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PERMIT APPLICATION <br /> BUILDINGlMECHANICALIPLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar ;t . �verett, WA 98201 - 425-257-8810- FAX 425-257-8857-www everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM <br /> SITEADDRESS:Q� TH � DROPERTV7A%M PERMI � % <br /> -� 5.� <br /> LEGAL lo�new mnslmc:lion Slrort('lal/sulrhnsi�w� I nt Nu I++nxh�npy ol lorp hqal Acsu�ptuxil <br /> OWNER �'G�Y� �"�LWC� ��L� f'hmxYl m:ul K� � ��r� W11 � �`i�* <br /> AAAress O � (� � G�y5laleUip <br /> i <br /> CONTRACTOR � � ' I. 8 I Lic 71 <br /> AdAress � Plw�x•Jf m;nl <br /> TENANT BUSINE55 NAME CON]�1CT FOR PCRMI7 _M� <br /> r��,f� ��ti� <br /> Ptxrne/1 -mvi <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ma <br /> F-xis�m�Use ol Bmlding_ _ _ __ _ _ .__ HFAT SOUNCE <br /> Propased Use o1 Bwlding��p�� _ a.+s___ t n�ync�,_ Umcr_ <br /> �mldug tyce �Single(nmdy . _ Uuplex___Townhouse _Mulh-famAy __Commercial <br /> Type ot pro�ect _New �Acldition�Re.modcl _Repau_T I __ Sign__SpnnMlei___fk�molnion__Chaiyc ol Use <br /> Descnplioi�ol Work(MJdbnnl spaceprtrv�A��f wi Ihe AacAl <br /> � I N.11�t�R— o� �Sl t�vc.F✓ � �.Gp t nor.� dG NEa�J <br /> �ra��r�c� <br /> Have yo�working wit out a permit7 __.YES �_NO <br /> MECWANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Praocl'. _New__,AAAn _ _Allerolmn__Repelr 7ype ol Prqecf. _New_AdAn _Alleralian__Fepair <br /> Show N�mrber(�)ol/irfurns Show Number(M)n/(tfures <br /> NC -au hanc11in9 unds 1 odcl <br /> f orcaxf au s stems [talhtiib <br /> ias ipin I avelm (wash basin <br /> Waler I�e»ter Shower <br /> Gas Ine lare Kilchen smk 8 dis osal <br /> Gas ran e Uishwasher <br /> (;IOIhP.50 E� Clolheswasher <br /> Range huaf Water heater <br /> I_eheusl lan SmM (service/barlmo etc <br /> Ileat pum E�ar,ktlow revenler <br /> Unit healrr Unnal <br /> Hniler Dnnkin 1'oun�ain <br /> --'� Refnc era�ion Roor Arain <br /> Wo�lstove rrease Ira <br /> Uuchng Rool Arams <br /> nihFr Metiical Cias <br /> SPRINKLER 1 SUPPRESSION SYSTEM Other <br /> NumM±r of HeBds Olher <br /> �rie�,r�L�cr!rtity IhAt I havr rpnq tinA r.nmined l�us Ppl'����iwn antl Fnuw I�R sa�>>e lo UP Irue afM CorrfC� All piovisrons of��g aM atl�nanCB3 9ove�=vng <br /> Puti Ipxt nf wo�F wtli fr•<<��npbr�l wiPi wi�ether SpPohetl�e�eim m �al Ihr g�ant�ng ul a perrnd AOPs nol presume to grve autlaniy lo ui0181e ol cBncr� <br /> in�pmvisi �n�any u i slaic or local w regulali�consVu<I�on a�Ihr peAorriancv of�xmsVucl�on Thel I am guihonpp�l by thP ow�ei o�t�is prof�`�ty <br /> i,�;x�di i6 -n npphr„�por 5 mBtle BM I e�mpq wtlh Ihe Slale :onbm]o�s I nw 1B 77 RC W Bno 795 700 WAC <br /> Ow r �iind � � gnalurr �� I�evrsM 2:.0�II <br /> I <br /> __� <br />