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( <br /> PERMIT APPLICATION <br /> BUILDINGIMECHANICAUPLUMBING/SIGNISPRINKLER/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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 1 PM �/`—II <br /> SITE ADDRESS: �RPeRTY 7'� PERMIT O _�r, <br /> Zr0 � � V <br /> LEGAL tor new construction: Shorl PlaVsubtlivision Lol No._ (a�lach copy of long legal tlescnplion) <br /> OWNER � � � Phone/E-mail <br /> Address Cily/StalelZip � <br /> CONTRACTOR /)I T IN/7 !M <br /> LSILic.# � i <br /> Address � r� 'r . Phone/Email p . . <br /> TENANT BUSINESS NAME C NTACT FOR PERMIT <br /> (�� 1 �/ 4/' �� � <br /> WL r DW�7�s V/�Ib o���iJO ��� <br /> . Q . <br /> • <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK$ <br /> Existing Use of Building s D�. - -� HEAT SOURCE: <br /> Proposed Use o18uilding���F�t Gas� Eleciric Other <br /> Building type: _Single Family _Duplex_Townhouse _Mu�ti-Family �Commercial <br /> Type of project: _New _Addition �Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change oi Use <br /> DeScrip�ion of Wofk(etlditional space provideU on fhe back): � <br /> �usY�wt(. $ F��1co�c. �vN�Tf .�� av�rweR�l, s.,»�. ,4.+a <br /> �crvR� wAT1�R ��NFf TaFXl57��6 <br /> Have you atarted worNing without a permit7 1YES _NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type ol ProJect: _Naw_Addn �Altarelion_Repsir Type ol Projecl: _Naw_Addn ,LAIMrollon_Rep�ir <br /> Show Number(M)o/flxturee Show Num6er(N)o/flMures <br /> A/C–airhandlin units Toilet <br /> Forced air s stems Bathtub <br /> Gas i in Lavato (wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink 8 dis osal <br /> Gas ran e Dishwasher <br /> Clothes d er Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/barlmop/etc.) <br /> Heal pump BackFlow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Fountain <br /> Refri eration Floor drein <br /> Woodslove Grease ira <br /> Ductin Roaf dreins <br /> Other Medical Gas <br /> SPRIi:KIER / SUPPRESSION SYSTEM Other: <br /> NumberotHeads Other. <br /> I hereby cehify that I have read and ezamined this application and know the same to Ce ime and corted.All provisions of laws and ardinances goveming <br /> this type ol work will be complietl wilh whelher specifed hrrein or not.The granting ol a pertnil does not presume to give authonty ta violate or cancel <br /> ihe provision ol any o or local la re9ulating consir�ction or Ihe peAortnance ol construnion.That I am authonzed by the owner of I�is propeity <br /> to pedorm the lor which appli lio s made and I comply wilh Ihe State Conlrectors Law 7827 RCW and 296.200 WAC <br /> q-/�•// � <br /> wner u orizedA n Slgn ure Date (Revised7f2017) /� <br /> � <br />