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�ERMIT APPLICATIO� <br /> BUILDINGIMECHANICAL/PLUMBINGISIGN/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 /> 6 -ab-/ <br /> SITE ADDRESS: PROPERTY TAIf M PERMIT <br /> 60 Hc i Ave Fv rett W A 20l 64•196 3 0300 � <br /> LEGAL r new conslruction�. Short PlaVsubdivision SCe Plail SI1CfI A-I Lol No. (allach copV ol long legal desc�iplion) <br /> OWNER '�p❑ Ir ti PhonelE-maii <br /> ndaress cay�s�aie2�o 13ellewe WA 9800R <br /> APPIICANT: Owner _OwnefsAgenl ]�Conlraclor _Contractor'sAgenl TBI1dt11�musipiavi�calenaalconscrdliominewnerloJowoAin�ncsp'f:e) <br /> eoNTRAeroR ohansen Mechanical, IIIC. State Lic. p OHANMf 173PK City sus �ic a � <br /> ndaress 20109 144th Ave NG Woodinvilic, WA 98072 Pnone/Emai� 425-481-22C6 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT �u� LcZany�� 4tr - <br /> Verizon Wireless "��� st� � <br /> Phone�F•mall ., �l� <br /> BUILDING PERMIT APPLIGATION CONTRACT PRICE OF WORK�I S 5?7 <br /> Exisfing Use of Buildmg�n nnniniratinnc HEAT SOURCE�. <br /> Proposetl Use of 8wldmg��e„ Gas Eleclnc X Olher <br /> Building lype. _Smgle Family _Ouplex_Townhouse _Mulh-Famdy _Commercial <br /> T e of ro ect New Addilion Remodel Re air T I. Si n S rinkler Demolltion Chan e ot Use <br /> DESCRIPTION OF WORK/adddronai space pmmded on Ihe back). <br /> Replacc (2) existing AC uni�s �vith (2) new uuits likc for likc <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIY APPLICATION <br /> Type ol Projecl: _New_Addn _Alteralion_Repair Type ol Project: _New_AdAn _Alleration_Repair <br /> Show Number(N)of lrfwes Show Nambcr�N)ol/Ixlures <br /> NC-av handhn units T����� <br /> Forced air systems Bathtub <br /> — i� Lavalor wash basm <br /> Watcr healer Shower <br /> Gas Lre lace Kdchen sink 8 Als osal <br /> Gasran e . Uishwasher <br /> Cle!hes dryer Clothes washer <br /> R.n r hood Water heater <br /> [xhmist lan Sink seivicelhar/mo Icic <br /> Heal mm Oackflow reveNer inside bW <br /> Uml healei Unnal <br /> Boiler Dnnkm Fountain <br /> Rclri eralion Floo� drain <br /> Woodstove Grease Ire <br /> Duclm Rool drains <br /> Olher Medical Gas <br /> SPRINKLER I SUPPRESSION SYSTEM O�hr.r <br /> Number oi Heads Other <br /> 1 tiereby r.etldy Nal I�ave rraU and e�ammed l�is apP�uilion nnd know Ih�e same la Oe Ime and corteel All pioms:on.ol la+vs enA onf nancex gnvr.iiung Ihrt.iype ol wa�k wil ne rn�np <br /> wiih w�el�ei cprcded herern nr not lhe granLnq ol a pe�mit doe:not pmsume lo grve aul�on�y lo violatc rn eaneel lhe pmvrsion ot aup olhr�sf.tle ar Inc.I law mgulal�ng conslmcl�,on <br /> 1Mt I a I�nuieJ�y IOr. � i ot Inis p�openy�n f��'�lorm IOe wo�M lor wlnch appl¢alion ir.mntle anJ 1 comply w:th Ihe$L�Ie GoNradors t aw 1M 2]{PCW anJ 77fi 20DA WAC <br /> Owncrl tl�zc nl5i9natu� ��+�� '/ (Rr.vrsetlJ?0�5) <br /> ` �� <br />