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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425.257-8810 FAX 425-257-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM S —�u <br /> SIT DD S5: PROPERTY TAX N PER T P <br /> �' Gc) &�Gbo"�O 5-o I <br /> LEGAL for new constriction Na-0' (attach copy of long legal description) / <br /> OWNER I PhonplE•man p?©6— :.2` - 3J` [)�` / <br /> Address i CIIyisupelzip r�U <br /> APPLICANT: _Overer _owner's Agent - 7(Contraclor _Conlraolofs Agonl Tenam tm„unm.eeawnummm.m r,am me m.wrnno conn�.mr.oavl <br /> CONTRACTOR h L 6 I Lit; N COE Bus.Lia (J <br /> ��s 'PC — .J V PhonclEmaA S— = cj. . .3 <br /> Address - " <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �y <br /> PhunelE mail SV <br /> BUILDING PE%MIT APPLICATION CONTRACT PRICE OF WORK ;-ZcoOy <br /> Existing Use of Building _ _SLP HEAT SOURCE: <br /> Proposi.d Use of Building Gas Electric Other <br /> Building lype. •;pf Single Family _Duplex—Townhouse _Mulli-Family —Commercial <br /> Type of project New Addition Remodel Re air T.1. _Sin S rinkler Demohkon Chan a of Use _ <br /> DESCRIPTION OF WORK(additional space provided on the back <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Prolecl _Naw_Addn _Alteration_Repair Typo of Pralect. _New_Addn __Alterahnn_",Rrpair <br /> Show Number N of nelums Show Number(N)of firfures <br /> A/C-Alr hand'In ug ne•, _ _ _ I Toilet <br /> I Forced mr systems I Bathtub <br /> Gas piping --- I LAVAInry(wash basin <br /> Water healer _Shower <br /> Gas fireplace I Kitchen sink A disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> I Range hood Water heater <br /> I Exhaust fan Sink(semicelbarlmopletc.) <br /> I final pump — _ I BAckffow pineventer <br /> —� Unit healer _ Urinal <br /> Boiler _I Drinking Founlam <br /> Refrigeration ( Floor drain <br /> Wofi(H"v,• _ _.. I Grease trap <br /> Duc,....j Roof Drains <br /> I Glhlr Meo¢alGAs <br /> SPRINKLER I SUPPRESSION SYSTEM I Othnr <br /> I Number of Hc;ol,, __- Other. <br /> 1 homby ce"ey that i have read and evamead Inn applit,~And snow mr some to tin Inn and rLnrel AN pmvlibns of laws and oNmancn govemrq Ih,s type of word wit be remelted <br /> colo whether slkcired herein At nor The granting of a prone rfoea nal prr'aune to give Auditory to vrolxir a camel the provaeln of any door,flair or kd Al how ringolating alm10uc11ne <br /> Thal I am a.dea.led by the aroar of the pm0eriy In tredarm the wind tar witch appl2alan is made and i compty with the Stale CMloictnn Law IN Ir RC W and 796 700A WAC <br /> OwnerlAuthoriaed Agent Signature Data (Revised 6/7017) <br />