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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everelt,WA 98201 -425-257-8810- FAX 425-257-BB57-www.everett�m.org <br /> APPLICATIONS ARE ACCEPTED FRJM 8 AM TO 1 PM 1� <br /> SITE ADORESS: , . ' . . � � DROPERTV iAN p ,� � P IT N /r <br /> � � � �, <br /> LEGAL b�new mnc�r.�cnnn Snon�'iavsuomv�son __ Lo�No__ 1 iach copy oi�o�g logai escnpbonl <br /> _ . _ D f� ''o <br /> OWNER_ \ ' '.'—' ' " r�marr , <br /> � � � , ' ; <br /> nae,�,s '1 I c�ir�saie z�o �1 f; I i � - <br /> coH�RnctoR 1 '� ' I 1 �� � � � �s���� a `�, 1 ! � � � 1 1 � f ' ` �� <br /> I ! � , <br /> Adamss . 1 ' �� ' f � � � � I PnoncEma7 <br /> TENANT USINESS NAME CONiACT fOR PERMIT � ; � � � � � <br /> y 1 I <br /> � � <br /> ' �I � 1 . � '. Phone�Gmad ' � (� . �� 7 i 1 .� ' <br /> � , <br /> BUILDING PERMIT APPLICATION � CONTRACT PRICE OF WORK ' < < <br /> E�isnng Use ol Bwid�n9 �_, . �_.� � ` HEAT SOURCE- <br /> Proposeel Use ol�wldni9 � ' . . ,_i 1 . _ Gas '_ Elec�nc__ O��e�___ <br /> Bwlding type� Singlo Family _� _Duplez__Jownhousc __Multi�Family ?Commeraal <br /> Type ol O�olect. ,_ Now _Addition _. Remodel _ Repav i T I. ___ Sign_Sprinkler_Demoldion___Change oi Use <br /> Desuiplion ol Work�rMdrtronnl spnc�nn+w��od���rr��n,�:u � . ( <br /> � �� ' , � ' 1 )� i 1 �V � I � I )' � ,''' I �� l � �I <br /> i i � ; � . <br /> Havc you started working wllhout a permil7 _YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> iypo ol Pro�acf _New_ Addn _ AllaraUon___Napalr Typo ol Prolett'. _ New_Addn _A�lerollon__Repelr <br /> Show Number(1'�)o/��fures Sbuw Number(t)o/�xlures <br /> /liC-e�r handlin unds Tode� <br /> ForcCtl av 5 slem5 ��������b <br /> Gas pi m Lavalo wash basin <br /> Waler healel Shower <br /> � Gas hrC laf.e H�ichen sink 8 tlis os31 <br /> � Gas ran e Dishwasher <br /> Clolhes tlryer Clothes�vBsher <br /> Ran e hood Water heater <br /> Ekhausl tan Sink Iservice/barlmo �etc.) <br /> Hea�pump 9ar.k0ow prevenler <br /> I UI111 hCBICf Ur�tLll <br /> BoAm �nnkm Fnuntain <br /> Raln<craUnn Fluor drain <br /> Wonclsiuve Grease ir2 <br /> [) �'.����� " Rool tlrain5 <br /> ��i � M11ed�cal Ga5 <br /> SPRINKLER / SUPPRESSION SYSTEM o�ner <br /> Numbor ol Heads ���1ef <br /> I nn�rby rPqdv V�JI I ri�m�ead qnd e.a���neE Iris.nP��cdl�oi�anC��ow Ihe smm�lo�e Vue d��d co•'ect Ali V����s�o�s al laws anE a�tl�nan[es govemmg <br /> � �r,,,�y��c al wo,�n�i�ee ro•��p'�od v�l�whelhar sp^al�ea he�e�n or np1 lhe g�ammg ol a OQ'md doo;�ol p�esume lo give eul�oniy lo violale or eancel <br /> P�r n�uva�o����i,n`r,'.I'�m;6�te o��oca�Uw raqulaUng�:onsvueUo�ar�ne pedorma�ca ol co�SVuUmn Thel l am 2N�onied�y the oM+1lr 01�h5 propetly <br /> ,n�e,4nm p��.�;,_;n r„ ,. ,»,arpoc��on�s matic and��om0�y�In Ihe Stqle Co�Vaclo�s law 10 27 RCW enE 296 200 WAC <br /> . . _ li � I I ) <br /> OwnorlAuthonredAgentSipnnlure . Dale (RavROJ7.70UJ <br /> I/� <br />