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PERMIT APPLICATION <br /> BUILDIN MECHANICA PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETr PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 88209 425-257-8810 FAX425-257-8857 vmweverethma.org <br /> PRQPEEtTY FA1F. PERMrr <br /> SME ADDRESS: E ' <br /> LEGAL for new conoVuction: Shut PiaYaubdlvlsion Lnt Noe (sttuch copy of Inng legal descoption) <br /> QiNN� �l✓� .r�� �-.E:r s��nl�( Phor�elE�nei: ��- l:��..„ .. �i^�"s..�j- <br /> V3- - /-I lcity/s� <br /> C(BtESG y t i., <br /> APPLICANT:_ovmer _owneea Agent 4 Contractor —Contractor's Agent Percent(mun a cover atcanaaraclam tl�e aver to Q000ti e+me l <br /> cot�[TRACToR Sf')1 d og C v stag Ujz;. f Q cl at,s.t ic.# D r✓'3 <br /> Address l k66 f'xA � �l t WW&Gt- qgoo gooPhotre/Errtall co ' 458Y <br /> TENANT BUSINESS INIAME CONTA <br /> If <br /> Phona/E-mall ?a <br /> BUILDING PERMIT"PLICATION GOPaRACT PRICE OF WORK <br /> Esdsting Use of Butiding NEAT SOURCE: <br /> Proposed Uses of Buildirig Gas Electric other <br /> Building type: _Slagle Family L Duplex Townhouse —MuIS-Family _Commercial <br /> Type of prolect Now Addition Remodel Repair Tl. S' n nnkler Demolition Chango of Use <br /> DESOMPTION OF WORK fadcWonat apace provided on the back): <br /> hplatL <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type or Projact: _Now Addn _Alteration Rapair Type of Pro§a>�L- _New_Addn _Ahori lon___,repair <br /> Show Numbor offrxtures Show Numbar offlxtures <br /> A/C--air handling units ? Toilet <br /> Forced air systems Bathtub <br /> Gaspiping Lavatory wash basin <br /> t Water heater I Shower <br /> I Gas fireplace Kitchen sink&dls al <br /> Gas rant?isfrvsrastter <br /> Clothes d r I Giothas washer <br /> Range hood water heater <br /> Exhaust fan l Sinks Moe/baz/Ina /etc, <br /> I Heat pump Backflow priaventer <br /> Unit beater s Urinal <br /> i boiler Ddnking Fountain <br /> i�9 Bration i Floor Grain <br /> i Woodstove s Grease trap <br /> i Duan Roof drains <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other. <br /> Number of Heads ; Other, <br /> 1 hemzy carbly that 1 Revs rwzd and eXemrriea Me app5mtkm and know foe same to be true and oonvd.AH prnvletans of taws and ordinances govem(ng this We of work win be=11P.1 <br /> with whelner spodbad heratn or not.lite gtanthg of a parmit does not presume W&a authority to Violate or cannt the pmvisien of any Wrier ante or bud taw reg wing cwtstmcfim <br /> Ttr authorved by thb ovmet of lhla properti fo pQtfam the wo*W whkh app5cauon is made and t comply with tho Slate Contraaara Low 18.27 RCW and 2e8200A WAC. <br /> OwnedAuthorlized Agent Signature- -Date (ROWW*2014) <br />