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PERMIT APPLICATION <br /> BUILDINGIMECHANI�AUPLUMBINGISIGN/SPRINKLERlDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SL. [verett, WA 98201 425 257-8810 FAX A25-257 8857 www everetcwa org <br /> SITE ADORESS: PROPERiY 1Al(d PERMIT tl <br /> Q� r � r !l — D <br /> LEGAL lor new conslrucl�un Short PlaVsi,6drvision___ ________.. __ _ ,__ Lot No__ (a11aUi copY ol long�egal de5tnpnon) <br /> OWNER � PhonelC�mail (.+ Z� ' �� �' ) �n �� <br /> Address S �. t J p GtyISWIC/!iD Q � L� <br /> APPLICANL Owner _ Owner'sAgem Gonliaclor ___ Condaclors�9en1 _ Ienanl�m�s�p:necaime�:ico�se-.ino��mev..��rmeo..�n�..v����ace� <br /> CONTRACTOR {��' 1r _ Slate Lic N GI I3us Lic # <br /> Addre55 Pllunc�Emad <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Pnonc�F n'�ad �� � � ��l � ��� �� ✓ <br /> BUILOIMG PEttMIT APPLICATION CONrRncr PRice oF woRK _�_ ?_(��d <br /> frisUng Use of Bu�'di�g ______ _ _ _. ____ HEA1 SOURCF <br /> ProposedUSeolOwltling __._ Gas___ Eleclnc_ Oinrr <br /> f3wld ng type �Sngle FAmdy _Duplex __Townhouse _Mulli�Faml'y _Commeiaal <br /> Type of pro ect New Addihon __ Rerrodel __ Repair __T I _ Sign Spnnkler__pemolition CAange ol Use <br /> DESCRIPTION OF WORK�eddd�o��ei cpace p�owded on rno e��ca� � <br /> N�-� Ca_,� � o �'� -- 2 4 '- (.� '' x ► � <br /> MECNANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of ProJocl: �,New_Addn _Allcration_Ropelr TyDo ol Pro�act: _New_Addn _Alloratlon__Ropair <br /> Show Num6cr(M)ol ll�hi�es Show Numbcr(N)ollirfums <br /> NC - av handhn units Toilel <br /> I forced a�r systems dathtub <br /> Gas pip�ng lavNo (wash bosin) <br /> Water heate� Shower <br /> Gas fuePlace Kqchen s�nk d disposal <br /> Gas range Disnwasher <br /> Clothes drycr Clolhes washrr <br /> Ran e hood Wa!e� hcalcr <br /> F.hausl fan Sink(serv�ce�ba�lmop/etc ) <br /> Heat pump Backllow revenler <br /> Unit I���aler Unnal <br /> � poi�e� Dnnking I�ounlain <br /> Hefnyeration I Floor drain <br /> Woodstove I Grease tiap <br /> Uucl�ng I Roof drams <br /> Other � Medi[al Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I Other <br /> Numbrr of HeaAs � Other <br /> I M1eteOy Utlify Ind!I I�nve ieod Ord C�a•ni0ed R�is a0PL41Iipn dntl know Ihe Sdme 10�C IN!Bnd cOrtld RII DrOVIsi0n5�18Wf Bn!nrC:nOnce!qOvelNn�100Irye at WnM1 w11 be ccr^p�r� <br /> wnn wlrtl�cr specdiea Pricin ar nol The qionlinq al a Dertnn dOes nol pmsume lo gna aulnar9y to vqla'e o�wnullPe p�ons�Cn o1 Bny oth��smte o�local liw mgWaUnp ce��trv"I�o� <br /> Ihqi 1 am au'I�on:rG�y Ne owna a�I�if prape�ty lo Oe�am t�e worA lor w1nU epp4fa�.�on u mnde n�C�camDN H'IA Ihe Sta�e Canvaclon law �P 7 i RC W an�l9F 7^"<NJ4C <br /> �� .�r I K7,,,�� a �I - 25 - ly Jc� <br /> OwnerlAulhorized Agen ure Uale (Nev,srtl l^Oi31 <br />