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PERMIT APPLICATION <br /> BUILpING/MECHANICALIPLUMBINGISIGNISPRINKLERIDEM�LIJION <br /> CITY OF EVERETT PERMIT SERVICES ,lj ��/Z <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8810—FAX 425-257-8857—www.evere wa.drg <br /> APPLICATION9 ARE ACCEPTED FROM B AM TO 4 PM <br /> VROPERTVTA%M ITN �O <br /> SITE ADDRESS: � � <br /> LEOAL fa new constnxilon: Shorl Plal/eubdivislon Lol No.__ (el!ech copy ol lonp bqel dexr�pt�on) <br /> OWNER EQ- PhonUE-mail �.S ' <br /> ddreee �� � (/J � 1 � CIty/S1etN2ip ��jQ�''� "�/ �l1 <br /> CONTRACTOR � (s D u�L�4� ��5 L 61 Lic.# f�JH I � �3 V ,'J <br /> Addrese �z(T � I} hondEmail �T T� <br /> TENANT BUSINESS NAME CO,�wTA�C,T FOR PERMIT <br /> f'�"'-�� �yjp/Z/1f50� <br /> Pnone/E•mell - <br /> BUILDING PERMIT APPLICATION CONtRACT PRICEOF woRK • � <br /> HEATSOURCE: <br /> E�Isting Use of Bullding <br /> Proposed Uee ol8ullding Gee Eiecldc otner <br /> Buildingtype: t5ingleFamily _Duplex ownh � _Mulll-Femily _Commarcial <br /> Typa ol projecl: _New _Addition _ amo e _Repeir_T.I._Sfgn_Sprinkler_Demolilion_Change of Uae <br /> Desttlpllon of Kbrk pddifional apeca proddee an(na Deck): <br /> ���L° 0�l'r CoA-S V=u�+'�� Ar <br /> Have you slailud working wilhout a permlt7 _YES NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeofPro�ecl: _New_Addn �Al�erallon_Repslt TypaolProJecl: _New_Atltln _Albretlon_Nap�Ir <br /> Show Num�er(MJ ol Iixfures Show Number N ol flrfune <br /> A/C-airhandlin units Toile� <br /> Forced eir s slems Bathlub <br /> Gas i in Levato wash basin <br /> Water healer Shower <br /> Gas lire lace Kilchen elnk 8 dis osal <br /> Gas renga Dishwasher <br /> Clathesd er Clotheswasher <br /> Ran e hood Wetar heeler <br /> Exhaust lan Sink servica/bar/mo lelc. <br /> Hert um Backflow iavenler <br /> Uni;hea�cr Urinel <br /> Boiler Drinkin Fountein <br /> Relri eration Floordraln <br /> Woodslove Greaee ire <br /> Duclln Rool drains <br /> Other Medical Ges <br /> SPRINKLER I SUPPRESSION SYSTEM other: <br /> Number of Heads Other: <br /> I hereby ceiliry Ihal I heve read end e.amined Ihie aDPlice�lon enU know the eame lo Ce Irue end corrxL All D�ovisbne ol lewf end ortlinaricaf povemirp <br /> Ihie type ol work vnll be wmplie0 wllh whelher apecifieC hereln or nol.The pranling ol e permA Uoef nal presume la piva euthMly ta vb�ate or wiroN <br /> the provislon al eny ot�er elete or laaal law reBulalinp wnslrucllon or Ihe oedormence ol comW^Ilon.The�I em eulAotlzed b/Ihe owner of 1�I�properly <br /> to pedorm Ih woik la xTlc�epD��cai�on ie mede and 1 compry vnth Ihe Stele Conlraclon Lew 18.Y7 RCW anC YB8.200 WAC <br /> -- b�2�ZpaL <br /> Ownar ntl:ed A g <br /> neluro Oela (ReW�tO 7/ZOI I� <br />