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PERMI� APPLICATlON <br /> BUILDINGIMECHANICAL/PLUMBING/SIGNISPRINKLERIDEMOLITION <br /> CITY C�F EVERETT PERMIT SERVICES <br /> 3200 Cedar St , Evered,WA 98201 • 425-257-8810- FAX 425-257-8857-www.everetiwa.org /,l <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM 10 4 PM D '(�4�1� <br /> SITEADDRESS: � PROPERTYTAf(N R���T� _ <br /> ` �l lcG� ' • ' o.�zvco � � ' <br /> LEGAL lo�new conSWclmn Short Pletlsu�drvie�onf L.�_QJ_�flfP���—�ol No� lallech wpy o�IonpldpMd�crnp64f11_—— -� <br /> OWNER ' L �r• [, rhorrert�mau y.. ��3 - r �nl� »v .�.CY� <br /> AACress -' � S ,�, `$q CityiStnle/Zlp � :� �jr1 L 2���� <br /> CONTRACTOR nrS LLC L.41L�c M L .3 <br /> AAdrvsc /7 � � y S' /�.�� •M'���" Vi.� �] '� �'honMfmall� — - !7(✓IG� •���'�f�� •�" <br /> TENANT BUSfNES3 NAMF CONTACT FOR PERMIT <br /> I ' n � L L L .� .l �LL� m N..� Phoneif�mai1111 '' .3 �l � � A '.nF�� 4n1��� (r'i �w�v�. [. <br /> BUILDING PERMIT APPLICATION coNTaacT PRICe oF WORK <br /> EMisling Use ol&nldin9_J J HEAT SOURCE <br /> Proposed Use ol Building_���__a"��11e������(!__ Gas Ebc�nc Otnar fe. �. <br /> Buildiny type �Single Family _Duplex_Townhouse _... MultrFamily _Commemial <br /> Type ol pro�er.l �New _Adddmn _Remafal _Repair_T I _Sign_Sprinkler__Demolition_Change ol Use <br /> Descnption of Work Innt�monn�N�ece NovrrJea on rna becF i <br /> C :.,.;�+ ,.� � •,l,��lc ����7 L�...r �,.. Lincn..� i.,�" <br /> Have you atarted working wllhout a pemdl7 _YES r_NO <br /> MECHANICAL PERMIT APPLICATION PLUMBIN(3 PERMIT APPLICATION <br /> Typs ol Pro�ecl: �,Naw_Addn _Alteretlon_Repslr iypx ol Prohct: �Nwv_Addn _Akeretlon_FapMr <br /> Show Number / o//irturea Shaw Numbsr �)ol flrtuns <br /> L> NC-air handhng um�s Tuile� <br /> � 1 orced art s stems Bathtub <br /> y Gas i in 1 Lava�ory Iwash basm <br /> � Watei heatei Shower <br /> � Gas hrepinee Kilchen sink 8 d��nosal <br /> � Gas ran e �Dishwasher <br /> � L������,y��� E� Clo�hes washer <br /> �_ Ranc e hooA Water heater <br /> j f•haust lan Sink servii;ePoarlmo /e�c 1 <br /> �. ��P�� i�m Dackllow ireven�er <br /> Wu�hca�er 1 Unnal <br /> ��� f3oiler Dnnkinq Fountain _. <br /> �� Reingeralion Floordrain <br /> Wocxlstovr Grease ira <br /> — ��ii�y��� Rooldrain5 <br /> Othei Medical Gas <br /> SPRIriKLER / SUPPRE$SION SYSTEM Otner <br /> Numbe� ol Heads Other <br /> I hernUy ce�1Ry Ihal I havr�raA anA r�amirnetl Ihis applicihnn aiwl kn.rv+IM same lo be Irue and cmre�i All pmvismns o��exs and mdmances govermny <br /> Ihis lype ol worh x+ll ba rompl�ed wdh whelhor epauOeA hereln or not T�e prentinp ol a penn�l�oes nol presume to grve But�or0y lo violate o�rancnl <br /> Iha piovisimi of nny othei slate o�locnl lew n!qulsling conslru�lwn o�Ihe pedormenca al consUucl�on lhel I Bm eUt�0112eA Ey�he l�tEr ol ltus p�opehy <br /> to pedoni�thr worh�oi which nppllcaUan is mnde end 1 comply wilh�haStele ConVar.tore Lew 19 27 RCW and 796 400 WAC <br /> I(� .. •__.�'t�,�i. � C � n �J �[� �� <br /> Ownor/Aut�oriteA Agm!Sipn�tura Date IRevrsed?/IOi�1 <br /> I1/l <br /> �� <br />