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PERMIT APPLICATION <br /> BUILDING/MECHAN ICA LIPLUMBING/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 /> in-�- t <br /> SITE ITS; PROPERTY TAX a PERM`TI O –oo� <br /> LEGAL for new conslmchon Shon Plallsubdivision_ Lot No (anach copy of lorg legal description) <br /> OWNER11(a k Ma — f <br /> Address / CttylSlalefLp <br /> APPLICANT: Owren Owners Agenl �&,Contraetor contractors Agent Tenant^tipmrdestpeermmnum hem me oenrmao+wvnuw sQace) <br /> CONTRACTOR Ourr Stale Lic. p d Bus.L/lc. If <br /> Address !b ypv a(/ieso^ W fV- PhcnelEmad <br /> TENANT BUSINESS NAME CONTACT FOR ERMIT <br /> C0. <br /> Phone(E-maw Y 7' <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORN L) <br /> Existing Use of Budding _ _ . HEAT SOURCE <br /> Proposed Use of Budding-- Ges Elednc Other <br /> Building type. ingle Family uplea_Townhouse _Multi-Family !Commercial <br /> T of ro act. AdditionRemodel Re air T I SI n Sprinkler Demolition_Chan a of Use <br /> DESCRIPTION OF WORK(additional space provided on the back) <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Project: _Now_Addn _Alteration_Repair Typo of Project: _Naw_Addn _Alteration_Repair <br /> Show Number(a)of fixtures Show Number(0)of fisfures <br /> A/C-air handling units Toilet <br /> Forced airs stems Bathtub <br /> Gas piping Lavatory wash basin <br /> Water heaterShower <br /> Gas fireplace Kitchen sink 8 disposal <br /> Gas ran a Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water healer <br /> [xhaust Ian Sink service/barfmo lefc <br /> Beat um Backflow pteventer <br /> Unit heater Unnal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Greasa Ira <br /> Ducting Roof drains <br /> Other _"6 Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM Other <br /> Number of Heads Other. <br /> I hereby eerily that i have read and examined this application and,now the some to be we and correct All provisions of aws and ordinances governing this type of work will be compked <br /> wM whether specified herein or nol The graining of a permn does not presume to one awhordy to mime or Unui the Provision of any whet stale at Wel taw regulating mnsWction <br /> That I am authorized by the p"er of this PFQP)1A lop o r the war,for,wfiwr, appscatan is made and t tomPey wish the State Conbaows law 19 2?RC W and 796 200A WAC <br /> e%M <br /> Own IA 17od Agen I sun Date (Revised A?017) <br />