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PERMIT APPLICATIC►N <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar SI . Everett, WA 98201 •425•257-8810- FAX 425-257-BB57-www everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM �-'.3O��� <br /> P MIT� <br /> SITEADDRESS: ' y`.�.� ,,.{ti� : . onweN_?�i9x"C ��� � ' ���� � ' D � � <br /> LEGAL k�new conslmcuon Snort PlaVsu�drvismn __]1^�('. r ___1�lAJ_ �°�NO - - (�����h copy ol io�g legai Uescnplm�l <br /> n � . :� ' i Phone!E-mad �.) � � � �7.�� � <br /> OWNER C `1 '� ('1 i' ) <br /> ` � r �,,. " � �11 L Cd �Siale/Z�� �� � � <br /> Atldmss .� , I G � _) Y { �/ �_�✓�''- � .1 U� � <br /> CONTRACTOR L� � L� � ��� �� ' L 8 I Lic.N <br /> � ``� j <br /> /� � � 7���r{ � �� , _ - '(' � ��� Phima�Email ' j <- �7 ' � , <br /> Atldresa � V . - . <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> �) L1� 1(i,Cl �f��'1`) <br /> ����7��I�1.� � �1 kC �L PhunolL�mdJ '% � ' ��'� � <br /> BUILDING PERiMIT APPLICA ION CONTRACT PRICE OF WORK� �- �0 <br /> E.Islinc�Usc ol[3mlAing_ �J_"_.�.� ______ HEAT SOI:RCE. <br /> PwposeA Use ol Ouilding� � � � Gas Eiectnr Omer <br /> J�'�------- --- <br /> [3uilding ty{ro _ Single Family _Duplez_Townhousa _Mulll-Family }�Commercial <br /> ;���ol�✓ojecl _Naw _AdAilion _Remodel _Repair�T I. __Sign_Sprinkler_Demolition_Change oi Use <br /> Destrip;''m of WnrF�npnaronN space p.ovrOnJ on Ihe Ancxl . �.�L< I � C� -�Y I�-�-• L C(c. <br /> ��k'� ��y'Y:�� L�-f � (2ri�'��•�1-'. C� 11.�A �vl � ��ti.(C• TZ C,.� C-� I�� <br /> rt, I'�, ��c L'°j /lri� l�11�� . 1��Ili��ti ���C ��t ����l�,G�f� i�4W �7h�iiiiLn���i. ��-, , C�.C��tiS, t�L IZ�: <br /> Have you staAed wdrking without a perm t7 YES ,�NO <br /> MECHANICAL RERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Tvpo M Pro�ett: New. _Atldn ..Alleratlon _Repalr Type ol Prqect' __New__Addn _A��aralion_Rapalr <br /> Show Numbar(1'�1 ul li+luros Show Numbei � ol fiifuiea <br /> h'C-air handhn unils Toilet <br /> Forc.eA av systems Dalhlub <br /> G:�r n+in� Lavalor washba5in <br /> JValnn c�aler Showcr <br /> �i����i���i��, Kilchen sinh 8 dis iu5al <br /> Gas r�n<e Oishwashcr <br /> ' Clolh�s d� er Clothes washer <br /> Ran e hcoA Waler healer <br /> E.hausll.u� Smk�servicc�b�.�,mo �e1cJ <br /> � Henl pump �acFllow reventei <br /> � Unil he�der Unnal <br /> Ciodrr Dnnkin Fountain <br /> Rcln era�ion Floor drain <br /> N'coA5lovc GrcaSc tr, <br /> — Duainc� Rnol ArTins <br /> Olhar �ledicat Gas <br /> SPRINKLER I SUPPRESSION SYSTEM o��ier <br /> Numher ol Heatls Other <br /> 1 <br /> ��npupy�endy li�.�t�iiarr�r�ul a��J e.annnr,�l In�s nppi�c.iler�a��d���oa li�r sama lo be Irue and m�rect A'i provisio�s ol ITws a^�ortlma�ces Bo�ennnq <br /> Ilus typn ol wnrk w1dl be.cnmplied w�lh Hh�yl�cr 5peulreU here�n or nnt The U��nUng ol l Dermii Joes �ol p��;ume lo give aoV�Ority lo violale or pdnrei <br /> Ihe pruvis�nn ol apy o�ho%slale or lo[a��aw raguix�ing consim[I�on or Ihe�'edormince ol conslruction.T�a�I am dulhOn¢!�D J Ihe ovmer 01'his propeny <br /> tn pi�dnrin I��n wo1w�o�w(��rh appi�cntion�s madn pntl I camV�y��h Ihe Slale Cuniractors Law 18 27 RCK'e�e 2D6 200 WAC <br /> � ��� �� ��— IHevisetl221111 <br /> Ownor/Authorl:ad � 51 na e 't" <br /> '� ' ��� <br />