnnslNtlion <br /> l�at I am�N�oniea Dy I�e awner oll�is p�aperry io peAortn I�e waIX for vRiiN apDlicalion is maGe anC I compry wM IAe Slale Contrecioro Law 1B Y7 RCW an0 29f,700A WAC <br /> `'Z/ <br /> Ownor Ihoriza A ont Signal Dalc (RevisodY1073) <br />