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PERMIT APPLICATION <br /> BUILDINGIMECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 425-257.8810 FAX 425.257-8857 www.everettwa.org / 3 <br /> •' 2 C APPLICATIONS ARE ACCEPTED FROM a AM TO 4 PM <br /> PROPERTY TA%p PERMIT <br /> SITE ADDRESS: S .3 ' <br /> (attach copy of long legal description) <br /> LEGAL for new construction construction Short Plat/subdrwslon <br /> Lot No_ <br /> OWNER t— —I Phone/6mal - <br /> Address 3 b 6 1 1 C.tyfSlate/Zip <br /> APPLICANT: Owner Owneie Agent Contractor Contractois Agent _Tenant <br /> CONTRACTOR L 8 I Lic # CIO 15 -1 COE Bus LIC p <br /> 1 ► 4 5.4 -1 <br /> 1 S— PhonelEmail <br /> Address <br /> TENA T BUSINESS NAM=E <br /> CONTACT FOR PERMIT 1e�l�C\ �, 1 1 1�r• <br /> Phom9E mad �• fl <br /> BUILDING PERMIT APPLICATION;;; ]CONTRACT PRICE OF WORK <br /> Q � a ,,,�a. _ p,(,n� HEATSOURCE <br /> Existing Use of Building_ T� <br /> Proposed Use of Building S 0. _ Gas Electric Omer <br /> Budding type~Single Family _Duplex_Townhouse _Multi-Family _Commercial <br /> Typeolproject New Additionti Remodel Repair T.I. Sign crS dnkler Demolition �Cha af Ute o <br /> DESCRIPTION OFWORK(additional space provldedonthe back): --Irear-01 �°klbjtRC� S1toke rboi, <br /> rede-c_k w &h Ya,lf C'D$ Plywo()a + t-ep\c%re Loth ."CA <br /> o.)pproveA Co m pa3 int bL1 roo; <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Pro)oct: _New_Addn _Alteration_Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number N of fixruroe Show Number a of fixtures <br /> I AIC— handlinunits Toilet <br /> W <br /> Forced air 6 atems Bathtub <br /> Gas piping Lavato wash basm <br /> Shower <br /> Water heater lace Kitchen sink 8 disposal <br /> Gas r <br /> Ga Dishwasher <br /> Gas ran <br /> d er Clothes washer <br /> Clothes <br /> RWater heater <br /> Range hood <br /> Exhaust fan Sink servicelbarlmo lett <br /> Heal um <br /> Unit healer Backflow revenler <br /> Urinal <br /> Boiler Drinking Fountain <br /> reli <br /> Rel eon Floor drain <br /> WooderatGrease trap <br /> Ducting Roof drains <br /> Medical Gas <br /> Other <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> Number of Heads Other <br /> I hereby redly Nal 1 have read and evamned ih1%ap,Watmn and knnw the same to he sue and coned Al provisions o(tawa and ord Yances anvemng that type of wod my be connbd <br /> wdh w Plhm sperfiM hemp w not The granting n1 a p,rms does not Vaawmo to lion,authte <br /> onty to violate or"Poel me mv,snn of an other$1810 a la <br /> bol law req q <br /> That I am sumonred by Me malialyoff"'is Pommy 10 prdnrm Ne woA lar Wei,appLrabon is made and I mmpiy wdh mo Stam Cootmclom Lew 18 27 RCW and 796 200A WAC <br /> Ljfty r (Revised&2012)01vartar A u�thoyr}zad Agent <br /> Signs � Oate <br />