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CprrQc�- G �-c�ra_5a 1"� �70(J �3 �`` s.r <br /> PEFZMIT APPLICATIO(V <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CIT'Y OF �VERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810–FAX 425-257-8857–www.everettwa.org <br /> � APPUCATIONS ARE ACCEPTED FROM 8 AM TO M1 PM � `'c��' <br /> �.�`t--"�,��— <br /> PftOPERTYTA%p PERMIT# ,� <br /> SITEADDF,cSS: 1,,,�n0-"1�^-STf�T' � ' �� �C�`I <br /> LEGAI for nc�v ccnstmclion: Shoh PlaUsubdivision Lol No._ (at�ach copy of lon3 legal description) <br /> OWNER Ptt.�.Y�o�NLfi REevIwJN- ME���'K� � �` Pnone/E-mail �ZS-'uil'ZODO <br /> AAdress �821 �y�b A�� CitylStafelZip F,vE�CC �U� <br /> CONTRACTOR �1'10��c'- L 8 I Lic.# <br /> Address PhonelEmail <br /> TENANT BUSINESS NAMc I<�:�.•n`rni- c.I Yc IJt'f I CONTACT FOR PERMIT <br /> WtGt So�NP K.1DntGY c£M"E'R. � <br /> Kion� DWLYSIi N�A�MTE.�IA�'��' �DM Phonel��mail x <br /> BUILDING PERMIT APPLICATION CONTRA�`� PRICEOF WORK ry��� <br /> Existing Use of Building F�oSPI'�' HEAT SOURCE: <br /> Proposed Use of Building Gas_ Eiectric_ o�ner_ <br /> Building type. _Single Family _Duple/x_Townhouse _Multi-Family _Commercial <br /> Type of project: _New _Addition v Remodel _RepTir_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> Description of Wotk(adtlitienal space pmvitled on Ihe backJ: <br /> ElIyI1NL� 5'SbRACeE KmM To 86 REJ+^oP'bIRD 1td['e A D1M-YSlS MqC.NINE MA�NTFNA�� �� <br /> Have you sWrted working without a permit7 _YES �NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING P�'_RMIT APPLICATION <br /> Typ.:ufProject: _New_Addn _A��eratlon_Repair TypeofProJect: _New_Addn _Alteration_Repair <br /> Show Num6cr(N)o!iixtures Show Nurttbcr(N1 0l liztures <br /> � A/C-airh-.�nningumis I Toilet <br /> � Forced air ryslems I BalhWb <br /> � Gas piping I Lavatory(wash basin) <br /> � Water heat.r I Shower <br /> �, Gas fireplace � Kitchen sink&disposal <br /> � Gas range � Dishwasher <br /> � Clothes dryer I Clothes washer <br /> � Range hood I Waler neater <br /> � Exhausl fan � Sink(servicelbar/mop!elc.) <br /> Heat pum�• � Backflow przventer <br /> � Unit heater I Urinal <br /> Boiler � Drinking Fountair <br /> � Refrigeration � Floordrain <br /> � Woodslove � Grease trap <br /> � Dur,ting Roof drains <br /> � Other _ ( Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I Other: <br /> � Number of Heads I Other: <br /> I h?re6y cendy Ihat I have read and examined�his applica�Ion and kno�v�he same�o be tme and correct.All provisions of laws and ortlinances qoveming <br /> t�is type of vroB wi:l be complied vnlh whether specifetl herein or not.The granting ol a permit Coes not p�esume to give authority lo violale or cancel <br /> the provision ol any other:tate or local taw regulating constmction or the pertormanoe ol consimction.That 1 am authorizetl by lhe owner of Ihis p�operty <br /> to pedorm lhe work lor wfiich applicalion is matle and I comply wilh ihe Sta�e CoNraclors Lavi 1827 RCW antl 2962�0 WAC i I <br /> ��. RA �'� 2°�-�2' �' <br /> OvmedAullwrized Agent Si naWre <br /> Dale— /Revised 112077) <br /> ��'i_ <br /> �� —_ <br />