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• <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar SI , Lverett, WA 98201 425-257-8810 1=AX 425-257 8857 wvnv.evereltwa.org <br />SITE ADDRESS: <br />p �✓ S5 2 It <br />L EGAL fen .: ,. - - -t l pit <br />PI PRORTY TAX r x <br />_ Lot No _ ._- (allach copy of lorg legal descnphen) <br />OWNER _ (T�j)yyy gs_��. _ _ - -. <br />•"d'ess <br />PhonelE mad <br />1C0ylStaIel7,q <br />APPLICANT: Owner Owner s Agerl Coliodcfof Conhactor's Agent Tenarl o lo,.11f� da.,n �•r.:wr.l <br />CONTRACTOR_ AY r��%�/,/�yr <br />Statebc R 1 Clly Bus. I a <br />"d—sZo?t6 SO" <br />9PUA Phonerrmad ) %—&664yAJ1J±<z <br />TENANT BUSI4E55 NAME <br />CONTACT FOR PERMIT <br />.. 1. ,..dJ <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK %A <br />wV <br />I`•i5U'.) Use oI H.. r� -. <br />Proposed Use of Building_, <br />Building type •_ Single Fanaiy _ Otirdes _T o.vnhouse _ <br />Type of project _ New _ Addition _Remodel _ Repair_ <br />DESCRIPTION OF WORK fnddbonalsnaceprewdedonthe baca) <br />__ HFAT SOURCE <br />Gas_ Elea-.c _ (),he, = <br />Mull, Family _ Commercial <br />1 Srgn __Sp(-nkfer ___ DP- ohuon_Change of Use <br />__ <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type al Ptolect: , Nc.v _ Addn __Alteration __Repair <br />Show Number pl) of fixtures <br />A/C - air handling units _ _ _ <br />I Forced art systems <br />_ <br />Typo of Prn(ect _haw _Addn _Allocation _Repair <br />Show Number (N) orfixtures <br />t Toilet <br />Bathtub <br />Gas t m <br />Lavatory (wash basin) <br />Water healer <br />Gas fireplace _ - _ <br />Gac range <br />_ <br />Shower <br />_ <br />Kitchen sink 8 disposal _ <br />! <br />Dishwasher <br />I Clothes dryer <br />Range hood _ _ <br />I Exhaust fan _ _ <br />Heat pump <br />Clothes washer <br />Water heater _ <br />Sink serwcelbafffmo IetC <br />Beckgow preventer <br />/ <br />_ <br />Unit healer <br />Urinal <br />I <br />Boiler <br />Drinking Fountain <br />_ <br />Refrigeration <br />Floor drain _ <br />Woodslove <br />Ductnq —--- _- - —_ �--- <br />Other (� _ <br />l <br />Grease trap <br />Roof drains <br />/ I <br />Medical Gas <br />SPRINKLER <br />/ SUPPRESSION SYSTEM <br />Other <br />_ <br />Number of Heat, <br />I <br />Other <br />I hereby candy that I have read and «armned this apNcallon and snow the some to be true and correct Ail provisions of laws and OfdmarKel governing this typo of work *11 be compxd <br />wnhwhetherspecifledfiefemNMl The granting of a pNmdam% not pratuma logiver aelhomy to xb4la or cancel the proviseen of any Other, state Of local law laQUateg centlrudbn <br />That 1 am eathodaed by Ins owner of this property lO perform the work for which epphcatbn is mode and I comply xn'h the Slate Conlradats Law 18 27 RC W and 296 200A WAC <br />�C Gte.- <br />nwnnrlaulhnri rnd Annnt Cinnanrn V r rbin <br />1pnvlend 10n111 <br />