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PERMIT APPLICATION <br /> BUILDINGMECHANICA PLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY Of EVE:RETT PERM[T SERVICES <br /> 3200 Cedar St, Everett, VITA 98201 425-257-B810 FAX 425-257-8857 www.everettwa.org <br /> SITEADDRESE { 7 P lr* _ <br /> LEGAL for new construraton: Short PlaVsLtKfMslon Lot No. (attach copy of fcxtg lt�a]destaiption} <br /> 4{IVT�tI=R Phone/6-malt <br /> ddfESs <br /> APPLICANT: Ownarwnes Agen �Conraor _Con =r'sAgsni <br /> CONTRACTOR � �7 _Tetf+amtitp�ae�a *pofanaeerroBrutsoL.mic�.r# <br /> Address 60 ( Aa4, -4 f 6-f/1WUt&I'A qyb Phore1EmaionDioJn .�ey <br /> e as +> <br /> (� <br /> TENANT 13tf IN NTA FOR PERMIT <br /> Ja-C <br /> PhorrarE-ni l <br /> BUILDING PERMIT APPLICATION CONTRACT PRICK OF WORK �;� <br /> F)dsting Use of Building HEAT SOURCE: <br /> Proposed Use of Building Cass Eh�- other <br /> Building type: T Single Famfiy _ Duplt#x Rtmulb Family _Comrnarcial <br /> T ofPru-aa'-. New Addition Remodel Repair T:l. Sin rinkfer Demofitio Chs of Use <br /> DESCRIPTION OF WORK Nddttlane space provided on ma bark): j ! f <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of ProjscC —Now Addn --4tteration Rapa r Type of Project: —NLw,Addn ,AfteraVon,___-RepWr <br /> Show Number offatures ShowNumber oft5rtures <br /> " A/C-air handling units i Toilet <br /> Forced air s terns sathtub <br /> i Gas pfping favato wash basin <br /> i Waterheater Shower <br /> Gas fireplace ICtchsn sink$disposal <br /> aas rA Dishwasher <br /> t Glothes dryer <br /> i Clothes wsaher <br /> Pame hood Water heater <br /> CASUst fan Sink servlowbarlm etc <br /> f Heat pump SaWow preventer <br /> Unit heater i Urinal <br /> I <br /> Boiler 1 Diinidno Fountain <br /> Re aralion Floordrain <br /> Woodstove Grease trap <br /> i Duciin <br /> Roof drains <br /> Other <br /> ! Medica.{Gas <br /> SPRINK R 1 SUPPRESSION SYSTEM i Other. <br /> 11 Number of heads 1 Other. <br /> 1 hereby eBr*that I have need and examinad this appkAtlon and know the same to ba irate end mrmeL An pmvidons ca[arra and ordhlances govamtng this We Of work W91 be camp! <br /> WIN Wtreth@r spedfled Iterahl or not T88 g=thg ora permit dtim net prosumg to givo wifliu ity to vleWta or cannel the pmvWon of any other mte or tn3l law regutsffng mnsuudim <br /> That I arts aulbork d by tha mmar of IhLs w000rty to Pelf the work forwhich uppkation Is made and I comply wtih tho Slate Conhamars Ems 282T RCW and M200A WAC. <br /> ///fig,' - <br /> lAutharfzed Agent Signatura, Date <br /> (Revised s�zo-ta) <br />