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PERMIT APPLICATION <br /> BUI�DING/MECHANICAL/PLUMBIIVG/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32�0 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> SITE ADDRESS: PROPEHTY TA%p PERMIT A <br /> 3:'0' i� C�2. 5� �z-J£�2�11 — �� <br /> LEGAL for new constn�ction� Short Pfatlsubdivisior�$LA�•f- PA2��- Lol No.23 (attaU�wpy ol long lepal descdplion) <br /> OWNER �tS,� �AG��<<— �owt fcS Phone/E�mail qzS S3 •- Z`�b'o <br /> nea�e5s 12A S iJ �-t� MAw W� Ciry/5tate2iP �J�� l�.tA • �t32GQ <br /> APPLICANT: Owne� _Ownersf.gent Coniracfor ConlradofsAgent Tenanl�mm:F.vH�sa!erccratconsentnonvrov.,ra�oeoWwrmmeaprre) <br /> CONTRACTOR ST-z,p.�T(1rL ,I�C�� �GS State Lic.pSEATCP1i l� C�t Bus. Lic#(�G3-Z 10 <br /> Add�ess 5A�/y�i-L Phone�Email sp�yy�y'� <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �G�� ��wc�L� <br /> PhonelE-matl �{Z�j 3�j� — 4�QZ <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK I <br /> Existinq Use oi Building HEAT SOURCE: I <br /> Proposed Use of Building Gas___ [lectric_ Oiner_ ' <br /> Building type: ✓Single Family _Duplex_Townhouse _Multi-Family _Commercial '�, <br /> Type o(projecl: ✓New Addition _Remodel _Repair_T.I. Si n_Spnnkler__Demolition_ Change of Use ', <br /> DESCRIPTION OF WORK�adarrivnei space prvviced on rhe 6actr): <br /> ZZio"► c w� Z caz q�a24�,� t3AS IL. �' R3 140 � - ooS <br /> MECHANICAL PERMIT APPLICATION PLUMSING PERMIT APPLICATION <br /> TypeoiProJoct: _Naw_Addn _Altoration_Rupalr TypeolProJoct: _Naw_Adtln _Altaration_Repair � <br /> Show Number(M)ol flxtures Show Number(NJ o!fixtures <br /> A/C-air handling units '� Toilet <br /> I Forced air systems Bathtu6 <br /> Gas pipin Lavatory(wash basin) <br /> � Water heater I Shower � <br /> Gas fireplace Kitchen sink 8 disposal <br /> Gas range Dishwasher <br /> I Clothes d er i Clolhes washer <br /> ( Ran e hcwd Waler healer <br /> Exhadst fan � Sink(service/barfmop/elc.) <br /> .� � Heal um �^ I Backflow preventer <br /> � � Unit heater I Unnal <br /> I Boiler Orinking Founlain <br /> Refrigeration Floor drain <br /> � Woodslove — I Gre2se trap � <br /> Ducting � Rooldrains <br /> � � Other — Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM � O�her. <br /> Numbero(Heads � Olher. <br /> I�e�eCy cenAy Ilwt 1 hnve rea0 anE eiamineC Ihia applicetion and hno.v l�e sama lo be Irve nntl m1�n.All pmrsians ollavn and om�nancas goveming;�is lype ol wo�k wn�e mmp�ietl <br /> wTh xhelner specdie0�erem ar not T�e prantinp of a pertn�tloes nat pre;ume to gWe auNwny�o vlolale or rancell�e pravisron al eny ether slato ar Iocal lav reguWtrg canswclion <br /> Tl�at 1 o auN ed Oy Ihe oxner ol tnis pmpMy lo perimm Ne wwt Im�Mrh app�calian Is maae antl I comply wM Ne qale ConVadars law 18.27 RLW an0 298.20CA WAC. <br /> � l� �3- 1 io-1'� �j� <br /> Ow dAut�odzed Agent ignature Da�e (Revi5eAY1013) . <br />