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4 <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-257-8857 www.everellwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PIA <br /> SITE hODRESS: _ �[ PflOPERTY TAIf k P MIT p � <br /> Z Z � �� � <br /> LEGAL for rv:w construc6ort Short PlaUsu6drvision Lot No_ (attach copy ol lon9 legal tlesaip�ion) <br /> r / C <br /> OWNER l J� \ 7� W o.i' PhonclE-mad L�.2�" �� ') .� �1 <br /> naa�e55 22U � $�k ST C�IylSta�e/7.�P �✓-o^c }-{- W ft !'�Z c�j <br /> APPUCANT: Owner OwnersAgent �Cnn�rector Conl2ctolsAyenl Tennni�m,,,ip�.�aknroi�x�i�mad«+��ioao.����n�esw«i <br /> CONTRACTOR 1" ��Octi•4 TU� h S2>�t L�� L 8 I Lic.#%'�i�m ms 93 L COE Bus.Lic.# �� � 3 <br /> G7 n NtU�� V " '��'� phpne/Email 7/ � <br /> n�oress �6'> >�� Y'u'i W i.n���C 4n L�(/1— � 7WL)� �ZZ—S�i�U <br /> TENANT BUSINESS NAME CONTA T FOR PERMIT ���,� f�t S.ji,y,/ <br /> PtwnelE�mail 7'� �tI f 2.W1G.i.l.1�t��`/�5c��/Y�.���. <br /> BUILDING PERMIT AIPPLICATIOId CONTRACT PRICE OF WOR Z Z�� <br /> Existing Use of Building__ HEAT SOURCE _ <br /> Proposed Use of Builtling_ Gas_ Eiectric_. Other <br /> Building type: �Single Family _Duplex_Townhouse _Mulli-Family _Commercial <br /> T pe of projeck Ne�v Addition Remodel _Repair T.I. Si n Sprinklzr Demolition_Chan e of Use <br /> DESCRIPTION OF WORK(aad�lional spaco pmvitled on(�o back): <br /> �nsL„i� iS-sic S� I,� nn��l,�l�s vn '�oaf <br /> ( MECHANICAL RERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Project:�New_AOtln _Allerntlon_Repalr Type of ProJuct: _Now_Addn _Alteration_Rapair <br /> Show Number(k)ol firturcs Show NumOcr(N)ollirtares <br /> NC-airhandlin units Toilet <br /> Forced air systems Bathlub <br /> � Gas plpin Lavatory(wash basin) <br /> Waler hedter Shower <br /> Gas hre lace Kitchen sink 8 drsposal <br /> Gas range Dishwasher <br /> Clothes d er Cbthes washer <br /> an e hood ater healer <br /> I�aust fan Sin servicelbar/mopielc.) <br /> Heafpump Back _ preveNer , <br /> Unit he r Urinal <br /> Boiler Dnnkin Fou in <br /> Refri eration � Floordrain <br /> Woodstove \. Greasetrap <br /> Duc�in Roof drains <br /> Other c.� r•Z MediCalGas <br /> SPRINKLER I SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I lime�y�hM�hnt I liave reaG and e.amneE tNs opplr.lion ond knav Ne seme lo be�mo md coneG./d�Oro����ol Lavrs nnE ordnances Bovemn9��hP����1�e campiM <br /> with wtief�er spealKvl�ernn a not.Tlie grnntnp o�a perm:l tloes nol prewme to Btye nulhwW to valala«cancel ihe pmvimn ol eny othM ztale a locel law ttW ulatn8 conswcfwn <br /> Thal 1 am aulhoriied�y i�e owne�ol lhis p�opetly to peNortn Ne wrnk la wnch epDkntiw�n msao anel I canpN�'^���a State Conlmctors Lew 1817 RCW a�W 196100A WAC. <br /> /«r /I.�._ //�b�Z <br /> "Owner/Authodzetl Agent S�gna W re Oate (Revise0 G20 f 2) <br /> ��Z <br />