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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.everettwa.org <br />_I <br />SITE ADDRESS: PRopraty TAX a ERy, 1� <br />IDI`' <br />LEGAL for uew construction: Short PlaUsubdivlslon_ Lot No_. (ahach copy of long legal description) <br />OWNER VNi et.:) PhonelEmeit - <br />i <br />c-r CIIy/Slale2lp J L arrii <br />Address <br />APPLICANT:_ _Owner _Owner's Agent _Contractor Contractor's Agent _Te^ant lmun prowda•ialram,.am can ew ownwmao work ,n aw cowl <br />ovii Stale Lic a Cit sue. Llc. N __ <br />CONTRACTOR <br />Phone/Erri <br />Address <br />E CONTAC f FOR PER IT <br />ENANT BUSINE <br />GI71'5 ' 3k'6 �fot <br />PhvnelE mall <br />------------ <br />13UILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK <br />2 cat UTAI2gt HEAT SOURCE. <br />Existing Use of Building <br />Proposed Use of Building Q-� (�Li-N_TTA/ ►k�"�r -�,Pl G Gas Ebdnc OtMr <br />type esingle Family �uplex _ Multi -Family _ Commercial <br />Building _Townhouse <br />I New Addition Remodel Re air T.I. Sign Sprinkler Demoliflon__ Change of Use _ <br />Type of r I <br />DESCRIPTIONOFWORK (additional space provided onthe back): ApOl*�Nq (Umr►rLi)GlcJt7T�� <br />I L3;5r f t rr�` W Ql �h I ADD .qol-s AL_ 1 ►j bu L-YrC YZi <br />hi tierog-D <br />PLUMBING PERMIT APPLICATION <br />MECHANICAL PERWIT APPLICATION <br />Type of Project: _Addn _Alteration _,Repair <br />Type of Project. Now —Addtion — Repair <br />,_New <br />show Nu ) of fixtures <br />Show Number (a) of fixtures <br />Toilet <br />A/C - air handling units <br />Bathtub <br />Forced airs stems <br />Lavatorywash basin <br />Gas i m <br />Shower <br />Water heater <br />Kitchen sink 8 disposal <br />Gas fireplace <br />Dishwasher <br />Gas ran a <br />Clothes wash <br />_ <br />Clothes d er <br />Wateer <br />r hooter <br />Range hood <br />Sink as icelbarlmo /etc ) <br />Exhaust fan <br />reventer <br />Ilea) Pump <br />Urinal <br />Urinal <br />- <br />Unit heater <br />Drinkm Fountain <br />Boiler <br />1301 <br />Floor drain <br />oration <br />Grease trap <br />Woodslova <br />Root drains <br />Ducting <br />Medical Gas <br />Other <br />SPRINKLER I SUPPRESSION SYSTEM <br />Other <br />Number of Heads <br />Other. <br />I hereby empty Inat I hove mad and examined this application and know the same t0 be Iwo and correct AN provisions Of IRM end ordinances governing dill type of wad wdl be complied <br />wdh whether specifedt,,l or no The granting o, a permit does not p pw v, to gNe sutherly to elataie W C "I any provision of any other Nste 01 local iaw'agtilaong CneatnidiOn <br />Tr et I am authou y in <br />owner or proper, to r, the wed fa when application Is made and I codPly wdh the era`s Conlradon Law to zi RC W and 799 20GA WAC t I <br />TA�13 <br />OwnorlAul orized Agent 9lgnalure <br />ate (Revised Y[g17) <br />