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0 <br />PERMIT APPLICATION <br />BUILDING/MECHANICALIP LUMBING/SIGN/SPRIN KLER/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 />SITE ADDRESS: �� 1 C E <br />J <br />PROPERTY TAxd <br />E MITa 3 _ r` <br />lJ <br />LEGAL for new construclion. Shon PlaUsbbdivt9011 Lol No (allach copy of long legal descnplion) <br />OWNER A <br />UQ /t <br />7. <br />PnonelE mall <br />Address &AA1VV-Q-1 <br />City/Slstelbp <br />APPLICANT:_ owner Onnei's Agent Contractor Contractor's Agent Tenant tn,At no.we aisnor or consent ham dr afire, to do won mo vcac.l <br />CONTRACTOR IOW v Fv-IL-L <br />Stale Lie. p 1-91 lenoi City Bus. LIc. 0047 f <br />Address �r l i PhonerEmad Z�g A(pO74 / <br />, � <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />P,010 t42-S 4-72'. )l � <br />Phone/E•mad <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK -Z BCiD . L)0 <br />Existing Use of Budding _ _ _. .__ HEAT SOURCE <br />Proposed Use of Building Gas Efecltic Other <br />Building type ASingle Family _, Duplex _Townhouse _ Multi -Family _ Commercial <br />Type of pro ecT. New Addition Remodel Repair T I Sign Sprinkler Demolition Change of Use <br />DESCRIPTION OF WORK (additional Spero pmwded on the back! <br />4lU V, wateA �A riv.e M `Iffy Sh th -tfl ei+�i <br />MECHANICAL. PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project; _Now _Addn _Alteration _Repair <br />Show Number (a) of fixtures <br />Typo of Pro)ecP. _New _,Addn _Alteration _Ropalr <br />Show NutrIDer ra) of fixtures <br />A/C - au handling units <br />Toilet <br />I Forced air systems <br />Bathtub <br />Gas piping <br />Lavatory (wash basin <br />Water heater <br />Shower <br />Gas fireplace <br />Kitchen sink 8 disposal <br />Gas range <br />Dishwasher <br />Clothes dryer <br />Clothes washer <br />Ran a hood <br />Water heater <br />Exhaust tan <br />Sink servlcelbarlmopleic. <br />Meet um <br />Backflow reventer <br />- <br />Unit heater <br />Urinal <br />Boiler <br />Orinkm Fountain <br />Refrigeration <br />Floor drain <br />Woodstove <br />Grease trap <br />Ductm <br />Roof drains <br />Other _ <br />Medical Gas <br />SPRINKLER <br />I SUPPRESSION SYSTEM <br />Other VVOLA4X Iy <br />Number of Heads <br />Other. <br />I herety cc14y thal I have read and examined I1,6 appl"ton and know the tame to be true and comet As provmons al laws end ardnances gevemmg lhn type of work vns be complied <br />with whether specdted herrm or nol The granting ova pemi, does not wesume to give aumonly to violate o, cancel the provlswn of any olhar Hatt Of local hwrsgulaing WMlnitlwn <br />That 1 am aufhanred by the owner of this property, to pedonn the wank to, which application is made and I comply wah the Stale Contractors Law 10 2/ RC W and 296 200A WAC <br />( ca:=�2�L 0 rlAuthorized Agent Signature Date (Revised 7?017) <br />