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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 8 AM TO 4 PM CI -a-S—I I <br />SITE--714 �S�SW � C-t,lt WR- 95ZD <br />PROPER 41xzws 600 <br />PERMITO _ oI <br />LEGAL In, new rnnstrudion Short PlaVsundwlsion Lo: Nr launch copy nl Inng Icpal desrnphnnl <br />OWNER Dtig MIl5fl CrAANT�J _M}n TO UN 19CP- <br />hddro%� 3r-� <br />000 l ILO �zECJ:-� If MS 4D <br />PhonelE-mail QZJ�Z31i 16-,3035 n �7 <br />CiIylslalefzip EVE -'r r: % 1I <br />CONTRACTOR <br />loimw <br />L 6 I Lic $1 <br />Aodmsz Phone/Email <br />TENANT Ali BUSINESS NAME <br />ImAs oiAN <br />CONTACT FOR PERMIT �4)^ C 4E.D, /X <br />Phone/E-rani U6 547 -194O brio n S@ kJv), nei- <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK _7,3 J j OO(__ <br />Exf,ling Use of Building _ HEAT SOURCE'. <br />Proposed Use of Building ___ Gas Electric A Other <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi -Family -�( Commercial <br />Type of prc;c=: % New _*� Addition _ Remodel __ Repair _ T.I. _ Stpn _Sprinkler _Demolition_Change of Use <br />Description of Work f rr/ddional space provided on the back) : <br />�NZENNa "tvW[� <br />4fe—'IN to'k kA kinA-CIOwsKNO <br />Have you started work,ng without a permit? _YES ( <br />MECHANICAL. PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Protect. _New _Addn —Alteration _Repair <br />Show Number (4) of axfures <br />Type of Project: _New _Addn Alteration _Repair <br />Show Number(#) of fixtures <br />A/C - airhandlinunits <br />Toilet <br />Forced airs stems <br />Bathtub <br />Lavatory (wash basin <br />Gas piping <br />I Water heater <br />I Shower <br />Kitchen sink B disposal <br />Dishwasher <br />Clothes washer <br />I Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />I Water heater <br />_ <br />Exhaust Ian <br />Sink service/bar/rrooletc. <br />_ <br />Heat pump <br />I Backflow preventer <br />I Unit heater <br />Urinal <br />Boller <br />I Drinking Fountain <br />Refrigeration <br />I Floor dram <br />Woodatove <br />Grease trap <br />Ducling <br />Roof drains <br />Other <br />Medical Gas <br />SPRINKLER I SUPPRESSION SYSTEM <br />I Other: <br />Number of Heads <br />Other: <br />I hereby certify that I have read and examined INS application and know the slime to be Inge and correct All provisions of laws and ordinances governing <br />this type of work will be compiled with whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel <br />the provision of any other stale or local law regulating construction at the performance of construction That 1 am authorized by the owner of this property <br />In perform the work foywhich application Is nnn)dde and 1 comply with the State Contractors Lew 18.27 RCW and 296.200 N AC <br />e- _ 4. /. ZVII <br />ire Date (Revised 21201 p <br />