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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIC NISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St . Evor�tt. WA 98201 • n25-257-gg10—FAr 425-257-8857—wNnv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM tl AM TO 4 PM J— <br /> VROPERTY TA%N PERMIT N <br /> SITEA;D�SS: ,.L'�."4 `• _� r-. � 1 � •�I � I� ��,�L [��C�CC� ( 1 .� �.., <br /> \ <br /> LEGAL lor nnw<onsbochon Snn�1 Plat:undrwao�� Lnt No_ __ Irltach co0v�I long le9al Eescnpl�onl <br /> OWNER l.. 11��� � - � l,� l ( 1 Phone E�ma�l <br /> 1� _ � \, � V � <br /> Addie:5 ` 11� � � I C Cilr S�ale ZiV y�,1 � � ' <br /> ♦ <br /> CONTRACTOR � - -� rIl l��L�' �� L 8 I Lir. d '`-- -�.`��', - � <br /> 1 _ . `-�, L <br /> � Pno�eEmr,�' <br /> A��c�� 1�7 � �riC1 � CONTACT FOR PERMIT <br /> TENANT BUSINESS NAME <br /> , ,�. _ � �,� � •r r r- � <br /> _� - I I - ��� ;- r�no„�e-�,a�i 1' . <br /> BUILd N PER T APPLICATION cONrRACT PRicEOF ORK � " � `' <br /> [ns�my U=e al Budding \}\ � �,� _ . HEAT SOURCE� <br /> Pir�xiced Usr.ol Buddinq !�� ,�t.l I Gas_ __ Eie<tnc_ Other__ <br /> Bwldm,rype- Single Famtly _ Duple� _ Townhouse C1u0i�Fannly hCommerual <br /> Type of pro�ecf ___ New ._AddAion __Remodel ._ _Repa❑ x T I. . _ 5�9n __Spnn�kle(r_Demohhon_Change ol Use <br /> Dt!s�nntinn nl Wofk i.�JJ�hon.�l.p.e�n�v���JrJ on Ihr h.�'AI�. A ����� V��� � � l�� � A �����.j � �� � �1���A � <br /> �0.�"�'� � C�1'�`(.� (:1�� p�(�1nC' ���� ) , <br /> � ) � -{ ��.i�t-Ir�' � C. ��n ��1`� . <br /> Have you started working wilhoul a permit7 _YES x_NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol Pro�ecf. New._AdAn __Allorallon _Repan Typo ol Pm�ecf. _New_ AtlAn _Allmntlon_Repalr <br /> ihow Nunrbw(MI ol lirtwes Show Number�N)ol flrfures <br /> !�'C -�ir hanAlin- muls Todel <br /> Fnrced an s stenis Ba1hIiN <br /> C_ � �,i_ ��i ���c Lavato IwashUas�nl <br /> �Watei healrr Showar <br /> Gas hr�place Kitd�en sink R dis iosal <br /> Gas i�n c Dishwasher <br /> Gloi��oc dr er Clnthes washer <br /> Ran�le hood Water healer <br /> �� [ahaus�lan Sinh Iservicr bar'mo !elC I <br /> Heal um i BacAtlow >revenlr,� <br /> Unil heatnr I Unnal <br /> BoJrr ' DnnAing Foun�am <br /> Rt�ln erahon Floo�drain <br /> W n�tslrne Grease Irap <br /> �i li�i 7 Raol drams <br /> � ou���� L i n�\ � �+ea�u,i c,s <br /> SPRINKLER / SUPPRESSION SYSTEM Other <br /> . Nwnbnr nl Ht•.id< OIhe1' <br /> I���•��.P����n.l,niil I hr:.e i+d�anU e•an�inet]1nu appiical�un 2no Anon Ihe Same lo be Ime and mrteci All provisions ol laws a��d ord�nanres govNn�np <br /> p,�,i,p,•ri n��� wiu he comO��eE w+lh whet�a speulreA�erein or nol The gian!ing ol a pe�m�t Ooes not D�esume lo qrve aulno��ly Io voiate or can;ri <br /> ,,.�,i,�,�..�� �„r an�oll�ei sl��«in oral law reguqbnq constmc�wn or ihe pedormance d con5l�utli0� Thal I nm authon:eE 4�I��P m���P�ol Rx;�,�al�•��tv <br /> p�d�,r.�lu�.. ��� 1;� nh��n ni`Vi��.�Iron�5/niade�nd 1 cumply wnn iha Slale Conbaciors Ldw 1827 RCW and 2Mi 100 WAC <br /> \ I � , \ ` ` � I I <br /> • � _ •. � �.-_,- <br /> � � tY J:..�,a.J L Lali� <br /> DwnmrAUR•orlmAAponlSlynnlur . <br /> I�� <br />