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� • <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLERIDEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES 3��'"J�� 15 <br /> 3200 Cedar St., Everett, WA 98201 425-257-8810 FN(425-257-8857 vnw�.everetivra org <br /> a. -o b <br /> SIl'EAODRESS:� PROPERNT/1%# PERL7IT?O —OZ <br /> 1 J <br /> LEGAL kr new consuucGon Snon Piatls�btl�v�;�.on Lol No _ (attach copy of Icn9legal descripibn) <br /> OWNER CI PhocelE�ma�i � - 3/ <br /> Address � CirylState/Z�p ,tJ <br /> APPLICANT:_O:�ner _Ov.ner'sAgent �Conlrae�er _Cenlrattor',Agent _Tensnt��,..ic��•a,�.,�eneracovc�a�m.rv.ea...<�iaa�...n�n�.na:.�:�1 <br /> CONTRACTOR � (� Slale Lic. # W Ciry Bus. Lic d (,�� 6 <br /> Add�ess PnoneiEma��l ��� �� - <br /> TENANT BUSRJESS NAME CONTACT FOR PER�dIT <br /> � Pnonel6mad Q' �- <br /> BUILDING PERMI APPLICATION CONTRACT PRICE OF WORK��Gb0 � <br /> Ezisting Use of Bwldlrg C MEAT SOURCE� <br /> Proposed Use of Bwlding��'�,, Gas X EiectricX Omer _ <br /> Bwlding!ype _Smgle Fam�iy _Duplex_Townhouse _h1uih-Fam�ly Z( Commercial <br /> T pe ot roecL New Atltldion Remodel Repair TJ Siqn S rinkler Demolition Chan e o(Use <br /> DESCRIPTION OF W ORK(add�r.onai space pio��ded on me back) <br /> ,�x _/��tE oF t.�c-Ec�oR-�= o��lY. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> TypeolPiojCCC _New_Addn ]�Alteralion_Repafr TypeofProjccC _New_Adtln _Alterotion_Rcpair <br /> ShowNumbcr(k)ol fiafuies Show Number(a)o/fi+fures <br /> NC-air handlin units Toilel <br /> Forced air s slems Dathlub <br /> Gas i in Lavalo arash basm) <br /> � Water heater Sho�,ver <br /> Gas Gre lace Kitchen smk&dis osal <br /> Gas ran e � �isl•�v+ashcr <br /> � Clothrs d er Ciothes washer <br /> Ran e hood Waler healet <br /> Exhaust(an Sink scrvlcclbarlmo /elc. <br /> Heal um I Backflow prevenler <br /> Umt heater Unnal <br /> Boder Drinkm Fountain <br /> Relri eration Floordram <br /> Wootlstove Grease Ira <br /> Duclinp Roof drains <br /> I p�p��___, �dedical Gas <br /> SPRINKLER ! SUPPRES310N SYSTEM othec <br /> Num6er of Heads � Other: <br /> InereEycM�hlhall�avereadande+aminedlnisa p:iwl'ananOknmvineSamelo0eweandtonecl.AllO��sionsollawsandartlinancesqovemin9t�istyDeciwmk�v::l�=wmp' <br /> n,inv.hel�erspeofeOAere:nornol The9reN,nga apeimil0oesnotPresumelo9rveau1�onlytoviolaleerevncelt�eD��isiono�anyolnerslaworlocalqwre9ulalingtmsWclion <br /> 7hai 1 dm aW�otlxeG Uy N�� er ol 1��s pwperty I �ppAorm ine.vork lor x�m0 a,pl'�calion Is made anA I compH�wln IOe Slale Conlraclors Law IB PT P.�W anE 29G POOA WAC. <br /> / <br /> OwnerlAulhorizedA9enl5ig e Dale (Revised9R01a) <br />